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Surgical anatomy of the inguinal area

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Abstract

The anatomy of the inguinal region is enigmatic and confusing. Among the many structures involved in hernial repair are the iliopubic tract, the transversus abdominis aponeurosis and the transversalis fascia, the transversalis crura and sling, and the inguinal canal. There is still much disagreement among surgeons and anatomists about the existence, structure, and function of these anatomic entities.

Résumé

L'anatomie de la région inguinale est énigmatique et trompeuse. Les structures impliqueées dans la réparation herniaire sont la bandelette iliopubienne de Thomsen, l'aponévrose et le fascia transversalis, les piliers en fronde de l'orifice inguinal superficiel, et le canal inguinal. Chirurgiens et anatomistes continuent à discuter la réalité, la structure, et la fonction de ces entités anatomiques.

Resumen

La anatomía de la región inguinal aparece enigmática y causa confusión. Entre las numerosas estructuras involucradas en la reparación herniaria estń el tracto iliopúbico, la aponeurosis del músculo transverso del abdomen y la fascia transversalis, la crura y hamaca transversalis, y el canal inguinal. Existe todavía amplia discrepancia entre cirujanos y anatomistas sobre la existencia, estructura, y funciín de estas entidades anatómicas.

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References

  1. Castiglioni, A.: Roman medicine: The Latin concept of medicine and sanitary legislation. In A History of Medicine, 2nd edition, E.B. Krumbhaar, translator, New York, Alfred A. Knopf, 1958, pp. 189–241

    Google Scholar 

  2. Castiglioni, A.: The decadence of medical science. In A History of Medicine, 2nd edition, E.B. Krumbhaar, translator, New York, Alfred A. Knopf, 1958, pp. 242–257

    Google Scholar 

  3. Halsted, W.S.: The medical cure of inguinal hernia in the male. Bull. Johns Hopkins Hosp.4:17, 1893

    Google Scholar 

  4. Logothetopoulos, K.I.: Gynecology, vol. II, Buchdruckerei Des Waisenhauses, Halle, 1928, p. 252

    Google Scholar 

  5. Mermingas, K.: Neures zur operationsmethodile der Leistenbruche. Zentralbl. Chir.63:2050, 1936

    Google Scholar 

  6. Mermingas, K.: Operation for oblique inguinal hernia. Zentralbl. Chir.47:850, 1920

    Google Scholar 

  7. McVay, C.B.: The abdominal wall. In Surgical Anatomy, 6th edition, C.B. McVay, Philadelphia, W.B. Saunders Co., 1984, pp. 484–584

    Google Scholar 

  8. Gerrish, F.H.: The muscles. In A Textbook of Anatomy by American Authors, 2nd edition, F. H. Gerrish, editor, Philadelphia, Lea Brothers, 1902, pp. 259–363

    Google Scholar 

  9. Nomina Anatomica. Revised by the International Nomenclature Committee appointed by the Fifth International Congress of Anatomists held at Oxford in 1950, Baltimore, Williams and Wilkins, 1956

  10. Nomina Anatomica, 3rd edition (annotation 150). Revised by the International Anatomical Nomenclature Committee appointed by the Fifth International Congress of Anatomists held at Oxford in 1950 and approved by the Sixth and Seventh International Congresses of Anatomists held in Paris in 1955 and in New York in 1960, New York, Excerpta Medica, 1963

    Google Scholar 

  11. Hollinshead, W.H.: The abdominal wall and inguinal region. In Anatomy for Surgeons, vol. 2, The Thorax, Abdomen and Pelvis, New York, Paul B. Hoeber, Inc., 1956, pp. 216–268

    Google Scholar 

  12. Condon, R.E.: The anatomy of the inguinal region and its relationship to groin hernia. In Hernia, 2nd edition, L.M. Nyhus, R.E. Condon, editors, Philadelphia, J.B. Lippincott Co., 1978, pp. 14–78

    Google Scholar 

  13. Cooper, Sir Astley: The Anatomy and Surgical Treatment of Abdominal Hernia, Philadelphia, Lea & Blanchard, 1844, pp. 26–27

    Google Scholar 

  14. Skandalakis, J.E., Gray, S.W., Rowe, Jr., J.S.: Hernias. In Anatomical Complications in General Surgery, New York, McGraw-Hill, Inc., 1983, pp. 252–281

    Google Scholar 

  15. Nyhus, L.M., Bombeck, C.T.: Hernias. In Textbook of Surgery, 13th edition, D.C. Sabiston, editor, Philadelphia, W.B. Saunders Co., 1986, pp. 1231–1252

    Google Scholar 

  16. McVay, C.B.: The anatomic basis for inguinal and femoral hernioplasty. Surg. Gynecol. Obstet.139:931, 1974

    Google Scholar 

  17. McVay, C.B.: The normal and pathologic anatomy of the transversus abdominis muscle in inguinal and femoral hernia. Surg. Clin. North Am.51: 1251, 1971

    Google Scholar 

  18. Wagh, P.V., Read, R.C.: Defective collagen synthesis in inguinal herniation. Am. J. Surg.124:819, 1972

    Google Scholar 

  19. Peacock, Jr., E.E., Madden, J.W.: Studies on the biology and treatment of recurrent inguinal hernia: II, morphological changes. Ann. Surg.179:567, 1974

    Google Scholar 

  20. Peacock, Jr., E.E.: Biology of hernia. In Hernia, 2nd edition, L.M. Nyhus, R.E. Condon, editors, Philadelphia, J.B. Lippincott, 1978, pp. 79–97

    Google Scholar 

  21. Berliner, S.J.: An approach to groin hernia. Surg. Clin. North Am.64:197, 1984

    Google Scholar 

  22. Condon, R.E.: Surgical anatomy of the transversus abdominis and transversalis fascia. Ann. Surg.173:1, 1971

    Google Scholar 

  23. Haagensen, C.D., Feind, C.R., Herter, F.P., Slanetz, CA., Weinberg, J.A.: The Lymphatics in Cancer, Philadelphia, W.B. Saunders Co., 1972

    Google Scholar 

  24. Gray, S.W., Skandalakis, J.E., McClusky, D.A.: Atlas of Surgical Anatomy for General Surgeons, Baltimore, Williams and Wilkins, 1985

    Google Scholar 

  25. Nyhus, L.M.: An anatomic reappraisal of the posterior inguinal wall. Surg. Clin. North Am.44:1305, 1964

    Google Scholar 

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Skandalakis, J.E., Gray, S.W., Skandalakis, L.J. et al. Surgical anatomy of the inguinal area. World J. Surg. 13, 490–498 (1989). https://doi.org/10.1007/BF01658861

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