Mcevedy's High Approach Surgery for Femoral Hernia Repair скачать в хорошем качестве

Mcevedy's High Approach Surgery for Femoral Hernia Repair

McEvedy's High Approach Surgery for Femoral Hernia Repair: Procedure: 1. _Incision_: Make a 6-8 cm incision above the inguinal ligament, centered over the femoral hernia site. 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. _High ligation_: Ligate the hernia sac high in the femoral canal. 5. _Mesh reinforcement_: Add a mesh patch to reinforce the repair, if necessary. 6. _Closure_: Close the incision in layers. Key aspects: 1. _High approach_: The incision is made above the inguinal ligament, allowing for better access to the femoral canal. 2. _High ligation_: Ligation of the hernia sac high in the femoral canal reduces the risk of recurrence. 3. _Mesh reinforcement_: Adds additional support to the repair. Advantages: 1. _Effective for femoral hernias_: Suitable for femoral hernias, especially those with a high risk of recurrence. 2. _Low recurrence rate_: Provides a strong and durable repair. 3. _Well-established technique_: Widely used and accepted method. Disadvantages: 1. _Larger incision_: Requires a larger incision compared to other methods. 2. _More tissue disruption_: Involves more tissue dissection and manipulation. 3. _Longer recovery_: May require a longer recovery time compared to minimally invasive methods. Indications: 1. _Femoral hernias_: Suitable for primary or recurrent femoral hernias. 2. _High-risk patients_: Patients with a high risk of recurrence or those who have failed previous repairs. Note: McEvedy's high approach surgery is a traditional open hernia repair technique that is still widely used today. However, it's essential to consult a qualified surgeon to determine the best approach for individual cases. #herniarepair