METHOD FOR REBUILDING ABDOMINAL WALL IN CASES OF INGUINAL AND FEMORAL HERNIA

FIELD: medicine. SUBSTANCE: method involves forming a new inguinal canal having changed direction and displaced external inguinal canal ring. Musculus obliquus externus abdominis superior aponeurosis sheet, musculus abdominis rectus sheath border, conjoined tendon of the musculus obliquus internus abdominis and musculus transversus abdominis, transverse fascia are sutured to superior pubic, Cooper and Poupart ligaments under selected spermatic cord. The inferior aponeurosis sheet is sutured over the superior one using separate sutures on both sides of the spermatic cord. The first row of corrugating sutures is put on the transverse fascia catching iliopubic tract and the inferior border of the Poupart ligament from the pubic tubercle to the internal inguinal canal ring. The sutures are put medially with respect to the spermatic cord in the zone of the internal inguinal canal ring catching inferior border of the musculus internus obliquus abdominis and musculus transversus abdominis. The second row of sutures is formed between the musculus obliquus externus abdominis aponeurosis and the conjoined tendon of the musculus obliquus internus abdominis and the musculus transversus abdominis from overhead, and between the iliopubic tract and Cooper ligament to the iliac vessels on the underside, and in lateral position between the musculus obliquus externus abdominis superior aponeurosis sheet and the musculus internus obliquus abdominis from overhead, and between the iliopubic tract and Poupart ligament on the underside. Multilayer fasciomuscular aponeurotic obstacle is formed in this way. EFFECT: prevented hernia recurrence. 2 cl