| 摘要 |
FIELD: medicine.SUBSTANCE: invention refers to medicine, namely herniology. A method involves a herniotomy with separating and opening a hernial sac, inspecting its content, dissecting it away, closing the abdominal cavity with a continuous suture tightly. A hernial orifice presented by both aponeurotic, and muscular components is reinforced by means of two synthetic prostheses. Leaving an external oblique abdominal muscle non-mobilised in the Sub lay position edges of the first prosthesis are fixed with vicryl U-sutures at 3-4 cm from the defect edges; the prosthesis are fixed to the hernial defect edges by means of a continuous suture. In the On lay position, the second prosthesis is placed; it has been cut out 3-4 cm larger than the defect; it is fixed to the muscle or aponeurosis of the external oblique abdominal muscle with a continuous vicryl suture, and then by means of interrupted sutures to the hernial defect.EFFECT: method enables preserving the integrity of the external oblique abdominal muscle that prevents recurrent hernias.1 ex, 4 dwg |
