Kabanov A N, Rozhkov M S, Ostroukhov N F
Khirurgiia (Mosk). 1998(4):51-2.
The method of preperitoneal hernioplasty for simultaneous elimination of inguinal and femoral hernias was developed, which consists in that semi-oval cross-section of the skin is performed 3-4 cm above inguinal ligament. The approach through the aponeurosis of superficial oblique (abdominal) muscle is made above the inguinal channel, the muscles are retracted by blunt manner, and through the incision in transversal fascia they penetrate into preperitoneal space. When doing plastics the posterior wall of inguinal channel is strengthened. The tendon of internal oblique and transversal muscles are sutured together as well as lateral margin of the vagina of rectal muscle with pectineal ligament. Transverse fascia is sutured as duplication by the second row of nodular and the interior orifice of inguinal channel is reconstructed.
开发了一种用于同时消除腹股沟疝和股疝的腹膜前疝修补术方法，该方法包括在腹股沟韧带上方3-4厘米处进行皮肤的半椭圆形横截面。通过在腹股沟管上方的腹外斜肌腱膜进行入路，肌肉以钝性方式牵开，通过腹横筋膜切口进入腹膜前间隙。进行整形时，加强腹股沟管后壁。腹内斜肌和腹横肌的肌腱缝合在一起，直肠肌鞘的外侧边缘与耻骨梳韧带缝合。腹横筋膜以第二排结节状方式进行双层缝合，并重建腹股沟管内口。
