Hernia and hydrocele
Brice Antao, S Irish Michael, Anthony Lander, S Rothenberg MD Steven in Succeeding in Paediatric Surgery Examinations, 2017
The deep inguinal ring is a defect in the transversalis fascia 1 cm above the midpoint of inguinal ligament, lateral to inferior epigastric vessels. The superficial inguinal ring is a defect in the aponeurosis of external oblique, located above and medial to the pubic tubercle. An indirect hernia passes through the deep inguinal ring and along the inguinal canal into the scrotum, while a direct hernia bulges through the posterior wall of the canal medial to the inferior epigastric artery through Hesselbach’s triangle. The boundaries of Hesselbach’s triangle are inferior epigastric artery (laterally), inguinal ligament (inferiorly) and lateral border of rectus abdominis (medially). An indirect hernia in a child is due to a patent processus vaginalis, which is a peritoneal diverticulum extending through the internal inguinal ring into the canal.
Gastrointestinal and genitourinary systems
Helen Butler, Neel Sharma, Tiago Villanueva in Student Success in Anatomy - SBAs and EMQs, 2022
4 Which of the following statements regarding the inguinal canal is correct? Its contents include the round ligament in women.The ilioinguinal nerve enters the canal via the deep ring.Abdominal contents herniating through the deep ring form a direct inguinal hernia.The inguinal canal is only present in males.The deep ring lies medial to the superficial inguinal ring.
Complications of Orchiopexy
Kevin R. Loughlin in Complications of Urologic Surgery and Practice, 2007
The ilioinguinal, iliohypogastric, and genital branch of the genitofemoral nerve are the nerves of concern during orchiopexy. Both the ilioinguinal nerve and the iliohypogastric nerves arise from T12 and L1, and are responsible for sensation to the upper and medial aspects of the thigh and the skin of the base of the penis as well as the anterior portion of the thigh. The ilioinguinal nerve is typically found on the lateral aspect of the spermatic cord. It passes through the superficial inguinal ring to reach the subcutaneous tissues and the skin. The iliohypogastric nerve lies on the internal oblique abdominal muscle and penetrates the aponeurosis of the external oblique muscle near the rectus muscle to reach the subcutaneous tissue and the skin. The genital nerve has both motor and sensory components and innervates the cremaster muscle and the skin of the side of the scrotum. In the inguinal canal it lies on the iliopubic tract and is accompanied by the cremasteric vessels to form a neurovascular bundle that passes through the superficial inguinal ring.
Genetic defect of a combined 17 α-hydroxylase/17,20-lyase deficiency patient with adrenal crisis
Published in Gynecological Endocrinology, 2018
Yunqiang Zhang, Xuyin Zhang, Yiqun Wang, Keqin Hua, Jingxin Ding
Dexamethasone at 0.75 mg twice daily, amlodipine besylate at 5 mg/d, and spironolactone at 20 mg twice daily were prescribed for 5 d based on advice from cardiologists and endocrinologists, to control the patient’s BP, which decreased from 153/111 mmHg to 145/100 mmHg (on the morning of her surgery). A laparoscopic bilateral gonadectomy was then performed on 24 November, 2015, with 100 mg of hydrocortisone administered intravenously. Two intraperitoneal small masses (right: 0.6 × 0.6 × 1.0 cm3, left: 0.6 × 0.7 × 1 cm3) were resected from the bilateral inner rings of the inguinal canal. Postoperative pathology confirmed them as bilateral hypoplastic testicular tissues.
A rare enzymatic defect, true isolated 17,20-lyase deficiency leading to endocrine disorders and infertility: case report
Published in Gynecological Endocrinology, 2020
Jamileh Afsar, Ali Kachuei, Mahin Hashemipour, Amir Larki-Harchegani, Somayeh Shabib
In the pelvic ultrasonography, the uterus and ovaries did not appear in their anatomical location but a region with tissue similar to a testis (11*18 mm) was seen in the right inguinal area. The pelvic magnetic resonance imaging (MRI) demonstrated oval soft tissue (15*10 mm) in the superior part of the left inguinal canal and oval tissue with 19*11 mm in size in the middle of the right inguinal canal that was suggestive for testes. The pituitary gland was normal. There was no evidence of uterus and ovary in the pelvic cavity (Figure 1).
Different etiopathogeneses in early-onset and late-onset inguinal hernia mesh infections in a prospectively evaluated cohort
Published in Acta Chirurgica Belgica, 2021
Mahir Gachabayov, Rifat Latifi
The main finding of this retrospective cohort study is that early-onset IHMIs are caused by St. aureus contaminated exogenously, whereas late-onset IHMIs might be a result of endogenous spread. Moreover, partial removal of the infected mesh led to the recurrence of the infection in both cases allowing us to recommend against. We encountered no hernia recurrences at the median of 11 months follow-up. This might be explained by the fibrotic changes of the previously weak transversalis fascia and other tissues in the inguinal canal.
Related Knowledge Centers
- Abdominal Wall
- Anterior Superior Iliac Spine
- Inguinal Ligament
- Pubic Symphysis
- Pubic Tubercle
- Spermatic Cord
- Round Ligament of Uterus
- Transversalis Fascia
- Inferior Epigastric Vessels
- Internal Spermatic Fascia