Prevention of postoperative recurrence of inguinal hernia Some Improvements.doc

 PAGE \* MERGEFORMAT 3 Prevention of postoperative recurrence of inguinal hernia Some Improvements Indirect inguinal hernia repair is a common surgical primary hospital, the patient’s condition due to the different surgical techniques, intraoperative’s habits are different, regardless of what repair method of hernia sac ligation and reasonable to prevent the inner oblique hernia repair recurrence after repair of an important part of the improvement in these two areas will now be reported as follows. A clinical data Since 2004-2008, we use the improved method of oblique hernia repair, 36 cases were male, aged 15-70 years, after satisfactory results were followed up for 1-4 years, no one cases of recurrence. Two surgical methods 2.1 The improvement of the traditional high ligation of hernia sac ligation inner mouth parts to expose hernia sac dissected extraperitoneal fat, the neck line, and we take this as a community will fall further upward extraperitoneal adipose tissue separation of 2-3cm, and then suture ligation of hernia sac or peritoneum. 2.2 The inner oblique hernia repair improved (1) stripping to the neck after the hernia sac, with a small fingertip probe expanded inner mouth, reached into his inner mouth as a symbol of the lateral neck in the hernia sac to avoid the spermatic cord, with two clamp to clamp the respective inner mouth of the transverse fascia from top to bottom edge, high ligation of hernia sac, filed clamp, suture under direct vision to narrow inguinal ring. (2) processing the hernia sac can also be used after the shank inserted into the inner ring, close to the texture of hard surfaces within the peritoneum of the transverse fascia provoked, narrow suture under direct vision internal inguinal ring. 3 Discussion Improvement based on: (a) in the hernia sac and neck ligation, most patients can achieve satisfactory results, but for some history of long and repeated hernia hernia contents out and fall, so that the peritoneum and the