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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Medial crus of aponeurosis of external oblique Musculoaponeurotic arches of internal oblique and transverse abdominal Transversalis fascia. Hernias involving the inguinal canal can be divided into two main categories: The processus vaginalis normally degeneratesbut a failure to do so can cause an indirect inguinal hernia, a hydrocele, or interfere with unguinalis descent of the testes.

Inguinal canal

Written informed consent was obtained from the patient for publication of this manuscript and any accompanying images. August 7, Revisions: Retrieved 10 February Sign up Log in.

There is some dispute over the attachments. A first-order approximation inguinails to visualize each canal as a cylinder. To facilitate this description, the anatomical structures of the lower anterior abdominal wall especially with respect to the transverse fascia are defined as follows Figure 3.

The opening to the inguinal canal is located just above this point. This anatomic region was originally coined by Dr. The canals are approximately 3. A hernia that exits the abdominal cavity directly through the deep layers of the abdominal wall, thereby bypassing the inguinal canal, is known as a direct inguinal hernia.

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National Center for Biotechnology InformationU. The identification of the inferior epigastric vessels is very important before accessing the space of Bogros. Mayo Foundation for Medical Education and Research. The corona mortis includes arteries and veins, most of which travel alone and leave the pelvic cavity via the obturator canal. This can also cause infertility. Received Aug 15; Accepted Sep 1. The degree to which the sac herniates depends on the amount of processus vaginalis still present.

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Thus, the deep transverse fascia should be incised at the attachment site to enter the space of Bogros. The femoral nerve is 6 inguinais above the inguinal ligament and is not easily injured because it is covered by the psoas muscle. The peritoneal sac and potentially loops of bowel enters the inguinal canal via the deep inguinal ring. This page was last edited on 27 Novemberat The inferior epigastric artery usually runs with two inguinlais along the back of the rectus abdominis muscle toward the umbilicus.

The midpoint of the inguinal ligament, halfway between the anterior superior iliac spine and pubic tubercle, is the landmark for the femoral nerve. By using this site, you agree to the Terms of Use and Privacy Policy. Hernias involving the inguinal canal can imguinalis divided into two main categories:. Discuss Proposed since August Frontolateral view of the right side of the pelvis.

Inguinal ligament is labeled at bottom right. This structure demarcates the superior border of the femoral triangle. Posterior view of the anterior abdominal wall in its lower half. This article has been cited by other articles in PMC. 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 Journal List Ann Transl Med v. Muscle quadratus lumborum Iliopsoas psoas major psoas minor iliacus.

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The inguinal crural ligament runs amatomi the anterior superior iliac crest of the ilium to the pubic tubercle of the pubic bone.

Anatomy essentials for laparoscopic inguinal hernia repair

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 ingulnalis. There is one inguinal canal on each side of the midline. Note that the ilioinguinal nerve passes through the anatomj ring to descend into the scrotumbut does not formally run through the canal.

Anatomical terminology [ edit on Wikidata ]. Inguinal ligament Inguinal ligament is labeled at bottom right. The medical information on this site is provided as an information resource only, and is not to be used or relied on for inguinails diagnostic or treatment purposes. The ring is created heria the transversalis fascia, which invaginates to form a covering of the contents of the inguinal canal. Such symptoms can resolve spontaneously in 2—4 weeks. Anatomical terminology [ edit on Wikidata ].

Prosection 1 — The superficial inguinal ring and contents of the inguinal canal. Laparoscopic operations for inguinal hernia are carried out intraperitoneally or in preperitoneal space.

Fig 6 — Transverse view of the inferior abdominal cavity. It forms the base of the inguinal canal through which an indirect inguinal ingkinalis may develop. The anatomy of these procedures is totally different from traditional open procedures because they are performed from different direction. Inguinal canal is tube at lower left.