Method of tension-free inguinal hernioplasty

  • С. В. Шалашов The Railway clinic on Irkutsk-Passazhirskii station
  • А. Л. Михайлов The Railway clinic on Irkutsk-Passazhirskii station
  • Ю. К. Усольцев The Railway clinic on Irkutsk-Passazhirskii station
  • С. Г. Цибиков The Railway clinic on Irkutsk-Passazhirskii station
  • И. А. Егоров The Railway clinic on Irkutsk-Passazhirskii station
  • Р. В. Олексевич The Railway clinic on Irkutsk-Passazhirskii station
Keywords: inguinal hernia, hernioplasty, I.L.Lichtenstein operation, modification

Abstract

The modification of tension-free inguinal hernioplasty was offered. Unlike I. L. Lichtenstein operation it innovates a number of changes. They are the following: the incision of aponeurosis of abdominal external oblique muscle is done in 0,7 - 1 centimeter from inguinal ligament, the uninterrupted suture from pubic tubercle includes not only inguinal ligament, but also full-width of lateral flap of aponeurosis of abdominal external oblique muscle, and mesh is underrun by the line above its bottom brim turning this brim anterversionally. The anterior wall of the inguinal canal restores unstrained, underrunning the bottom brim of the mesh with the medial flap of aponeurosis of the abdominal external oblique muscle by uninterrupted suture. This method is aimed at full implementation of the «tension-free» principle, universalization of intervention in repair of inguinal hernias, safer fixation of the mesh bottom part, decreasing postoperative complications. There were carried out 44 repairs of hernia by the proposed method. All the 38 patients are males at age from 21 to 82 years old. In all the cases, even at faint inguinal ligament laxity, the mesh was stabilized safely. 2 patients, operated by the proposed method, had postoperative complications at an early postoperative period. The one had seromа in the adipocellular zone of the postsurgical wound. The second patient had hematoma in consequence of inadequate intraoperative hemostasis.
Published
2018-05-31
How to Cite
Шалашов, С., Михайлов, А., Усольцев, Ю., Цибиков, С., Егоров, И., & Олексевич, Р. (2018). Method of tension-free inguinal hernioplasty. Bulletin of the International Scientific Surgical Association, 1(2), 64-66. Retrieved from http://surgjournal.ru/index.php/BISSA/article/view/99
Section
Original Articles