METHOD Endoprosthesis in surgical treatment of hernia of an esophageal IRIS OF LARGE SIZE

摘要

1. A method for arthroplasty in the surgical treatment of hernias esophageal large aperture card comprising the intersection of the esophageal-gastro-diaphragmatic and diaphragmatic ligaments, isolation diaphragm legs behind their crosslinking esophagus continuous seam, forming fundopllikatsionnoy cuff, characterized in that it further reveal hepatocellular gastric ligament in its upper third, the right branch of the vagus nerve is isolated and transferred from the operation area is formed the esophageal opening to the size of the aperture of 5-7 millimeters esophagus wider diameter thinned aperture on the prosthesis stem is placed, leaving the front part of naked muscle loop diafragmy.2 esophageal opening. A method according to claim 1, characterized in that the prosthesis is formed as a polypropylene mesh U-shaped.