METHOD OF SURGICAL TREATMENT OF UMBILICAL HERNIA

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to surgery. Umbilical hernioplasty is performed with local tissues to form transverse duplicate of abdominal rectus aponeurosis. Access is performed by skin incision inside the umbilicus along its cranial contour, at distance of 3–4 mm from the skin of the anterior abdominal wall. Length of the skin incision corresponds to half the length of the umbilicus circumference, and the umbilical hernioplasty is performed with a double-row suture of the transverse duplication of the abdominal rectus aponeurosis using an atraumatic monofilament non-absorbable material. First row of the suture is formed from the inside to the outside along the lower layer of the above duplicate and in the reverse direction along its upper layer, and the seam assemblies are fastened between the duplicate sheets. Second line of the suture is formed outside the previous one similarly. That is followed by umbilicoplasty, which is performed by forming a surface and three internal circular sutures with non-traumatic monofilament absorbable material, followed by suturing the skin wound by immersing the suture inside the umbilicus. Umbilicoplasty is then formed by forming a superficial and three internal circular sutures with an absorbable atraumatic monofilament suture with subsequent suturing of the skin wound by immersing the suture inside the umbilicus.;EFFECT: method enables providing minimally invasive cutaneous access inside the umbilicus, leaving the external skin without intervention; eliminating diastasis of rectus abdominis muscles; prevent formation of palpable under skin scars and seams in duplicate area of aponeurosis of rectus abdominis muscle in patients with non-expressed subcutaneous fat on anterior abdominal wall.;1 cl, 2 ex