Середин Сергей Александрович (RU),Баулин Афанасий Васильевич (RU),Середин Александр Сергеевич (RU)
申请号：
RU2014108403/14
公开号：
RU2014108403A
申请日:
2014.03.04
申请国别(地区):
RU
年份:
2014
代理人:
摘要：
Method combined inguinal hernioplasty comprising strengthening the rear wall of the inguinal canal endoprosthesis, characterized in that the inguinal canal is opened performing dissection aponeurosis of the external oblique abdominal muscles from the upper edge of the outer opening of the inguinal canal parallel to the inguinal ligament, was isolated spermatic cord is formed aponeurotic flap to further strengthen the rear wall inguinal canal and delimitation of the spermatic cord from the prosthesis performing the second cut aponeurosis of the external oblique abdominal muscles paral allel to the first section and at 2 cm above the endoprosthesis fixed behind the spermatic cord to the ilio-pubic tract and deep layers of the inguinal ligament, the internal inguinal orifice is formed at the lower edge of the endoprosthesis in the form of an arch, exceeding the diameter of the spermatic cord 2-3 mm, the upper edge endoprosthesis aponeurosis fixed to a combined external and internal abdominal oblique muscles, passing in front of the vagina rectus sheet formed of the external oblique aponeurosis muscle belly flap laid key aponeurotic di spermatic cord on the endoprosthesis, effect a locking of the lower edge of the aponeurotic flap to the deeper layers of the inguinal ligament, forming an aperture for the spermatic cord in accordance with its diameter, the upper edge aponeurotic flap sutured to the subject endoprosthesis, spermatic cord disposed on aponeurotic flap sutured free edges of the aponeurosis outer abdominal oblique muscle above the spermatic cord to form external inguinal canal opening diameter of 1.5 cm.Способ комбинированной паховой герниопластики, включающий укрепление задней стенки пахового канала эндопротезом, отличающийся тем, что паховый канал вскрывают выполняя рассечение апоневроза наружной косой мышцы живота от верхнего края наружного отверстия пахового канала параллельно паховой связке, выделяют семенной канатик, формируют апоневротический лоскут дл
