Anatomia Clinica

, Volume 7, Issue 4, pp 257–265 | Cite as

Anatomical basis of inguinal surgery in children

  • P. Vergnes
  • D. Midy
  • J. M. Bondonny
  • H. Cabanie
Anatomical Bases of Medical, Radiological and Surgical Techniques

Summary

This paper begins with a review of the embryology of the inguinal region. The authors then point out the special morphological and topographical features of the inguinal canal in male children. These observations were based on the study of 50 inguinal canals from male children. From the anatomical observations described in this study guidelines are proposed for the surgical approach and dissection of the spermatic cord used in the treatment of congenital hernias or abnormal descent of the testis.

Key words

Anatomy Inguinal canal Child Surgery 

Bases anatomiques de la chirurgie inguinale de l'enfant

Résumé

Après une étude embryologique de la région inguinale, les auteurs décrivent les particularités morphologiques et topographiques du canal inguinal en croissance de l'enfant de sexe masculin, se basant sur l'étude de 50 cas. De ces notions anatomiques découlent des règles chirurgicales sur la voie d'abord et la dissection du cordon spermatique lors des cures de hernies congénitales ou d'anomalies de migration testiculaire.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Anson BJ, Morgan EH, Mc Vay CB (1960) Surgical anatomy of the inguinal region based upon a study of 500 body-halves. Surg Gynecol Obstet 3: 707–725Google Scholar
  2. Backhouse KM, Butler H (1958) The development of the coverings of the testis and cord. J Anat 92: 645Google Scholar
  3. De Boer A (1957) Inguinal hernia in infants and children. AMA Arch Surg 75: 920–927PubMedGoogle Scholar
  4. Fruchaud H (1956) Anatomie chirurgicale des hernies de l'aine, Doin et Cie, ParisGoogle Scholar
  5. Gillis P (1899) Note sur quelques points de l'anatomie de la région inguino abdominale. CR Assoc Anat 86: 89Google Scholar
  6. Hamilton WJ, Boyd JD, Mossmann HW, (1976) Human Embryology, 4th ed. Heffer et Sons Ltd, CambridgeGoogle Scholar
  7. Keith L, Moore Ph (1974) L'être humain en développement. Vigot, QuébecGoogle Scholar
  8. Kurlan MZ, Wels PB, Piedad OH (1972) Inguinal herniorrhaphy by the Mitchell Banks technique. J Ped Surg 7: 427–429Google Scholar
  9. Langmann J (1976) Embryologie médicale. Masson ParisGoogle Scholar
  10. Lytle WJ (1974) The inguinal and lacunar ligaments. J Anat 118: 241–251PubMedGoogle Scholar
  11. Lytle WJ (1979) Inguinal Anatomy. J Anat 128: 581–594PubMedGoogle Scholar
  12. Mitchell GA (1939) The condition of the peritoneal vaginal processes at birth. J Anatomy 73: 658–661Google Scholar
  13. Postlethwait RW (1971) Causes of recurrence after inguinal herniorrhaphy. Surgery 69: 772–775PubMedGoogle Scholar
  14. Redmann JF, Jacks DW, O'Donnel PD (1985) Cystectomy: a catastrophic complication of herniorrhaphy. J Urol 133: 97–98PubMedGoogle Scholar
  15. Sorg J, Skandalakis JE, Gray JW (1979) The emperor's new clothes of the myth of the conjoined tendon. Am Surg 45: 588–589PubMedGoogle Scholar
  16. Stolic E (1977) Les variations morphologiques et structurales de la région inguinale chez l'homme. Arch Anat Hist Embry Norm Exp 60: 111–138Google Scholar
  17. Viidik T, Marshall DG (1980) Direct inguinal hernias in infancy and early childhood. J Ped Surg 15: 646–647Google Scholar
  18. Villemin F, Montagne M, Huard P (1924) Les insertions des muscles larges de l'abdomen et leurs rapports avec les variations de l'arc antérieur du bassin. CR Assoc Anat pp 277–280Google Scholar
  19. Winckler G (1957) Remarques sur la région inguino-abdominale. CR Assoc Anat pp 869–875Google Scholar
  20. Wyndham NR (1943) A morphological study of testicular descent. J Anatomy 77: 179–188Google Scholar

Copyright information

© Springer-Verlag 1985

Authors and Affiliations

  • P. Vergnes
    • 1
    • 2
  • D. Midy
    • 1
  • J. M. Bondonny
    • 2
  • H. Cabanie
    • 1
  1. 1.Laboratoire d'Anatomie et Organogenèse U.E.R. 2 Faculté de MédecineBordeaux
  2. 2.Service de Chirurgie PédiatriqueHôpital des EnfantsBordeaux

Personalised recommendations