Dimitrov V, Dudunkov Z, Ralchev K, Kurtev P
Khirurgiia (Sofiia). 1989;42(4):87-90.
Detailed description is given of inguinofemoral herniotomy with subsequent plastic repair through transabdominal approach simultaneously with radical oncologic operation of sigmoid and rectum. The plastic repair is a two-stage procedure: The first stage consists of suturing the musculo-aponeurotic part of m. transversalis and m. obliq. internus abdominis to lig. inguinalis or lig. inguinalis to lig. Cooperi in femoral hernias. The second stage is the "ampoxen" explant, which is sutured cranially to f. transversalis, medially to the fascia behind m. rectus abdominis, downward to the public or obturator fascia and laterally to the fascia over m. iliopsoas. The explant serves as a firm "umbrella" from the internal part of the entire inguinofemoral area. The method was applied on 7 patients with very good postoperative result.
详细描述了经腹入路腹股沟股疝修补术并同时进行乙状结肠和直肠根治性肿瘤手术的后续整形修复。整形修复是一个两阶段的过程：第一阶段包括将腹横肌和腹内斜肌的肌筋膜部分缝合到腹股沟韧带或在股疝中将腹股沟韧带缝合到库珀韧带。第二阶段是“安波森”补片，将其向上缝合到腹横筋膜，向内缝合到腹直肌后方的筋膜，向下缝合到耻骨或闭孔筋膜，向外缝合到髂腰肌上方的筋膜。该补片从整个腹股沟股区域的内部起到坚固的“保护伞”作用。该方法应用于7例患者，术后效果非常好。
