腹股沟疝无张力修补术PPT参考幻灯片.pptVIP

* Iliopubic tract is a thickening of the transversalis fascia Cooper’s ligament is found posterior to transversalis fascia. * Even with 8-10 sutures, the fluted edges allow it to be tension-free Millikan uses Vicryl on indirects and Prolene sutures on directs – both monofilament sutures Vicryl is braided, but absorbs in 14-21 days Prolene is monofilament permanent Ethibond is multi-filament permanent SurgiPro is monofilament permanent PDS is monofilament absorbable * * * * 腹 膜 前 间 隙 Bogros间隙：从脐下腹直肌后方向外下分离。外侧为髂筋膜，前是腹横筋膜，后为壁层腹膜。它是现代疝外科后进路修补术式和腹腔镜修补（TEP、TAPP）的必经之路，也是腹膜前修补手术网片的放置空间。 *