Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyLEvaluadononly.1膻饒腹股洵疝修補(bǔ)術(shù)①LHR)Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL膻饒腹股洵疝修2團(tuán)的修斗層度演筋膜前:外斜肌和遐筋膜之間“頂散溝盒”間隙(Inguinalbox),第間隙肌前修補(bǔ)(Premuscularrepair)回度演筋膜后:度演筋膜和腹膜之間腹膜前間隙(Preperitonealspace),第[-E9iBensreinI.L,ShulmanAl.G,AmidPK,eral.Thetension-freehernioplasty.ArnJSurg,1983,257:233-193.Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL團(tuán)的修斗層3些包狗的軌原理成人腹股溝面診療指》中華醫(yī)學(xué)會(huì)201版加強(qiáng)度股溝管后壁:平片修補(bǔ)術(shù),剛栓平片術(shù)加強(qiáng)肌恥骨孔:腹膜前修補(bǔ)術(shù)成人腹股溝治療指育》歐洲學(xué)會(huì)201版推存首選術(shù)式:平片修補(bǔ)術(shù),TEP[3]中華醫(yī)學(xué)會(huì)外科分會(huì)海腹壁外科學(xué)組.政人股溝廟診療指南.中國實(shí)用外科雜志,2019y219:33555[4]刮inns朗P,Ajms5y小引a三uropeanferrieSocietyguidelinesonthetreatmentofinguinalherniainadultpatientsn.209件:3Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL些包狗的軌原理4腹股溝管后壁Lichtenstein腹橫筋膜前后壁+疝環(huán)IPlug&Patch內(nèi)臟StoppaJ彥肌Kugel腹橫筋膜后恥r肌前MK骨肌前+連接體Gilbert孔腹腔鏡[3中華醫(yī)學(xué)會(huì)外剝分會(huì)疝和驗(yàn)外學(xué)夜溝癡診療指南中國實(shí)用外雜志2019.(10}:Evaluadononly.chAsposeslidesforNET4odientPalvetonoCreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL腹股溝管后壁5題逅緲、后孫米的別0則.到,方學(xué),層說,剛原腹橫筋膜前(肌前修補(bǔ))腹橫筋膜后(腹膜前修補(bǔ)病因加強(qiáng)腹股溝管后壁重建“腹橫筋膜”解剖沒有覆蓋“肌恥骨孔覆蓋“肌恥骨孔力學(xué)疝缺損的前方疝缺損的后方層次空間大[5]Fruchaudrl.SurgicaltreatmentofinguinalherniasinadulisB明|d.1957,7110)23passII.ychAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL題逅緲、后孫米的別6出驗(yàn)骨孔?(VyopeccinealOriFice)由rchu提出倒:內(nèi)界:腹直肌的外外界:骼腰肌上界:度橫筋和度內(nèi)斜肌下界:骨盆的骨性邊緣。[5]Fruchaudrl.Surgicaltreatmentofinguinalherniasinas.B則!ad.1957,71L0):293PEssin.Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL出驗(yàn)骨孔?(VyopeccinealOriFice)7Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyLEvaluadononly.8物后修斗的入前入路:小的,P5呵UHs,Kug9開放入路后入路:Spp,uge,開放式EP腹腔鏡入路一后入路:TAPP,JEP圖[5]ConbinedAnteriorandPosteriorInguinalrlerriaRepair:IrternediaierecurrenceraieswiinthreegroupsofsurgeonsGilbert,AIeral.Hernia.20193:203-2077DionY),MorinJ.Laparoscopicinguinalherniorrhaphy.CanJSurg,1992,35{2):209-212.[B]MciernanJB,LaysilL.Laparoscopicrepairoiinguinalherniasusingatotallyextraperitonealprostheticapproach.SurgEncloscp1993,7(1):20Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL物后修斗的入9LIHR經(jīng)腹腔修補(bǔ)術(shù)(TAP全腹膜外修補(bǔ)術(shù)(EP)[7]:DionYM,MorinJLaparoscopicinguinalherniorrhaphy.CanJSurg,1992,5:209-212.Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyLLIHR10腹外疝的微創(chuàng)治療課件整理11腹外疝的微創(chuàng)治療課件整理12腹外疝的微創(chuàng)治療課件整理13腹外疝的微創(chuàng)治療課件整理14腹外疝的微創(chuàng)治療課件整理15腹外疝的微創(chuàng)治療課件整理16腹外疝的微創(chuàng)治療課件整理17腹外疝的微創(chuàng)治療課件整理18腹外疝的微創(chuàng)治療課件整理19腹外疝的微創(chuàng)治療課件整理20腹外疝的微創(chuàng)治療課件整理21腹外疝的微創(chuàng)治療課件整理22腹外疝的微創(chuàng)治療課件整理23腹外疝的微創(chuàng)治療課件整理24腹外疝的微創(chuàng)治療課件整理25腹外疝的微創(chuàng)治療課件整理26腹外疝的微創(chuàng)治療課件整理27腹外疝的微創(chuàng)治療課件整理28腹外疝的微創(chuàng)治療課件整理29腹外疝的微創(chuàng)治療課件整理30腹外疝的微創(chuàng)治療課件整理31腹外疝的微創(chuàng)治療課件整理32腹外疝的微創(chuàng)治療課件整理33腹外疝的微創(chuàng)治療課件整理34腹外疝的微創(chuàng)治療課件整理35腹外疝的微創(chuàng)治療課件整理36腹外疝的微創(chuàng)治療課件整理37腹外疝的微創(chuàng)治療課件整理38腹外疝的微創(chuàng)治療課件整理39腹外疝的微創(chuàng)治療課件整理40腹外疝的微創(chuàng)治療課件整理41腹外疝的微創(chuàng)治療課件整理42腹外疝的微創(chuàng)治療課件整理43腹外疝的微創(chuàng)治療課件整理44腹外疝的微創(chuàng)治療課件整理45腹外疝的微創(chuàng)治療課件整理46腹外疝的微創(chuàng)治療課件整理47腹外疝的微創(chuàng)治療課件整理48腹外疝的微創(chuàng)治療課件整理49腹外疝的微創(chuàng)治療課件整理50腹外疝的微創(chuàng)治療課件整理51腹外疝的微創(chuàng)治療課件整理52腹外疝的微創(chuàng)治療課件整理53腹外疝的微創(chuàng)治療課件整理54腹外疝的微創(chuàng)治療課件整理55腹外疝的微創(chuàng)治療課件整理56腹外疝的微創(chuàng)治療課件整理57腹外疝的微創(chuàng)治療課件整理58腹外疝的微創(chuàng)治療課件整理59腹外疝的微創(chuàng)治療課件整理60腹外疝的微創(chuàng)治療課件整理61腹外疝的微創(chuàng)治療課件整理62腹外疝的微創(chuàng)治療課件整理63腹外疝的微創(chuàng)治療課件整理64腹外疝的微創(chuàng)治療課件整理65腹外疝的微創(chuàng)治療課件整理66腹外疝的微創(chuàng)治療課件整理67腹外疝的微創(chuàng)治療課件整理68腹外疝的微創(chuàng)治療課件整理69腹外疝的微創(chuàng)治療課件整理70腹外疝的微創(chuàng)治療課件整理71腹外疝的微創(chuàng)治療課件整理72腹外疝的微創(chuàng)治療課件整理73腹外疝的微創(chuàng)治療課件整理74腹外疝的微創(chuàng)治療課件整理75腹外疝的微創(chuàng)治療課件整理76腹外疝的微創(chuàng)治療課件整理77腹外疝的微創(chuàng)治療課件整理78腹外疝的微創(chuàng)治療課件整理79腹外疝的微創(chuàng)治療課件整理80腹外疝的微創(chuàng)治療課件整理81腹外疝的微創(chuàng)治療課件整理82腹外疝的微創(chuàng)治療課件整理83腹外疝的微創(chuàng)治療課件整理84腹外疝的微創(chuàng)治療課件整理85腹外疝的微創(chuàng)治療課件整理86腹外疝的微創(chuàng)治療課件整理87腹外疝的微創(chuàng)治療課件整理88腹外疝的微創(chuàng)治療課件整理89腹外疝的微創(chuàng)治療課件整理90腹外疝的微創(chuàng)治療課件整理91Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyLEvaluadononly.92膻饒腹股洵疝修補(bǔ)術(shù)①LHR)Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL膻饒腹股洵疝修93團(tuán)的修斗層度演筋膜前:外斜肌和遐筋膜之間“頂散溝盒”間隙(Inguinalbox),第間隙肌前修補(bǔ)(Premuscularrepair)回度演筋膜后:度演筋膜和腹膜之間腹膜前間隙(Preperitonealspace),第[-E9iBensreinI.L,ShulmanAl.G,AmidPK,eral.Thetension-freehernioplasty.ArnJSurg,1983,257:233-193.Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL團(tuán)的修斗層94些包狗的軌原理成人腹股溝面診療指》中華醫(yī)學(xué)會(huì)201版加強(qiáng)度股溝管后壁:平片修補(bǔ)術(shù),剛栓平片術(shù)加強(qiáng)肌恥骨孔:腹膜前修補(bǔ)術(shù)成人腹股溝治療指育》歐洲學(xué)會(huì)201版推存首選術(shù)式:平片修補(bǔ)術(shù),TEP[3]中華醫(yī)學(xué)會(huì)外科分會(huì)海腹壁外科學(xué)組.政人股溝廟診療指南.中國實(shí)用外科雜志,2019y219:33555[4]刮inns朗P,Ajms5y小引a三uropeanferrieSocietyguidelinesonthetreatmentofinguinalherniainadultpatientsn.209件:3Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL些包狗的軌原理95腹股溝管后壁Lichtenstein腹橫筋膜前后壁+疝環(huán)IPlug&Patch內(nèi)臟StoppaJ彥肌Kugel腹橫筋膜后恥r肌前MK骨肌前+連接體Gilbert孔腹腔鏡[3中華醫(yī)學(xué)會(huì)外剝分會(huì)疝和驗(yàn)外學(xué)夜溝癡診療指南中國實(shí)用外雜志2019.(10}:Evaluadononly.chAsposeslidesforNET4odientPalvetonoCreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL腹股溝管后壁96題逅緲、后孫米的別0則.到,方學(xué),層說,剛原腹橫筋膜前(肌前修補(bǔ))腹橫筋膜后(腹膜前修補(bǔ)病因加強(qiáng)腹股溝管后壁重建“腹橫筋膜”解剖沒有覆蓋“肌恥骨孔覆蓋“肌恥骨孔力學(xué)疝缺損的前方疝缺損的后方層次空間大[5]Fruchaudrl.SurgicaltreatmentofinguinalherniasinadulisB明|d.1957,7110)23passII.ychAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL題逅緲、后孫米的別97出驗(yàn)骨孔?(VyopeccinealOriFice)由rchu提出倒:內(nèi)界:腹直肌的外外界:骼腰肌上界:度橫筋和度內(nèi)斜肌下界:骨盆的骨性邊緣。[5]Fruchaudrl.Surgicaltreatmentofinguinalherniasinas.B則!ad.1957,71L0):293PEssin.Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL出驗(yàn)骨孔?(VyopeccinealOriFice)98Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyLEvaluadononly.99物后修斗的入前入路:小的,P5呵UHs,Kug9開放入路后入路:Spp,uge,開放式EP腹腔鏡入路一后入路:TAPP,JEP圖[5]ConbinedAnteriorandPosteriorInguinalrlerriaRepair:IrternediaierecurrenceraieswiinthreegroupsofsurgeonsGilbert,AIeral.Hernia.20193:203-2077DionY),MorinJ.Laparoscopicinguinalherniorrhaphy.CanJSurg,1992,35{2):209-212.[B]MciernanJB,LaysilL.Laparoscopicrepairoiinguinalherniasusingatotallyextraperitonealprostheticapproach.SurgEncloscp1993,7(1):20Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyL物后修斗的入100LIHR經(jīng)腹腔修補(bǔ)術(shù)(TAP全腹膜外修補(bǔ)術(shù)(EP)[7]:DionYM,MorinJLaparoscopicinguinalherniorrhaphy.CanJSurg,1992,5:209-212.Evaluadononly.chAsposeslidesforNET4odientPEvaluationonly.CreatedwithAsposeSlidesforNET4.0dientProfilo71Copyright2019-2019AsposePtyLLIHR101腹外疝的微創(chuàng)治療課件整理102腹外疝的微創(chuàng)治療課件整理103腹外疝的微創(chuàng)治療課件整理104腹外疝的微創(chuàng)治療課件整理105腹外疝的微創(chuàng)治療課件整理106腹外疝的微創(chuàng)治療課件整理107腹外疝的微創(chuàng)治療課件整理108腹外疝的微創(chuàng)治療課件整理109腹外疝的微創(chuàng)治療課件整理110腹外疝的微創(chuàng)治療課件整理111腹外疝的微創(chuàng)治療課件整理112腹外疝的微創(chuàng)治療課件整理113腹外疝的微創(chuàng)治療課件整理114腹外疝的微創(chuàng)治療課件整理115腹外疝的微創(chuàng)治療課件整理116腹外疝的微創(chuàng)治療課件整理117腹外疝的微創(chuàng)治療課件整理118腹外疝的微創(chuàng)治療課件整理119腹外疝的微創(chuàng)治療課件整理120腹外疝的微創(chuàng)治療課件整理121腹外疝的微創(chuàng)治療課件整理122腹外疝的微創(chuàng)治療課件整理123腹外疝的微創(chuàng)治療課件整理124腹外疝的微創(chuàng)治療課件整理125腹外疝的微創(chuàng)治療課件整理126腹外疝的微創(chuàng)治療課件整理127腹外疝的微創(chuàng)