The posterior wall of the inguinal canal

✍ Scribed by Michael J. Blunt

• Publisher: John Wiley and Sons
• Year: 1951
• Tongue: English
• Weight: 465 KB
• Volume: 39
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.18003915507

✦ Synopsis

over the past year and a half, but there has been no recurrence to date, and no sequelae indicative of undue compression or tension on the cord. A description is given at this stage because I consider the method deserves a trial from those with access to a larger number of cases than I could obtain over a limited period. Once familiarity with the approach is acquired, and the ease of access appreciated, it is difficult to comprehend the scant attention it has received in British surgery.

CONCLUSION

A proximal approach to oblique inguinal hernia is described. This aims at separation of the sac or sacs to a higher level than is feasible through the classical approach, avoidance of trauma to the internal ring entailed in defining peritoneal bulges above it, and facility for thorough inspection of the stump following ligature.

Closure of the ring from above, with control of the inferior epigastric artery under direct vision. Support of the cord by an additional flap of transversalis fascia, and correction of prolapse if present.

Avoidance of trauma to the structures in the inguinal canal.

I should like to acknowledge the assistance given by Mrs. F. C. Henry in connexion with the illustrations. REFERENCES AIRD, I. (1949), Companion in Surgical Studies, 529. FIASCHI (1go7), Ausr. med. Gaz., quoted by WILLIAMS. HENRY, A. K. (1936), Lancer, I, 531 (Fig. 5 ) .