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DEPARTMENT OF ANATOMY INGUINAL CANAL
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HERNIAS
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HISTORIC FIRSTS Vesalius (Flemish)Fallopius (Italy) Poupart (France)
Described the inguinal ligament. Heister First to describe direct hernias. (1724) Pott (England) Anatomy of congenital hernias; methods of incarceration Camper (Holland) Described the superficial subcutaneous fascia Scarpa (Italy) Described deep subcutaneous fascia; anatomic and surgical importance of sliding hernias (en glissade) (1814) Sir Ashley Cooper (England) Described anatomy and surgical treatment of crural and umbilical hernias; anatomy of the groin including the superior pubic (Cooper) ligament; cremasteric fascia and the transversalis fascia Hunter Emphasized the role of the processus vaginalis Morton Described the conjoined tendon. Cloquet Noted postnatal closure of the processus vaginalis; made observations of the iliopubic tract Hesselbach (Germany) Defined iliopubic tract; described importance of the medial triangle of the groin (included the femoral canal).[1]; described the "corona mortis" (arterial circle formed by the deep epigastric and obturator arteries). (See original drawing and current interpretation) De Gimbernat Described medial ligament of the femoral canal (lacunar ligament), and division of that ligament in the treatment of strangulated femoral hernias. Richter (Germany) Described partial obstruction and incarceration of a wall of the bowel in a hernia defect.[2,3]
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INGUINAL CANAL
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INGUINAL CANAL
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INGUINAL CANAL
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INGUINAL CANAL
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HESSELBACH’S TRIANGULAR
3-DIMENSIONAL SPACE
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INGUINAL CANAL
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INGUINAL CANAL
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Original Bassini operation
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Mc Vay operation
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Shouldice operation
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INGUINAL CANAL
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INGUINAL CANAL
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INGUINAL CANAL
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REFERENCES 1. TEXTBOOKS 2. WEBSITES
1. Fitzgerald M.J.T., Jean Folan-Curran. Clinical Neuroanatomy and related neuroscience, 4th ed. London : W.B. Saunders, 2002. 2. Williams PL, Warwick R et al. Gray’s Anatomy, 37th ed. NewYork : Churchill Livingstone, 1989, pp , 3. Pick TP & Howden R. Gray’s Anatomy, The Classic Collector’s ed. NewYork : Gramercy, 1977. 4. Sabiston. Textbook of Surgery, 15th ed. Philadelphia : W.B. Saunder Company, 1997. 5. Oxford Textbook of Surgery on CD-ROM, ver 1.0. Oxford University Press, 1995. 2. WEBSITES 1. 2. 3. 4. Anatomy of the Human Body Henry Gray
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