Mesh Plug Technique for Inguinal Hernia repair скачать в хорошем качестве

Mesh Plug Technique for Inguinal Hernia repair

Mesh Plug Technique for Inguinal Hernia Repair: Procedure: 1. *Incision*: Make a 2-3 cm incision in the groin, just above the pubic tubercle. 2. *Dissection*: Retract the skin and subcutaneous tissue to expose the hernia defect. 3. *Hernia sac reduction*: Gently reduce the hernia sac into the abdominal cavity. 4. *Mesh plug insertion*: Place a mesh plug into the hernia defect, ensuring it is securely seated. 5. *Mesh plug fixation*: Fixate the mesh plug to the surrounding tissue using sutures or tacks. 6. *Reinforcement*: Add additional mesh reinforcement to the area, if necessary. 7. *Closure*: Close the incision in layers. Key aspects: 1. *Mesh plug*: A small, cylindrical mesh device that is inserted into the hernia defect. 2. *Peritoneal underlay*: The mesh plug is placed under the peritoneum, reducing the risk of adhesions. 3. *Transversalis fascia fixation*: The mesh plug is fixated to the transversalis fascia, providing additional support. Advantages: 1. *Minimally invasive*: Smaller incision and less tissue disruption compared to traditional open repair. 2. *Quick recovery*: Patients can often return to normal activities within a few days. 3. *Low recurrence rate*: The mesh plug provides a strong and durable repair. Disadvantages: 1. *Technical difficulty*: Requires specialized training and expertise. 2. *Mesh-related complications*: Potential for mesh infection, migration, or rejection. Indications: 1. *Primary inguinal hernias*: Suitable for most primary inguinal hernias. 2. *Recurrent hernias*: Can be used for recurrent hernias, especially those with a small defect. Note: The mesh plug technique is a popular method for inguinal hernia repair, but it's essential to consult a qualified surgeon to determine the best approach for individual cases. #hernia