腹股沟疝气如何治疗配图,仅供参考
Surgical treatmentThe open surgical treatment of the inguinal hernia in adults consists of three elements:
1. Dissection of the hernia sac from the spermatic cord structures.
2. Reduction of the hernia sac contents and resection or reduction of the hernia sac.
3. Repair and/or reinforcing of the fascial defect in the posterior wall of the inguinal canal.
An accurate dissection of the inguinal canal provides insight into the anatomy of the hernia. During the reduction,the content of the hernia sac is placed back into the peritoneal cavity. The peritoneal hernia sac is resected or reduced into the preperitoneal space.
The inguinal canal is restored by repairing the defect in the posterior wall by means of a so-called tissue suture technique or by covering the defect with synthetic material. Polypropylene mesh is usually the synthetic material of choice.
All of the tissue surgery techniques bear the name of the surgeon who promoted the method concerned (Marcy,Bassini,Halsted,McVay,Shouldice),as is also the case for the majority of prosthetic techniques with mesh (Lichtenstein,Stoppa,Wantz,Rutkow/Robbins),whereas,currently,often only the type of operation is stated (plug and patch,PHS,TEP,TAPP).","department":"