General inguinal hernia repair

According to the anatomical characteristics and clinical manifestations of inguinal hernia, it is proved that strengthening the posterior wall of the inguinal canal and preventing the recurrence of hernia is an important part of properly sewing the abdominal fascia at the inner ring. The transverse ventral fascia forms an inner ring around the spermatic cord, and enters the inguinal canal downward in a funnel shape, becoming the inner spermatic fascia. After the inguinal hernia is formed, the transverse abdominal fascia surrounds both the hernia sac and the spermatic cord. Therefore, when oblique hernia is repaired surgically, the inner fascia of the spermatic cord must be cut longitudinally at the mouth of this funnel to expose the hernia sac and spermatic cord, and then separate the two. Then cut the hernia sac transversely on the inner ring plane to cut the hernia After the contents are returned, the peritoneum is closed. And pay special attention to sewn abdominal transverse fascia. In addition to infants, the combined tendon of the transverse abdominal muscle and the internal oblique muscle needs to be sewn on the inguinal ligament to further strengthen the posterior wall of the inguinal canal. There are three ways to expose the inner ring during repair: one is to the groin, the other is through the abdominal cavity, and the third is before the peritoneum. Two methods are often used clinically.

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