medjournalМедицинский журналMedical Journal1818-426XБелорусский государственный медицинский университет10.51922/1818-426X.2026.3.89medjournal-454Research ArticleОРИГИНАЛЬНЫЕ НАУЧНЫЕ ПУБЛИКАЦИИORIGINAL SCIENTIFIC PUBLICATIONSРоль структур задней стенки пахового канала в лапароскопической хирургии паховой грыжи и сообщающегося гидроцеле у детейTHE ROLE OF THE STRUCTURES OF THE POSTERIOR WALL OF THE INGUINAL CANAL IN LAPAROSCOPIC SURGERY OF INGUINAL HERNIA AND COMMUNICATING HYDROCELE IN CHILDRENНикуленковА. В.NikulenkovA. V.

Минск

Minsk

ДегтяревЮ. Г.DegtyarevYu. G.

Минск

Minsk

РакевичМ. В.RakevichM. V.

Минск

Minsk

ДружининГ. В.DruzhininG. V.

Минск

Minsk

СтаравойтоваЕ. Д.StaravojtovaE. D.

Минск

Minsk

ГУ «Республиканский научно-практический центр детской хирургии»БеларусьRepublican Scientific and Practical Center for Pediatric SurgeryBelarusУО «Белорусский государственный медицинский университет»БеларусьBelarusian State Medical UniversityBelarusУЗ «Минская областная детская клиническая больница»БеларусьMinsk Regional Children’s Clinical HospitalBelarus202624072026038996Copyright © Никуленков А.В., Дегтярев Ю.Г., Ракевич М.В., Дружинин Г.В., Старавойтова Е.Д., 20262026Никуленков А.В., Дегтярев Ю.Г., Ракевич М.В., Дружинин Г.В., Старавойтова Е.Д.Nikulenkov A.V., Degtyarev Y.G., Rakevich M.V., Druzhinin G.V., Staravojtova E.D.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medjournal.ejournal.by/jour/article/view/454

Операции по поводу паховой грыжи и сообщающейся водянки яичка у детей являются одними из наиболее часто выполняемых плановых хирургических вмешательств. Целью всех разработанных методов выполняемых хирургических операций при этой патологии – разобщение брюшной полости и персистирующего влагалищного отростка брюшины (ВОБ) путем наложения лигатур или швов на слой брюшины в области «шейки». Однако практически не встречается работ, направленных на изучение сравнительной хирургической анатомии структур пахового канала у детей в норме и при этих заболеваниях и их роли в развитии рецидивов заболевания.

В результате работы проведено изучение типичных изменений со стороны задней стенки пахового канала при паховой грыже и сообщающемся гидроцеле у детей в разных возрастных группах. На основании этого предложен универсальный метод хирургического лечения, направленный на восстановление нормальной анатомии задней стенки пахового канала как при паховой грыже, так и при сообщающемся гидроцеле.

Inguinal hernia and communicating hydrocele surgery in children are among the most frequently performed elective surgical procedures. The goal of all developed surgical techniques for this condition is to separate the abdominal cavity from the persistent processus vaginalis (PVP) by ligating or suture the peritoneal layer at the cervix. However, there are virtually no studies examining the comparative surgical anatomy of the inguinal canal structures in children under normal conditions and with these conditions, or their role in the development of recurrence. This study examined typical changes in the posterior wall of the inguinal canal associated with inguinal hernia and communicating hydrocele in children of different age groups. Based on these findings, a universal surgical treatment method aimed at restoring the normal anatomy of the posterior wall of the inguinal canal was proposed for both inguinal hernia and communicating hydrocele.

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The authors declare that there are no conflicts of interest present.