Mobilization of the testis and the spermatic cord to the level of the deep inguinal ring
They remain near the deep inguinal ring
until the 7th month of gestation, when they begin their descent through the inguinal canal into twin scrotal sacs.
In the description of the original technique for the placement of bilayer patch device (Ethicon, Prolen Hernia System[R], PHS), which is a three-dimensional double layer device, the connector of the PHS has a role of a 'plug in', which is positioned in internal inguinal ring
, very close to the spermatic cord and in contact with the genital branch of genitofemoral nerve, ilioinguinal nerve, and sympathetic nerves (testicular plexus)(1,2).
A purse-string suture at the level of internal inguinal ring
, taking only the peritoneum leaving the distal sac: Is it enough for inguinal hernia in pediatric patients?
The aim of this study was to evaluate the use of homologous pericardium grafts for internal inguinal ring
closure in horses, comparing mechanical or manual laparoscopic suture.
The second phase of descent (trans-inguinal phase), occurs between gestational weeks 25 to 30 and is a rapid process wherein the testes migrate through the short inguinal canal to the external inguinal ring
(Bay et al.
5) The clock-face is centered on the pubic tubercle and serves as a guide to what may be palpable on exam, including the superficial inguinal ring
, rectus abdominis insertion, pubic symphysis, and adductor longus insertion.
Anatomy of deep inguinal ring
was identified, peritoneum was reflected laterally to identify and separate inguinal canal contents.
Due to high association with indirect inguinal hernia, dissection to the internal inguinal ring
and ligation of the neck of the processus vaginalis should be performed.
Testis reaches the iliac fossa in the third month, at deep inguinal ring
in the seventh month, in the inguinal canal at the eighth month and finally reaches at scrotum by the end of ninth month.
Violent exercise during last phase of pregnancy can cause dilatation of inguinal ring
and trapping of gravid uterus into the inguinal ring
Intra-operative findings (Figure 2) showed a paraperitoneal subtotal prolapse of the bladder through the internal inguinal ring
, into the scrotum.