Intraperitoneal inguinal hernia repair

The inguinal region is a triangular region located at the junction of the lower abdomen wall and the thigh. The inguinal hernia refers to the fistula formed by the abdominal visceral body protruding through the defect of the inguinal region, commonly known as "helium". According to the relationship between the ankle ring and the inferior epigastric artery, the inguinal hernia is divided into the inguinal hernia and the inguinal hernia. Surgery is the only reliable method for the treatment of adult inguinal hernia, with less recurrence. Relapsing sputum can be treated with elective surgery. Refractory sputum should be limited to short-term surgery. Incarcerated sputum and strangulated sputum must be treated with emergency surgery to avoid serious consequences. Surgical treatment is divided into traditional tissue-to-tissue tension suture repair and tension-free hernia repair technology. Currently, internationally recognized tension-free hernia repair techniques, including open surgery and laparoscopic surgery. Treatment of diseases: inguinal hernia Indication 1. Unilateral or bilateral inguinal hernia. 2. Recurrence. Contraindications 1. Can not tolerate general anesthesia. 2. Can not tolerate pneumoperitoneum. 3. Incarcerated, strangulated inguinal hernia. Preoperative preparation 1. Urination before surgery to avoid accidentally injuring the bladder. 2. Laparoscopic instrument preparation: including camera system, CO2 pneumoperitoneum system, 5~10mm puncture cannula (trocar), all kinds of non-invasive grasping pliers and separation pliers, hairpin repair nails, polypropylene patch and so on. Surgical procedure 1. Insert a 10mm trocar into the umbilicus, establish a pneumoperitoneum, and make the pressure to 12~15mmHg. This hole is used as an observation hole; two other 5~10mm trocars are placed at the intersection of the umbilical horizontal line and the bilateral lateral rectus abdominis. As an operation hole. 2. Identify the structure of the inguinal region and the defect of the straight or oblique tendon. From the midline umbilical peritoneal folds, the peritoneum was cut open at a distance of 3 to 4 cm from the weak margin of the peritoneum and the inner ring of the oblique iliac crest. Blunt, sharp separation of the peritoneum and all adipose tissue underneath, revealing the structure of the inguinal region, including Cooper ligament, inferior epigastric vessels, spermatic cord or round ligament, rectus abdominis rim, inguinal ligament and so on. 3. Cut the patch into a suitable size (ie, completely cover the oblique and straight areas), tiling in the groin area, and repairing the nail with the tendon around the patch and the rectus abdominis, abdominal wall, inguinal ligament, Cooper ligament nail Hehe. Patch placement can be done in two ways, covering the spermatic cord or surrounding the spermatic cord. 4. The incision of the incision was sutured in situ to reconstruct the intact peritoneal cavity. 5. Drain the CO2, remove the puncture cannula, and suture the wound.

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