METHOD FOR CARRYING OUT INGUINAL HERNIOPLASTY
FIELD: medicine. ^ SUBSTANCE: method involves making skin incision arranged in parallel to inguinal fold. Subcutaneous cellular tissue and aponeurosis are cut. Retractor blade is to be introduced into the wound along inguinal canal and pulled upward holding the handle for creating operation field. S...
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Zusammenfassung: | FIELD: medicine. ^ SUBSTANCE: method involves making skin incision arranged in parallel to inguinal fold. Subcutaneous cellular tissue and aponeurosis are cut. Retractor blade is to be introduced into the wound along inguinal canal and pulled upward holding the handle for creating operation field. Spermatic cord is to be mobilized and taken on tourniquet and hernial contents are to be reduced into the abdominal cavity. Unstrained plastic repair of posterior inguinal canal wall is carried out with synthetic transplant having orifice for taking out the spermatic cord. Ultrasonic examination is additionally carried out in inguinal region to determine internal inguinal ring location before making operation. Lower point of internal inguinal ring opening boundary is marked on skin in pubic spine direction. 2.5-3.0 cm long skin, subcutaneous cellular tissue and aponeurosis incision of exterior oblique abdominal muscle is carried out at this point in parallel to the inguinal fold. Hernia contents is reduced into the abdominal cavity is carried out without mobilizing and opening the hernial sack. ^ EFFECT: improved visualization of medial canal part structures. ^ 2 dwg |
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