SU1424804A1 - Method of plasty of inguinal canal - Google Patents

Abstract

This invention relates to medicine, more specifically to the surgical treatment of abdominal hernias. The purpose of the invention is to prevent the umbilical ligament from becoming loose during plastic repair of the inguinal canal and the associated hernia recurrence. To do this, after removing the hernial sac and suturing the deep inguinal aperture, ligatures are applied around the choupum ligament with the two lower sutures being taken by the couperose. The distance between the ligatures is 1-1.5 cm. When they are applied, the edge of the lateral flap of the aponeurosis is left free for the subsequent formation of a duplicate. The overlaid duplicates do not harden and do not tangle. Then, stitches are put between the medial aponeurosis flap, the internal oblique muscle, and the chamois ligament, while stitching the chamois stitching, seize both threads of the female suture in the suture. After tying seams, ligatures covering the umbilical cord are moderately tightened and tied. After that, the lateral and medial flaps of the aponeurosis are stitched as duplicates.

Description

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This invention relates to the field of medicine, in particular to the surgical treatment of abdominal hernias.

The aim of the invention is the prevention of the disintegration of the umbilical ligament during plastic repair of the inguinal canal and the associated hernia recurrence.

The method is carried out as follows.

After the hernia sac is removed and the deep inguinal aperture is sutured, ligatures are placed around the chupper binder with the two lower sutures attached to the Cooper binder. The distance between the ligatures I -1.5 cm. When they are applied, the edge of the lateral flap of the aponeurosis is left free to follow, 1 forming its duplicature. The superimposed ligatures do not overlap and do not tie.

Then, stitches are put between the medial aponeurosis flap, the internal oblique muscle, and the chamois ligament, while stitching the chamois stitch, seize both threads of the surrounding suture into the suture. After weaning ZE 1, the joints of the moderate suture are tightened 1, the ligatures covering the joint are fastened. After that, the lateral and medial aponeurosis patches are spliced in the form of a dunclature.

 The overlap of the female suture around the ankle is an easy and safe intervention.

The suture, applied around the inguinal ligament, is a gathering, reinforcing antifouling to the unraveling of its fibers, which prevents hernia from recurring.

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The inguinal tie according to the proposed method is used in full and for the desired length, and not selectively.

The proposed method of treating inguinal hernias allows the medial flap of the aponeurosis and the internal oblique muscle to be held tightly, even if only a small amount of inguinal ligament is seized in the suture.

Sewing of the medial flap of the aponeurosis of the external oblique muscle and the internal oblique muscle to the inguinal ligament along the previously applied suture is not difficult.

The proposed method of plasticity of the inguinal canal during surgical treatment of inguinal hernias, gives a good therapeutic effect and prevents the recurrence of hernias, especially in the elderly and senile age. Recommended for practical use.

Claims (1)

Invention Formula A method of plasty of the inguinal canal, including dissection of the aponeurosis of the external oblique muscle, hemming of the medial aponeurosis edge to the chapaneline ligament with subsequent formation of the duplicate by fixing the lateral edge of the aponeurosis over the medial edge, characterized in that, in order to prevent loosening of the chondral mucosa and the symphysis of the lumen of the aponeurosis , after dissection of the aponeurosis by separate ligatures, the umbilical cord is covered, and when the medial edge of the aponeurosis is hemmed, the sutures are applied to the previously applied ligatum P, followed by the last head-binding.