SHALASHOV SERGEJ VLADIMIROVICH,Шалашов Сергей Владимирович,EREMEEV PETR NIKOLAEVICH,Еремеев Петр Николаевич,YANASHEK VITALIJ STANISLAVOVICH,Янашек Виталий Станиславович,KHARKOVA VIKTORIYA VIKTOROVNA,Х
申请号：
RU2015103715/14
公开号：
RU0002585734C1
申请日:
2015.02.04
申请国别(地区):
RU
年份:
2016
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to medicine, specifically to hernioplasty inguinal hernia. Proposed method comprises front operational access, incision of abdominal external oblique muscle from an external inguinal ring in a lateral side, separating inguinal ligament, spermatic cord, extraction and processing of hernial sac, separation of medial flap of abdominal external oblique muscle from abdominal internal oblique muscle aponeurosis upwards. Defect is closed in transverse fascia with uninterrupted absorbable suture, not fixing lateral flap of abdominal external oblique muscle under spermatic cord to lower edges of internal oblique and transverse muscles to form slot new internal inguinal ring. Spermatic cord is moved upwards. Method includes fixing medial flap of abdominal external oblique muscle above spermatic cord to front surface of a lateral flap of abdominal external oblique muscle tension-free. In bundle or (and) thinning of zone of lateral flap of abdominal external oblique muscle polypropylene mesh prosthesis material is placed within inguinal space between transverse fascia sutured abdomen and lateral flap of he abdominal external oblique muscle. Method uses a rigid polypropylene mesh prosthesis with dimensions larger than inguinal space or mesh-blank Hertra 1.2 with a recess for spermatic cord, modelled shape and dimensions of inguinal space.EFFECT: method enables to reinforce lateral flap of abdominal external oblique muscle when used for repair of a posterior wall of inguinal canal.3 cl, 8 dwg, 3 exИзобретение относится к медицине, а именно к герниопластике паховых грыж. Способ включает передний операционный доступ, разрез апоневроза наружной косой мышцы живота от наружного пахового кольца в латеральную сторону, выделение паховой связки, семенного канатика, выделение и обработку грыжевого мешка, отделение медиального лоскута апоневроза наружной косой мышцы живота от подлежащей внутренней косой мышцы живота вверх. Производят ушивание
