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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Inguinal ligament – Wikipedia

The space of Bogros is located inguuinalis to the space of Retzius and is bound anteriorly by the superficial transverse fascia, medially by the inferior epigastric blood vessels, laterally by the pelvic wall, and posteriorly by the psoas muscle, the external iliac vessels and the femoral nerve.

Posterior view of the anterior abdominal wall in its lower half. The canal serves as a pathway by which structures can pass from the abdominal wall to the external genitalia. Structures passing behind the inguinal ligament.

Inguinal canal

The mid-inguinal point, halfway between the anterior superior iliac spine and the pubic symphysis, is the landmark for the femoral artery. Fig 3 — Coronal view of the pelvis, demonstrating the mid-inguinal point and the midpoint of the inguinal ligament.


Inguinal canal is tube at lower left. This anatomic region was originally coined by Dr. August 7, Revisions: It is an extension of the lacunar ligament, running infero-laterally along the pectineal line and attaching to the pectineal line. The ligament serves to contain soft tissues as they course anteriorly from the trunk to the lower extremity. Representation of the superficial and deep transverse fasciae.

The canals are approximately 3.

On the left side the cavity of the tunica vaginalis has been opened; on the right side only the layers superficial to the Cremaster have been removed. Discuss Proposed since August Indirect — where the peritoneal sac enters the inguinal canal through the deep inguinal ring. Abdominal external oblique Transverse abdominal Conjoint tendon Rectus sheath rectus abdominis pyramidalis Arcuate line Tendinous intersection Cremaster Abdominal internal oblique. inguinlis

The Inguinal Canal – Boundaries – Contents – TeachMeAnatomy

By using this site, you agree to the Terms of Use and Privacy Policy. Inguinal Hernia A hernia is defined as the protrusion of an organ or fascia through the wall of a cavity that normally contains it. The anatomy of these inguinalsi is totally different from traditional open procedures because they are performed from different direction and in different space. To help define the boundaries, these canals are often further approximated as boxes with six sides.

These two terms are mentioned frequently in this article, and are often mistakenly used interchangeably:. Colles’ ligament is reflex ligament not inguinal ligament. Muscle levator ani iliococcygeus pubococcygeus puborectalis coccygeus rectococcygeus.


It is filled with loose connective tissue and fat, and there are no obvious blood vessels. This article uses anatomical terminology; for an overview, see anatomical terminology. The transverse fascia in the lower anterior abdominal wall is divided anatmoi two layers Figure 4.

Fig 1 — Overview of the inguinal canal. This section needs expansion.

Anatomy essentials for laparoscopic inguinal hernia repair

Most of the inferior epigastric arteries are branches of the external iliac arteries or veins. Grant’s Atlas of Anatomy.

In males with strong presentation of the cremasteric reflexthe testes can—during supine sexual activity or manual manipulation—partially or fully retract into the inguinal canal for a short period of time. Muscles and ligaments of abdomen and pelvis.

Received Aug 15; Accepted Sep 1. Laparoscopic procedures are especially suitable for recurrent and bilateral inguinal hernia 12. It has two openings — the superficial and deep rings.

The deep transverse fascia anatpmi a funnel-shaped structure that extends downward to cover the spermatic cord structures the vas deferens, the testicular vessels and the hernia sac of the oblique inguinal at the internal hetnia ring and becomes the internal spermatic fascia entering the inguinal canal.