The inguinal ligament is a band running from the pubic tubercle to the anterior superior iliac spine. It forms the base of the inguinal canal through which an indirect inguinal hernia may develop. The inguinal canals are the two passages in the anterior abdominal wall which in males convey A hernia that exits the abdominal cavity directly through the deep layers of the abdominal wall, thereby bypassing the inguinal canal, is known. Inguinal Hernia: Anatomy and Management is intended for general surgeons and hernia specialists. The goal of this activity is to define current treatment.
It is a triangle shaped opening, formed by the evagination of the external oblique, which forms another covering of the inguinal canal contents.
Inguinal ligament – Wikipedia
The ring is created by the transversalis fascia, which invaginates to form a covering of the contents of the inguinal canal. You can help by adding to it. Laparoscopic operations for inguinal hernia are carried out intraperitoneally or in preperitoneal space. Inguinal triangle Inguinal canal Deep inguinal ring Superficial inguinal ring Intercrural fibers Crura of superficial inguinal ring Inguinal ligament Pectineal ligament Lacunar ligament Reflected ligament. It is an extension of the lacunar ligament, running infero-laterally along the pectineal line and attaching to the pectineal line.
Views Read Edit View history. The spermatic cord or the round ligament of the uterus runs through the suprainguinal region, while the femoral nerve, the femoral artery, the femoral vein and the femoral canal run through the subinguinal region.
The lateral transverse fascia continues to ascend to the posterior lower edge of the inguinal ligament and then blends with the iliac fascia. The deep layer of the myopectineal orifice is closed off by the abdominal transverse fascia, which surrounds the spermatic cord, and the femoral sheath, which passes through the myopectineal orifice.
The inguinal ligament Poupart’s ligament or groin ligament is a band running from the pubic tubercle to the anterior superior iliac spine. Inguinal Hernia A hernia is defined as the protrusion of an organ or fascia through the wall of a cavity that normally contains it.
Support Center Support Center. The identification of the inferior epigastric vessels is very important before accessing the space of Bogros.
There is some dispute over the attachments. Wikimedia Commons has media related to Inguinal ligament. The corona mortis includes arteries and veins, most of which travel alone and leave the pelvic cavity via the obturator canal. Otherwise, it is easy to hhernia damage the inferior epigastric vessels or pierce the peritoneum, which may cause difficulties while performing laparoscopic surgery or even require conversion to open surgery.
Inguinal hernia, laparoscopic repair, anatomy. However, these abovementioned nerves can suffer major damage or entrapment when performing separation or fixation or when controlling bleeding, which may cause anaotmi sensation in the nerve-innervated area, especially chronic neuropathic pain, and may even cause motor disorders in the lower extremity.
Anatomy essentials for laparoscopic inguinal hernia repair
These structures are the landmarks for making a correct diagnosis and performing accurate surgeries Figure 8. It is formed by the external abdominal oblique aponeurosis and is continuous with the fascia lata of the thigh. These two terms are mentioned frequently in this article, and are often mistakenly used interchangeably:. Inguinal triangle Inguinal canal Deep inguinal ring Superficial inguinal ring Intercrural fibers Crura of superficial inguinal ring Inguinal ligament Pectineal ligament Lacunar ligament Reflected ligament.
The slightly thin inferior epigastric arteries and veins can be seen at the top of the external iliac vessels.
Schematic of the principle of adult laparoscopic inguinal hernia repair.
Such symptoms can resolve spontaneously in 2—4 weeks. Anatomical terminology [ edit on Wikidata ]. Fig 3 — Coronal view of the pelvis, demonstrating the mid-inguinal point and the midpoint of the inguinal ligament.
This section needs expansion. The white iliopubic tract can be seen at the lower edge of a direct hernia ring or below an internal inguinal ring. This article uses anatomical terminology; for an overview, see anatomical terminology. Note that the processus vaginalis normally regresses after the descent of the testes. Discuss Proposed since August Retrieved 10 February The midpoint of the inguinal ligament, halfway between the anterior superior iliac spine and pubic tubercle, is the landmark for the femoral nerve.
In males with strong presentation of the cremasteric reflexthe testes can—during supine sexual activity or manual manipulation—partially or fully retract into the inguinal canal for a short period of time. Which two of the following are the attachment sites for the inguinal ligament? Iliac fascia Iliopectineal arch. Fig 2 — The descent and embryological development of the testes.
The iliopubic tract is a thickened tendinous structure of the transverse abdominal fascia that connects the anterior superior iliac spine and the pubic tubercle and parallels the inguinal ligament Figure It is extremely difficult to manage or improve these symptoms.
In fact, the structure of the transverse fascia is not important in the TAPP approach or the IPOM repair; therefore, the transverse fascia is often neglected. In this article, we shall look at the anatomy of the inuinalis canal — its development, borders and contents. Meta-analysis and review of prospective randomized trials comparing laparoscopic and Lichtenstein techniques in recurrent inguinal hernia repair.