SU950332A1 - Abdominal wall hernia treatment method - Google Patents

Description

(54) METHOD OF TREATMENT OF THE HERNIA WALL HERNIA

one

This invention relates to medicine, namely to surgery.

There is a method of treating abdominal wall hernias, including flashing and ligation of the hernial bag 1.

However, with a known method, the dissection of soft tissues and the release of a hernial sac are accompanied by some blood loss. Surgical intervention and anesthesia for up to 1 hour

With a favorable postoperative course, the patient is in the surgical department 7-10 days before the skin sutures are removed.

A rough scar sometimes remains on the abdominal wall.

The aim of the invention is to reduce the trauma and shorten the treatment time.

The goal is achieved by the fact that in carrying out the method of treating a hernia of the abdominal wall, including flashing and dressing of the hernial trap, the defect of the wall and the hernia gate are worn at the same time by recessed stitches under the hernial bulge.

The method is carried out as follows.

10 Closure of the hernia orifice and abdominal wall defect is carried out by interrupted sutures through all layers of the abdominal wall, followed by drowning of the outer loops before aponeurosis. The resulting knot of each thread is immersed under

Claims (3)

 skin Stitches are applied until the complete elimination of the defect. The distance between the schmie 1 cm. The remaining three traces of skin punctures after each thread is treated with alcohol. In order to prevent damage to the organs of the Brut cavity by a surgical needle or their capture, pneumoperitoneum is preliminarily placed in the soup. The needle used to apply the pneumoperitoneum is used to inspect the hernial sac and, if necessary, release it from the contents. The procedure is performed by a single surgeon under conditions of conventional dressing or procedure for 10-15 minutes. Sterile material is not required. After suturing for 1 day, the patient is in a horizontal position in the back. During this time, the oxygen from the abdominal cavity is almost absorbed, and the observed pain in the area of the sutures is significantly reduced. Patients are discharged after 1 day. Example 1. Patient D. Has been ill since two years old when parents noticed a bulging of the abdominal wall. Often complains of abdominal pain. On examination, the protrusion of the anterior abdominal wall in the area of the white line of the abdomen, in the middle of the distance between the umbilicus and the xiphoid process 2.5x2x2 cm in size, is easily discharged into the abdominal cavity. Diagnosis: hernia of the white line of the abdomen. Under anesthesia, pneumoperitoneum is imposed and the hernial ring and an aponeurosis of the white line are sutured. A day is allowed to walk. Found under the supervision of three days. No complaints. Vyshan home. Control after 14 days and after 2 months. No complaints. Hernial prolapse and aponeurosis defect is not detected. Example 2. Ill P., 4 y. 9 months, was admitted with a diagnosis: paraumbilical hernia. Objectively: above the navel, a hernial extension of 3x3x3 cm is determined in the midline. The defect is aponeuro beyond the white line of 2x2 cm. The hernia gate is sutured and the aponeurosis is defeated by three sutures according to the proposed method. In a day the girl is active, she makes no complaints. In the area of sutures, slight swelling, palpaci painful. Discharged home. Viewed through the month c. No complaints. In the area of the overlapped seams, a 3 cm long oblong seal is determined, painless when palpating. Hernial prolapse and no defect. Example 3. Ill. F., 9 months., Admitted with a diagnosis: umbilical hernia. Hernial prolapse of the navel has been noted since birth. It was treated in a conservative way with no effect. Objectively: in the region of the navel there is a bulging of 3x2x2 cm, easily set in the abdominal cavity. The skin over the bulge is thinned. The umbilical ring is sharply expanded. Under anesthesia, after the pneumoperitoneum was applied, the hernia gate was re-tied with one circular recessed suture and three nodal recessed sutures stitched together an umbilical ring. Hernial proliferation eliminated. Discharged on the second day. Control after 1 month. No complaints. There is no defect of the abdominal wall and hernial prolapse. The proposed method prevents the incision of soft tissues of the anterior abdominal wall from being cut, open the peritoneum, reduces the number of complications. The gas interlayer prevents the internal organs from contacting the abdominal wall, which excludes the possibility of adhesions between them. The duration of the procedure and anesthesia is reduced. The method reduces the postoperative stay of the patient in the department from 7-10 days to 1-2. After the hernia gate has been sutured and the abdominal wall is defective, no scarring remains on the skin of the abdominal wall. Claims The method of treating abdominal wall hernias, including stitching and ligating the hernial sac, characterized in that in order to reduce the morbidity and shorten the treatment time, the abdominal wall defect and hernial ring are sutured simultaneously with recessed seams under the hernial protrusion. Sources of information taken into account in the examination 1. T. A. Bairov. Surgeons of malformations in children. L., 1968, p. 274.