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Musculo-aponeurotic canal.
4cm long.
Extends from deep inguinal ring (lateral) to superficial inguinal ring (medial). Directed medially. inferiorly, anteriorly and
Present above and parallel to medial half of inguinal ligament. The canal is narrow in females and almost straight anteriorly in infants because of underdeveloped abdominal wall muscles.
ANTERIOR
POSTERIOR
Entirely by fascia transversalis Medial 1/3 reinforced by conjoint tendon infront of fascia transversalis Reflected part of inguinal infront of conjoined tendon. ligament
FLOOR Grooved ligament Medially ligament upper is surface of with Inguinal lacunar
continuous
in
external
oblique
Overlies the pubic crest which forms the base of the opening
CONTENTS OF INGUINAL CANAL Spermatic cord and ilioinguinal nerve in males Round ligament of uterus and ilioinguinal nerve in females
Each anterior abdominal wall layer gives covering to spermatic cord. From within outwards the coverings are derived as follows,
Internal Spermatic fascia from fascia transversalis Cremasteric oblique fascia from internal
fascia
from
Cremasteric fascia Internal spermatic fascia Testicular artery, Pampiniform plexus of veins and Sympathetics Vas deferens surrounded by lymphatics
Ilio-inguinal nerve
Boundaries:
HESSELBACHS TRIANGLE
Inguinal Hernia
A hernia is a condition in which part of the intestine bulges through a weak area in muscles in the abdomen. An inguinal hernia occurs in the groin (the area between the abdomen and thigh). It is called "inguinal" because the intestines push through a weak spot in the inguinal canal.
FACTORS
Obesity, pregnancy, heavy lifting, and straining to pass stool can cause the intestine to push against the inguinal canal.
A SPLIT IN THE SIDEWALL OF AN EXCAVATOR TYRE ALLOWS THE INNER TUBE TO PROTRUDE
Symptoms of inguinal hernia may include a lump in the groin near the thigh; pain in the groin; and, in severe cases, partial or complete blockage of the intestine. The main treatment for inguinal hernia is surgery to repair the opening in the muscle wall. This surgery is called herniorrhaphy.
TYPES OF INGUINAL HERNIA Inguinal hernias are further divided into the more common indirect inguinal hernia, in which the abdominal content is entered into IC via a congenital weakness at its entrance (the deep inguinal ring). In direct inguinal hernia, where the hernia contents push through a weak spot in the posterior wall of the inguinal canal, lateral to conjoint tendon.
Direct inguinal hernia (DIH) passes through Hesselbachs triangle. The triangle is divided into medial and lateral part by obliterated umbilical artery. So the DIH is divided into medial (MDIH) and lateral (LDIH)
O U A
Extra-peritoneal tissue
Fascia transversalis Conjoined tendon External spermatic fascia skin
Extra-peritoneal tissue
Fascia transversalis
Cremasteric fascia
External spermatic fascia skin
Indirect inguinal hernia (IDIH) mainly in males; weakness produced during descent of testis TYPES OF IDIH
CONGENITAL VAGINAL HERNIA processus vaginalis present in hernia content . (PV is a peritoneum running along with testis during its descent. Later it disappears but sometime persists)
BUBONOCELE conformed hernia through inguinal canal and does not protrude through the superficial inguinal ring
Thank U