METHOD FOR THE TREATMENT OF COMPLEX inguinal-scrotal HERNIAS through a combination of open and laparoscopic access

摘要

1. A method for treating inguinal hernias-scrotal by a combination of open and laparoscopic access, comprising the following steps: a laparoscopic access is performed by performing three punctures the anterior abdominal wall into the standard points, and impose pneumoperitoneum visiting zone hernial defect diagnosis and specify the area where the small-incision; operate mini-incision in the groin area in a projection of the superficial inguinal ring is not more than 3 cm long, longitudinally dissected levator muscle testicle element spermatic cord hernial sac is isolated, which after application of pneumoperitoneum swollen and easily differentiated, the hernial sac is sewn and cut off at the base, expanded superficial inguinal ring sutured to 1-1.5 cm in diameter, the reduced integrity of the spermatic cord, by suturing the muscle, the levator testis sutured to skin wound, under the control of the laparoscope produce mobilization with peritoneal stump hernial sac is deposited mesh implant, the mesh fixation operate gerniostenlerom or manual suture from the abdomen was removed m gas and tools, and skin sores ushivayut.2. A method according to claim 1, characterized in that after peritonization grid into the space between the grid and the peritoneum for 1 day drainage tube sets, outputting it to the skin through a trocar puncture.