ANATOMI HERNIA INGUINALIS PDF

ANATOMI HERNIA INGUINALIS PDF

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.

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Therefore, the preperitoneal retropubic space should include the space of Retzius, a part of the visceral space and a part of the parietal space. Minor damage can result in abnormal sensation in the area innervated by these nerves. It is superior and parallel to the inguinal ligament. Preperitoneal retropubic space and extraperitoneal space posterior to the transverse fascia space of Bogros These inguinails spaces are potential non-natural cavities under the lower anterior abdominal wall, and they lie in between the superficial transverse fascia and the peritoneum Figure 6.

There is one inguinal canal on each side of the midline. Some researchers have described it as a two-layer structure, while other researchers have described it as a single-layer structure; some researchers have reported that the transverse fascia is thick and dense in structure, while other researchers have reported that it is thin in structure.

Oliver Jones Inguinalsi Updated: During a laparoscopic inguinal hernia repair, the dangerous triangle the triangle of doom refers to a triangular area bound by the vas deferens, the testicular vessels and the peritoneal fold.

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This can also cause infertility. Discuss Proposed since August This page was last edited on 27 Novemberat Separating between the inferior epigastric vessels and the deep transverse abdominal fascia is the only approach to correctly gain access to the space of Bogros Figure Retrieved from ” https: The relations of the femoral and abdominal inguinal rings, seen from within the abdomen.

This condition is far more common in males than in females, owing to the inguinal canal’s small size in females. The gubernaculum then becomes two structures in the adult: The deep transverse fascia yernia a funnel-shaped structure that extends downward to cover the spermatic cord structures the vas deferens, the testicular vessels and the hernia sac of the oblique inguinal at the internal inguinal ring and becomes the internal spermatic fascia entering the inguinal canal.

Inguinal ligament is labeled at bottom right. The mid-inguinal point, halfway between the anterior superior iliac spine and the pubic symphysis, ingguinalis the landmark for the femoral artery.

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. Muscle quadratus lumborum Iliopsoas psoas major psoas minor iliacus.

Iliac fascia Iliopectineal arch. Prosection 1 — The superficial inguinal ring and contents of the inguinal canal. This area from lateral to medial includes the lateral femoral cutaneous nerve, the femoral branch of the genitofemoral nerve and the femoral nerve, which runs on the surface of the psoas muscle and the iliac muscle.

Inguinal canal – Wikipedia

Please review our privacy policy. It is an extension of the lacunar ligament, running infero-laterally along the pectineal line and attaching to the pectineal line.

Abdominal contents potentially including intestine can be abnormally displaced from the abdominal cavity.

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The inguinal canals are the two passages in the anterior abdominal wall which in males convey the spermatic cords and in females the round ligament of uterus. Most of the inferior epigastric arteries are branches of the external iliac arteries or veins.

Evaluation of orthopedic and athletic injuries. Both types of inguinal hernia can present as lumps in the scrotum or labia majora. Fig 3 — Coronal view of the pelvis, demonstrating the mid-inguinal point and the midpoint of the inguinal ligament.

Inguinal ligament

Fig 1 — Overview of the inguinal canal. Laparoscopic procedures are especially suitable for recurrent and bilateral inguinal hernia 12.

Posterior view of the anterior abdominal wall in its lower half. The transverse fascia is a complicated and contentious anatomical structure. The identification of the inferior epigastric vessels is very important before accessing the space of Bogros. This site uses cookies: Large herniations are possible in which the peritoneal sac and its contents may traverse the entire inguinal canal, emerge through the superficial inguinal ring, and reach the scrotum.

It forms the base of the inguinal canal through which an indirect inguinal hernia may develop.

The superficial transverse fascia tightly covers the inner surface herina the anterior abdominal muscles, but it is thin and has no clinical value in a hernia repair. According to our clinical observations, the transverse fascia can be divided into two layers in the majority of patients. You need to be a supporter to access this content.