Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | miercuri, 21 august 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
English
British Flag| Romana Romanian Flag
 
Creditare EMC
Colegiul Medicilor
Va invitam sa va inregistrati/abonati la Jurnalul de chirurgie pentru a beneficia de creditare EMC
User

Parola

Tine minte
Ti-ai uitat parola?
Syndicate

Advertisement

Elmed

Estima

Liamed

Listare E-mail

ANATOMY OF THE INGUINAL REGION
E. Târcoveanu, C. Bradea, R. Moldovanu,
First Surgical Clinic "I. Tanasescu - V. Butureanu", "St. Spiridon" Hospital Iasi
Research Center for Laproscopic and Open Surgery
University of Medicine and Pharmacy "Gr.T. Popa" Iasi
Jurnalul de chirurgie 2005; 1 (4):436-446
Full text: Format PDF (Romanian)

Abstract:

The anatomy of the inguinal region appears different by laparoscopic approach vs. open technique. There are some laparoscopic landmarks wich are useful for transperitoneal treatment of the groin hernias: in the midline, the median umbilical fold contains the obliterated urachus, the paired medial umbilical folds correspond to the umbilical arteries (obliterated to fibrous remnants) and more laterally, the less proeminent paired lateral umbilical folds contain the inferior epigastric artery.

Associated with these 5 folds it was described three paired fossae: supravesical (site of a rare type of indirect hernia), medial umbilical fossa (corresponds to Hesselbach's triangle - site of direct hernia) and lateral umbilical fossa (corresponds to the deep inguinal ring - site of indirect hernias). The femoral fossa overlies the femoral canal and is below the lateral inguinal fossa, separated from it by the iliopubic tract.

The extraperitoneal approach for groin hernia is also described; the landmarks for this technique are: bladder, Cooper's ligament, iliopubic tract, inferior epigastric vessels, gonadal vessels and the ductus deferens. The dissection of the anatomic landmarks, herniorrhaphy technique and Nyhus's classification are also presented.

Conclusions: Laparoscopic approach for groin hernia are fesible. Transperitoneal approach is probably less difficult and it is able to performe a correct and "anatomical" herniorrhaphy; the opening of the peritoneum and general anestesia are the inconveniences.

KEYWORDS: INGUINAL REGION, ANATOMY, GROIN HERNIA, HERNIORRHAPHY, TRANSPERITONEAL APPROACH.

Correspondence: Prof. Dr. Eugen Târcoveanu, First Surgical Clinic, "St. Spiridon" University Hospital Iasi, Independentei Str. no. 1; 700111, Iasi; e-mail:



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.