RU2005110860A - METHOD FOR PRE-TERRIBERIAL GERNIOPLASTY - Google Patents

Claims (1)

The method of preperitoneal hernioplasty, consisting in the fact that entry into the preperitoneal space is carried out in the pericarp area by opening the front sheet of the vagina of the rectus abdominis muscle, followed by the introduction of a trocar tube without stylet into the vagina on the hernia side, carbon dioxide is supplied under a pressure of 12 mm Hg. Art., a laparoscope is inserted along the posterior surface of the rectus abdominis muscle into the preperitoneal space of the inguinal region. The retzius space and the laparoscope tube create the primary cavity in the preperitoneal space in the projection of the medial and lateral inguinal fossae, the peritoneum is separated, additional 5 mm ports are installed at the middle of the distance between the navel and with a symphysis, 5 cm lateral from the midline, a hernial sac is secreted, an ileo-pubic cord, an arch of the internal oblique and transverse muscles of the abdomen are prepared, the lower epigastric vessels, the Kupffer ligament and the hernia gate is secreted, and then a non-absorbable multifilament suture is inserted through the 10-mm optical trocar into the Rettsievo space and a continuous intracorporeal suture is inserted between the ileo-pubic cord and aponeurosis of the oblique muscles of the abdomen.