METHOD FOR TENSION-FREE COMBINED PLASTY OF INGUINAL CANAL

FIELD: medicine, herniology. ^ SUBSTANCE: the present innovation deals with plasty of inguinal canal at operative treatment of hernias. One should mobilize spermatic funiculus due to dissecting a testicle-lifting muscle, fascial membrane of spermatic funiculus at a deep inguinal ring, dissect cross-sectional fascia behind spermatic funiculus towards external edge of sheath of rectus muscle, replace a spermatic funiculus into preabdominal fiber, suture cross-sectional fascia with a blanket uninterrupted suture, liquidate a narrow part of inguinal space due to suturing a free edge of internal oblique and cross-sectional muscles to inguinal ligament, cover the rest space of inguinal space with a fragment of synthetic material, form new deep ring of inguinal canal, replace spermatic funiculus laterally to apply it onto a fragment, connect the edges of dissected aponeurosis of external oblique muscle, form new surface aponeurotic ring of inguinal canal. The innovation enables to exclude excessive tissue tension while removing high inguinal space. ^ EFFECT: higher efficiency of plasty. ^ 4 dwg, 1 ex