Cooper’s Ligament Herniorrhapy (McVay)

  • Jameson L. Chassin


Make a skin incision over the region of the external inguinal ring and continue laterally to a point about 2 cm medial to the anterior superior iliac spine. Open the external oblique aponeurosis with an incision along the line of its fibers from the external inguinal ring laterally for a distance of about 5–7 (see Fig. 76-2). Mobilize the spermatic cord. Excise the entire cremaster muscle from the area of the inguinal canal (see Fig. 76-3). Also remove any lipomas of the cord. Explore the cord carefully for the presence of the indirect sac. If a sac is present, dissect it from the cord. Open the sac, explore it, close the sac at its neck with a suture-ligature, amputate the sac, and permit the stump to retract into the abdominal cavity. Identify the external spermatic vessels at the point where they emerge from the transversalis fascia (see Fig. 76-7). Divide and ligate them at this point and remove about 4–5 cm of the vessels and ligate them again at the pubic tubercle (see Fig. 76-8).


Spermatic Cord Inguinal Canal Transversalis Fascia Pubic Tubercle External Iliac Vein 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. McVay CB, Halverson K (1980) Inguinal and femoral hernias. In: Beahrs OH, Beart RW (eds) General Surgery. Houghton Mifflin, BostonGoogle Scholar
  2. Rutledge RH (1980) Cooper’s ligament repair for adult groin hernias. Surgery 87: 601PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1984

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
    • 3
    • 4
    • 5
  1. 1.New York University School of MedicineUSA
  2. 2.Booth Memorial Medical CenterFlushingUSA
  3. 3.University Hospital, New York University Medical CenterUSA
  4. 4.New York Veterans Administration HospitalUSA
  5. 5.Bellevue HospitalUSA

Personalised recommendations