Canadian Method Indirect Inguinal Hernia Repair

The use of Brazilian fascia inguinal hernia repair, McVeigh's inguinal hernia repair, Foxon's inguinal hernia repair, and Hosted's inguinal hernia repair have cured many patients with inguinal hernia. The shortcoming of these methods is that the posterior wall of the inguinal canal is not really repaired and strengthened, that is, the transverse transverse fascia layer, and the tension is large, and there is a certain recurrence rate. In 1945, Schouldice first published a tension-free repair method. Recently, there have been reports of this method in China. It is believed that the Canadian inguinal hernia repair is simple, safe, physiological and anatomical, and has a low recurrence rate. It is suitable for various inguinal hernias. . Treating diseases: suffocating Indication Canadian inguinal hernia repair is suitable for adult patients with large hernia sac and weak abdominal wall. It is characterized by the displacement of the spermatic cord between the intra-abdominal oblique muscle and the external oblique muscle aponeurosis. Contraindications If the patient with inguinal hernia does not have a cuff or a strangulation, surgery should not be performed under the following conditions. 1. Patients with acute diseases, skin lesions or severe cough, etc., which increase intra-abdominal pressure. 2. Elderly paralyzed patients with long-term survival and no serious symptoms. Preoperative preparation 1. Repeat the detailed physical examination and necessary laboratory tests before surgery, paying special attention to the throat, heart, lung, blood and surgical site. 2. Complete the skin preparation in the operating area one day before the operation. 3, there are upper respiratory tract infections, chronic cough, chronic constipation or other conditions that increase the intra-abdominal pressure, should be controlled after surgery. Surgical procedure 1. The incision and hernia sac treatment steps are the same as the aforementioned hernia repair, but the suspension fixation after the sac ligature is not performed. 2, lift the spermatic cord and testicular muscles, cut the inner fascia of the spermatic cord, showing the lower edge of the inner ring. Use the indicator finger to extend into the transverse fascia and gently separate between the extraperitoneal fat. 3, longitudinally cut open the transverse fascia, until the pubic tubercle site, the transverse transverse fascia is divided into inner and outer leaves, and separated under the two sides of the leaves. 4, with the medium does not absorb the suture from the pubic bone began to the lateral lateral fascia outside the medial lobe with continuous suture and the joint or the internal oblique oblique tendon suture until the end of the inner ring. 5, still use this line and then the medial fascia of the transverse fascia is sutured continuously with the inguinal ligament on the lateral leaf until the pubic bone is knotted. 6. From the outside of the inner ring, the inferior oblique muscle and the transverse abdominis muscle edge are continuously sutured together with the deep side of the inguinal ligament to strengthen the second layer. 7. Put back the sperm. Rinse the wound. The decidua, subcutaneous tissue and skin of the external oblique muscle were sutured in layers. complication 1. Bleeding during surgery. 2, cut off the vas deferens. 3. Damage to the lower abdomen nerve. 4. Arterial blood supply that damages the testicles. 5, damage to the abdominal organs.

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