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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Evaluation of orthopedic and athletic injuries. The ring is created by the transversalis fascia, which invaginates to form a covering of the contents of the inguinal canal.

Anatomy essentials for laparoscopic inguinal hernia repair

Schematic of the principle of adult laparoscopic inguinal hernia repair. August 7, Revisions: The transverse fascia is a complicated and contentious anatomical structure.

Articles to be merged from August All articles to be merged All articles with unsourced statements Articles with unsourced statements from January Commons category link from Wikidata Wikipedia articles with GND identifiers Wikipedia articles with TA98 identifiers. The deep layer of the myopectineal orifice is closed off by the abdominal transverse fascia, which surrounds the hefnia cord, and the femoral sheath, which passes through the myopectineal orifice.

The deep onguinalis ring is found above the midpoint of the inguinal ligament. Colles’ ligament is reflex ligament not inguinal ligament.

Such symptoms can resolve spontaneously in 2—4 onguinalis. Therefore, the preperitoneal retropubic space should include the space of Retzius, a part of the visceral space and a part of the parietal space. This information is intended for medical education, and does not create any doctor-patient relationship, and should not be used as a substitute for professional diagnosis and treatment. This condition is far more common in males than in females, owing to the inguinal canal’s small size anztomi females.


All in One Anatomy Review – Volume 3: The main anatomic points are discussed as followed. Grant’s Atlas of Anatomy. The white iliopubic tract can be seen at the lower edge of a direct hernia ring or below an internal inguinal ring.

The Inguinal Canal – Boundaries – Contents – TeachMeAnatomy

The identification of the inferior epigastric vessels is very important before accessing the space of Bogros. It is sometimes termed the Fallopian ligament. Mid-Inguinal Point and Midpoint of the Inguinal Ligament These two terms are mentioned frequently in this article, and are often mistakenly used interchangeably: The preperitoneal retropubic space is located in the midline of the lower abdomen with the superficial transverse antaomi and the pubic bone anteriorly, the bladder posteriorly, the umbilicus level superiorly, the pelvic floor muscles inferiorly, and the inferior epigastric arteries laterally.

National Center for Biotechnology HerbiaU. This page was last edited on 27 Novemberat Thus, the internal spermatic fascia must be incised during separation of the oblique inguinal hernia sac Figure 5 to expose the spermatic cord structures and the hernia sac. Laparoscopic inguinal hernia repair is performed more and more nowadays. Myopectineal orifice This anatomic region was originally coined by Dr.

During laparoscopic inguinal hernia repair, the space of Bogros is explored to access the iliac fossa as well as to make it easier to open the lateral mesh and lay it flat.

Muscles and ligaments of abdomen and pelvis. The inguinal crural ligament runs from the anterior superior iliac crest of the ilium to the pubic herniaa of the pubic bone.

Inguinal ligament

Please review our privacy policy. The peritoneal sac and potentially loops of bowel enters the inguinal canal via the deep inguinal ring. The lateral femoral cutaneous nerve runs just below the iliac fascia and enters the thigh in the 1- to 4-cm-wide region infero—medial to the anterior superior iliac spine under the iliopubic tract.


To facilitate inguinais description, the anatomical structures of the lower anterior abdominal wall especially with respect to the transverse fascia are defined as follows Figure 3.

To help define the boundaries, these canals are often further approximated as boxes with six sides.

The Inguinal Canal

The spermatic cord or the round ligament of the uterus runs through the suprainguinal region, while the femoral nerve, the femoral artery, the femoral vein and the femoral canal run through the subinguinal region. The anatomy of these procedures is totally different from traditional open procedures because they are performed from different direction. This structure demarcates the superior border of the femoral triangle.

Laparoscopic operations for inguinal hernia are carried out intraperitoneally or in preperitoneal space. The midpoint of the inguinal ligament, halfway between the anterior superior iliac spine and pubic tubercle, is the landmark for the femoral nerve.

The anterior wall of the left inguinal canal has been removed. Iliac fascia Iliopectineal arch. Aponeurosis of the external oblique. Support Center Support Center. Fig 1 — Overview of the inguinal canal.

Then, they blend with the anterior abdominal wall at the site lateral to the inferior epigastric blood vessels. It has been suggested that Superficial inguinal ring be merged into this article. Muscle levator ani iliococcygeus pubococcygeus puborectalis coccygeus rectococcygeus. World J Clin Cases ; 3: Abdominal external oblique Transverse abdominal Conjoint tendon Rectus sheath rectus abdominis pyramidalis Arcuate line Tendinous intersection Cremaster Abdominal internal oblique.