Repair of slippery hernia

A part of the hernia sac wall of the inguinal hernia is composed of the abdominal cavity itself, which is a sliding hernia. Although its incidence is low, if it is not handled properly, it often damages the internal organs or causes recurrence. During the operation, in addition to completing the general inguinal hernia repair procedure, the viscera must be returned to the abdominal cavity. Common repair methods for inguinal hernias are extra-peritoneal and trans-abdominal. External abdominal hernia repair (Bevan) This method is suitable for general sliding hernias, with prolapsed intestinal crests longer than 5 cm, but not more than 10 cm. For slipperous hernias with a longer intestinal prolapse greater than 10cm, repairing this method will cause bowel flexion and cause obstruction or affect blood flow. LaRoque-Moschcowitz This method is suitable for large sliding hernias where the intestinal canal is more than 10cm. Mostly used on the left. External peritoneal hernia repair (Zimmerman) With the advancement of inguinal hernia repair, the importance of using the transverse abdominal fascia and repairing the inner ring mouth has become increasingly important. The principle of high-level ligation of the hernia sac has not been overemphasized. This new perspective has been rapidly applied by many scholars to repair the hernia. Zimmerman et al. (1967) proposed a simple technique for repairing slip hernias. It is greatly simplified than the two methods of LaRoque and Bevan, and has received quite satisfactory results.

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