Method of Strengthening the Posterior Wall of the Inguinal Canal with Direct Inguinal  Hernias, the Transverse Fascia is Superimposed Endo-loop

Тарасенко С.В.; Зайцев О.В.; Копейкин А.A.; Ахмедов Ш.И.; Рахмаев Т.С.

doi:10.18499/2070-478X-2015-8-3-310-313

Method of Strengthening the Posterior Wall of the Inguinal Canal with Direct Inguinal Hernias, the Transverse Fascia is Superimposed Endo-loop

Authors: ¹, ¹, ¹, ¹, ¹
Affiliations:
1. State Education of Ryazan Medical University, Ryazan st. Visokovoltnaya-9, Russian Federation
Issue: Vol 8, No 3 (2015)
Pages: 310-313
Section: Original articles
URL: https://vestnik-surgery.com/journal/article/view/48
DOI: https://doi.org/10.18499/2070-478X-2015-8-3-310-313
ID: 48

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Abstract

Purpose of the study is to determine the effectiveness of our proposed method of strengthening the posterior wall of the inguinal canal with direct inguinal hernias. Further complications such as hemostasis and seroma in early postoperative period after laparoscopic hernia repair on direct inguinal hernias due to the fact that nonliquidated cavity is formed between the mesh endoprosthesis, and the transverse fascia. Our proposed method is as follows: while performing a laporoscopic hernia repair on a direct inguinal hernia, after dissection of tissues in the periperitoneal space, elements of the inguinal gap are distinguished. We find stretched prolapses in

the transverse fascia of the inguinal gap, in the projection of the medial inguinal fossa. Then, by an endoscopic clamp we grab the bottom of the stretched transverse fascia, pulling it in rotational movements in the periperitoneal space. On the basis of the formed cone elongated in the periperitoneal space, the transverse fascia is superimposed endo-loop and tightened, thereby eliminated prolapsed of the transverse fascia which in turn strengthens the posterior wall of the inguinal canal. The next step is setting up and fixing the mesh prosthesis with its subsequent peritonization.

Conclusion Publication experience in this study confirms that the proposed method can be used in the treatment of direct inguinal hernias.