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Inguinal , umbilical , femoral hernias

Inguinal , umbilical , femoral hernias. The cathedra of the faculty and hospital surgery of the treatment faculty of the Tashkent medical academy. Topography of the inguinal triangle. 1. 2. 4. 3. Posterior surface of the lower department of the anterior abdominal wall.

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Inguinal , umbilical , femoral hernias

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  1. Inguinal, umbilical, femoral hernias The cathedra of the faculty and hospital surgery of the treatment faculty of the Tashkent medical academy

  2. Topography of the inguinal triangle 1 2 4 3

  3. Posterior surface of the lower department of the anterior abdominal wall 1 — m. rectus abdominis; 2 — lig. interfoveolare; 3 — anulus inguinalis profundus; 4 — lig. inguinale; 5 — a. et v. epigastrica inferior; 6 — лимфатическиеузлы; 7 — lig. lacunare; 8 — a. et v. iliaca externa; 9 — foramen obturatorium; 10 — n. obturatorius; 11— a. et v. obturatoria; 12 — ureter dexter; 13 — ductus deferens; 14 — vesica urinaria; 15 — peritoneum; 16 — fossa supravesicalis; 17 — fossa inguinalis medialis; 18 — lig. inguinale; 19 — fossa inguinalis lateralis; 20 — plica umbilicalis media; 21 — plica umbilicalis medialis; 22 — plica umbilicalis lateralis.

  4. View of the oblique inguinal hernia

  5. View of the direct inguinal hernia

  6. Types of the oblique inguinal hernias by A.P. Krimov channel begining Hernia of the spermatic duct Inguinal-scrotal

  7. Types of the direct inguinal hernias by N.I. Kukudjanov начинающаяся интерстициальная Пахово-мошоночная

  8. Innate (at the left) and gained (at the right) inguinal hernia

  9. Differential signs of oblique and direct hernias

  10. Surgical access at the inguinal hernias

  11. Opening of the inguinal channel

  12. Opening of the hernia’s bag and setting of the hernia’s content

  13. Liquidation of the hernia’s bag

  14. Plastic of the anterior wall of the inguinal channel by Jirar

  15. Plastic of the anterior wall of the inguinal channel by Spasokukockiy

  16. Plastic of the anterior wall of the inguinal channel by Jirar-Spasokukockiy with the stitches of Kimbarovskiy

  17. Plastic of the posterior wall of the inguinal channel by Bassini

  18. Method of performing of the surgical treatment at the innate inguinal hernias

  19. Topography of the femoral triangle

  20. View of the femoral hernia

  21. Operations, carrying out at the femoral hernias Operations, carrying out from the inguinal access Rudgy’s method Rudgy-Parlavechcho’s method Raikh’s method Praxin’s method Operations, carrying out from the femoral access Lockwood’s method Lockwood-Bassini’s method Lockwood-Krimov’s method Abrajanov’s method

  22. Accesses at the femoral hernias

  23. Rudgy’s method

  24. Raykh’s method

  25. Praxin’s method

  26. Lockwood’s method

  27. Lockwood-Bassini’s method

  28. Abrajanov’s method

  29. Surgical anatomy of the umbilical hernias

  30. Accesses at the umbilical hernia 1- by Sapejko 2- by Meyo 3- by Lexer

  31. Plastic by Lexer

  32. Plastic by Sapejko

  33. Plastic by Meyo

  34. Hernias of the white line of the abdomen 1 3 1 – preperitoneal lipoma 2 – starting form of the hernia 3 – formed hernia 2

  35. Intraperitoneal method by Voznesenskiy

  36. Extraperitoneal method by Shampin’oner

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