腹股沟区和腹壁的解剖和手术演示文稿.pptVIP

* INDIRECT Within the internal ring. Lateral to the epigastrics. In the lateral triangle. * * DIRECT near the internal ring rather than within it – through the floor (transversalis fascia) * * * Traditional (Tension Repair) hernia surgery involved cutting adjacent muscle, then pulling it together using sutures or wire. This creates extreme tension on the muscle as it must be moved out of its normal anatomic location to cover the hernia defect. This produces swelling and pain. More importantly, the tension inhibits full and effective healing of the edges. The result of incomplete healing in