腹腔镜下全腹膜外腹股沟疝修补术应用解剖学分析

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1、广州医学院硕士学位论文conventionalsurgeryapproachandthemethodofoperation．Thenewanatomyvisualfieldappeard．Manyanatomicexpertsandsurgeryexpertsoftheworldhavecarriedouttherelatedresearch，andtheyhavealotresult．Buttheexactmeasureofinguinalunderthelaparoscopeislacked．Thro

2、ughthedeepstudyofinguinalregion’Sanatomy，wecanrecognizethecharacterofpreperitonealgroinanatomy，andwecanhavetheguidanceoflaparoscoperepairofinguinalhernia，andinvestigatethesurgicalapproachoflaparoscopepreperitonealinguinalhemiarepair、vit}1polyethylenemesh．

3、objeetiveInordertoprovidetheanatomydataforclinicaloperation，toobserveandconfirmtheappliedanatomycharacterofinguinalpreperitoneal，andtodiscussthetechniqueofTEP．ToevaluatethelocalexperienceandskillsofTEPinourhospitalcenterinordertospreadandpopularizethiskin

4、dofoperation．MethodOnefreshfomalecadaverandseven(fourteensides)malecadaverforteachingweredissectedtomakepreperitonealgroinanatomyresearch．Todosomedissection、observation，takingphotographsandmeasurementoftheligament，bloodvessel，nervesetc．inpreperitonealspac

5、e．Wedothemeasureandanalysisoftheoperatinginoperativeapproach、separatingthepreperitonealspaceandfixingthepatch．UsingSPSS13．0toanalysedatas．Duringthetimeofjuly2005throughnovember2008，31groinherniaswererepairedbytotallyextraperitonealinguinalherniarepairappr

6、oachwithpolvethylenemeshinourcenter．Itincluded29maleand2female．Allthepatientshadhalfsideinguinalherniaincluding10directhernia、21indirectherniaand2recurrenthernia．Wedoanatomyobservationinoperation，retrospectiveanalysisoftheoperationphotographicrecordingand

7、discussedtheoperatingmethod、prodedure、difficultiesandskillsindetailaccordingtoouroperatingexperiences．ResultsThetransversalicfasciahastwolayers，Thereislooseconnectivetissuebetweenthe-6．广州医学院硕士学位论文twosides；ThedistancefromsemilunarlinetoumbilicusiSabout60．0

8、1’±4．77(mm)andwecanreachthepreperitonealspacethroughthesemilunar；Thedistancefrominferiorepigastricvesselstopubictuberclealongiliopubictractisabout55．614-_3．86(nun)；Itcaninjurethecoronamorriswhennailingthepatchonpect