14. TOPOGRAPHIC ANATOMY AND OPERATIVE SURGERY OF FEMORAL HERNIA AND HERNIAS OF THE ANTEROLATERAL ABDOMEN WALL

Topics of the lesson: Definition, classification, causes of external abdominal hernia. Hernia elements. Hernia classification. Surgical anatomy of hernia of the white line of the abdomen, umbilical, external oblique, straight, sliding congenital inguinal and femoral hernia. Postoperative hernia. Hernia repair: main stages, methods of inguinal hernioplasty (according to Bassini, Spasokukotsky, Girard, Kimbarovsky suture), umbilical hernioplasty (according to Lekser, Mayo, Sapezhko), abdominal white line hernia with own tissues and grafts. Features of operation technique for congenital, sliding, strangulated and postoperative hernia. Laparoscopic methods of inguinal hernioplasty. Features of hernia repair in children. Methods of the femoral hernioplasty.

14.1. Give the definition of a hernia and sign its elements shown in Fig. 14.1.

Fig. 14.1. Hernia elements

Hernia of the anterolateral abdomen wall is -__

__

__

__

__

__

__

14.2. Using Fig. 14.2, name the borders of the inguinal triangle.

Fig. 14.2. Inguinal triangle 14.3. Using Fig. 14.3, name the walls of the inguinal space.

Fig. 14.3. Inguinal triangle

14.4. Fill the table «Anatomical classification of hernias». Sign the types of hernias shown in Fig. 14.4.

Fig. 14.4. Hernias of anterolateral abdominal wall 14.5. Write the stages of hernioplasty, using Fig. 14.5.

Fig. 14.5. Stages of hernioplasty

1. __

2. __

3. __4. __5. __6. __

7. __8. __

14.6. Guided by Fig. 14.6, name the testicular tunics and the layers of the anterolateral abdominal wall that form them.

Fig. 14.6. Formation of testicular tunics

14.7. Using Fig. 14.7, write the distinctive features of indirect and direct inguinal hernias in the table.

Fig. 14.7. The pattern of A - indirect and B - direct inguinal hernia formation