2) It includes any combination of injuries to the posterior inguinal wall, conjoint tendon, inguinal ligament
, rectus abdominis, hip adductors, external oblique musculature, etc.
The lateral femoral cutaneous nerve comes from spinal nerve roots and has a very superficial course as it exits the pelvis anterior to the inguinal ligament
before entering the lateral aspect of the thigh, where it can be subject to compression by external forces.
If the tissues of the patient are weak and unsuitable for posterior wall repair, the inferior epigastric vessels are divided, the pre and retroperitoneal spaces from the pubic tubercle to the inguinal ligament
are dissected and then a large synthetic mesh is placed into these spaces so that the entire peritoneal reflection in the inguinal canal is wrapped.
Because cross sections were not circular, we used calipers to measure the major and minor axes of four femoral nerves just proximal to the first branching point and distal to the inguinal ligament
Tuzak noropatilerin cogu inguinal ligament
The mesh is sutured to the inguinal ligament
laterally and to the rectus sheath and "conjoint tendon" above.
1,2] Passing behind the inguinal ligament
into the thigh it is split into anterior and posterior division by the lateral circumflex femoral artery.
The femoral canal is repaired from inside by approximating the inguinal ligament
to the pectineal ligament with interrupted non-absorbable sutures.
Thinly collimated multidetector CT (MDCT) with coronal and sagittal reformats have recently been reported to visualize the inguinal ligament
and associated structures with a higher accuracy than in thickly collimated axial images.
The neck of the sac was dissected and found to communicate with the abdominal cavity below the inguinal ligament
The surface landmarks used were those described by Stevens and Harrison (1): the inguinal ligament
was identified and marked between the pubic tubercule and the anterior superior iliac spine and the line of the inguinal ligament
was divided in three equal parts.
Tinel's test over the inguinal ligament
increased pain in the femoral nerve territory.