[The use of a transabdominal method in treating inguinofemoral hernia simultaneously with surgery of the rectum or sigmoid in carcinoma].
Detailed description is given of inguinofemoral herniotomy with subsequent plastic repair through transabdominal approach simultaneously with radical oncologic operation of sigmoid and rectum. The plastic repair is a two-stage procedure: The first stage consists of suturing the musculo-aponeurotic part of m. transversalis and m. obliq. internus abdominis to lig. inguinalis or lig. inguinalis to lig. Cooperi in femoral hernias. The second stage is the "ampoxen" explant, which is sutured cranially to f. transversalis, medially to the fascia behind m. rectus abdominis, downward to the public or obturator fascia and laterally to the fascia over m. iliopsoas. The explant serves as a firm "umbrella" from the internal part of the entire inguinofemoral area. The method was applied on 7 patients with very good postoperative result.
Dimitrov
V
V
Dudunkov
Z
Z
Ralchev
K
K
Kurtev
P
P
D000005:Abdomen; D000368:Aged; D002277:Carcinoma / Q000601:surgery*; D012809:Colon, Sigmoid / Q000601:surgery*; D006550:Hernia, Femoral / Q000601:surgery*; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D012004:Rectal Neoplasms / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D012811:Sigmoid Neoplasms / Q000601:surgery*
Prilozhenie na transabdominalen metod za lechenie na ingvinofemoralni khernii ednovremenno s operatsii na rektuma ili sigmata zaradi kartsinom.