RU2005107119A - METHOD FOR UNSTRAINED HERNIOPLASTY FOR INGUINAL HERNIA - Google Patents

Claims (3)

1. A method of non-tensioned hernioplasty for inguinal hernias, including anterior inguinal access to the inguinal canal, isolation of the inguinal ligament and spermatic cord, isolation and processing of the hernial sac, placement of a modeled mesh prosthesis longitudinally dissected from the lateral end, under the spermatic cord and fixing its sutures to the groin ligament and internal oblique muscle with subsequent tissue repair, characterized in that the mesh prosthesis is modeled taking into account the replacement of the lateral aponeurosis flap of the external oblique muscle ivot and hem it to the inguinal ligament along a line that is located proximal to its lower edge, and these seams capture not only the inguinal ligament, but also the lateral aponeurosis flap of the external oblique muscle of the abdomen to the entire width, while the lower edge of the mesh prosthesis is fixed to the medial aponeurosis flap the external oblique muscle of the abdomen on top of it without tension. 2. The method according to claim 1, characterized in that the aponeurosis of the external oblique muscle is dissected so that the width of its lateral flap does not exceed 1 cm 3. The method according to claim 1, characterized in that the plastic of the external inguinal ring is performed with the formation of the latter outside the inguinal gap, for which a mesh prosthesis is respectively modeled and additionally fixed to the anterior sheet of the vagina of the rectus abdominis muscle.