Kocher hernia repair

Kocher hernia repair is a surgical operation for inguinal hernias. It consists of eliminating a strangulated hernia by lowering the rectus abdominis muscle into the abdominal cavity. It differs from most other hernia repairs in the wide exposure of the deep inguinal ring and the hernial sac itself.

Kocher surgery is used to eliminate acquired forms of hernias that cannot be reduced. After the operation, the scar heals not above the hernia itself, but to the side of it. As a result, the function of the muscles of the anterior abdominal wall is disrupted and intra-abdominal pressure increases. This increases the pressure inside the tissue membranes between the walls of the inguinal canal and can lead to recurrence of the hernia or the appearance of new hernial protrusions.

Kocher's operation is performed in the presence of purulent inflammation of the membranes of the hernial sac. As a result, it is impossible to examine the sac itself; it is impossible to straighten or inject it with your fingers, which is important for determining the nature of the contents of the hernia. In addition, it is necessary to be able to assess the condition of the abdominal organs, especially in strangulated hernias, before identifying the contents of the abdominal sac. Kocher surgery allows you to achieve these goals.

Despite a number of positive aspects, like the above-mentioned features of this method, it also has a number of limitations, which are expressed by restrictions in access: - Minimal opportunities for studying soft tissues; - Limited access to nerves, vessels, omental formations and other abdominal organs. Among the advantages of the method are:

1. The ability to operate on patients who require surgical treatment of a strangulated hernia; 2. The ability to prevent the development of symptoms of inflammation of the hernial protrusion; 3. Improving patient survival rates by eliminating sepsis from getting into the inflammation of the hernial protrusion, which can result in any chronic inflammation.