New Data on the Typical and Variant Anatomy of the Inguinal Gap


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Abstract

Relevance In a Herniology prediction problem of inguinal hernias is still actual. For many decades studying of prerequisites of emergence of inguinal hernias is conducted. However, not enough attention is drawn to the typical characteristics of a person and surgical anatomy of the anterior abdominal wall. The purpose of the study To study sexual, age and sample features of a structure of an inguinal gap. Materials and methods Work done on the 123 floating corpses of both sexes. Has been determined by body type, shape of the abdomen and the form of inguinal gap. Also measured the length of the inguinal gap, its angles, the thickness of the abdominal muscles. Performed histological examination of biopsy specimens of the internal oblique abdominal muscles. Results and their discussion Has been concretized the structure of inguinal gap depending on its shape. Noted that the frequency of the triangular shape of the inguinal gap over the last three decades has increased from 5.3 to 20.8 % for men and from 0% to 12.5% - women. Proved that with age inguinal gap increases, crescent aponeurosis narrows, and the thickness of the muscle decreases. In the structure of muscle fiber degeneration occurs, the disorganization of the extracellular matrix and venous stasis with perifocal edema. Studied typical features of the structure of inguinal gap. Determined that the triangular shape of the inguinal gap often observed at persons with brachymorphic body type. Oval-transitional form of inguinal gap was typical for persons with dolihomorphic and slotted-oval – for persons with mesomorphic body type. At the male shape of the abdomen all forms of inguinal gap observed equally often. At the persons with the female shape of the abdomen prevailed slotted-oval and oval forms of inguinal gap, the triangular shape was observed in only 8.3%. At the oval shape of the abdomen was noted in half of the cases oval - transitional form of inguinal gap. Conclusion Identify new patterns in the structure of the inguinal gap, which can be used in clinical practice for predicting the occurrence of inguinal hernias. Key words Inguinal gap, variant anatomy, body type, shape of the abdomen

About the authors

Воронежская государственная медицинская академия им. Н.Н. Бурденко, ул. Студенческая, д. 10, Воронеж, 394036, Российская Федерация

Author for correspondence.
Email: mail@vestnik-surgery.com
д.м.н., проф., первый проректор, зав. кафедрой оперативной хирургии с топографической анатомией Воронежской государственной медицинской академии им. Н.Н. Бурденко;

Воронежская государственная медицинская академия им. Н.Н. Бурденко, ул. Студенческая, д. 10, Воронеж, 394036, Российская Федерация

Email: mail@vestnik-surgery.com
д.м.н., проф., директор НИИ института герниологии, профессор кафедры факультетской хирургии Воронежской государственной медицинской академии им. Н.Н. Бурденко;

Воронежская государственная медицинская академия им. Н.Н. Бурденко, ул. Студенческая, д. 10, Воронеж, 394036, Российская Федерация

Email: mail@vestnik-surgery.com
аспирант кафедры оперативной хирургии с топографической анатомией Воронежской государственной медицинской академии им. Н.Н. Бурденко.

References

  1. Aladin A.S. i dr . Analiz individual'nykh topografo - anatomicheskikh izmeneniy zadney stenki pakhovogo kanala u bol'nykh s pakhovymi gryzhami. [Analysis of individual topographic and anatomic changes of the rear wall of the inguinal canal in patients with inguinal hernias]. Khirurgiya , 2007 ; 46-50 .
  2. Vinnik YU.S. i dr . Anatomicheskaya i klinicheskaya kharakteristika u bol'nykh s pakhovymi gryzhami. [Anatomic and clinical characteristics of patients with inguinal hernias]. Kubanskiy nauchnyy meditsinskiy vestnik , 2013 ; 3 : 33-35 .
  3. Lavrova T.F. Klinicheskaya anatomiya i gryzhi peredney bryushnoy stenki. [Clinical anatomy and hernia of anterior abdominal wall]. M .: Meditsina , 1979 ; 104
  4. Abdalla R.Z. et al.Vazhnost' razmera treugol'nika Hesserta v jetiologii pahovoj gryzhi. [The importance of the size of Hessert's triangle in the etiology of inguinal hernia]. Hernia, 2001; 5: 19-23.
  5. Amato G. et al.Myshechnaja distrofija v pahovyh gryzhah obrazcov. [Muscle degeneration in inguinal hernia specimens]. Hernia, 2012; 16 (3): 327-331.
  6. Antoniou G.A. et al. [Matrix metalloproteinase imbalance in inguinal hernia formation]. J Invest Surg, 2011; 45-50.
  7. Fiqueiredo C. M. et al.Morfometricheskij analiz pahovyh kanalov i kolec trupov ploda i vzroslogo cheloveka i ego svjazi s pahovymi gryzhami. [Morphometric analysis of inguinal canals and rings of human fetus and adult corpses and its relation with inguinal hernias]. Rev Col Bras Cir, 2009; 34 (4): 347-349.
  8. Lang T.Dvadcat' statisticheskih oshibok kotorye vy mozhete najti dazhe v mediko-biologicheskih issledovatel'skih stat'jah. [Twenty Statistical Errors Even You Can Find in Biomedical Research Articles]. Croatian Medical Journal, 2004; 45: 361-370.
  9. Peiper C. et al. Brjushnaja muskulatura i poperechnaja fascija: anatomicheskij tochka zrenija. [Abdominal musculature and the transversal fascia: an anatomical viewpoint]. Hernia, 2005; 8 (4): 376-380.
  10. Smigielski J. et al.Syvorotka MMP 2 i TIMP 2 bol'nym s pahovymi gryzhami. [Serum MMP 2 and TIMP 2 in patients with inguinal hernias]. Eur J Clin Invest, 2011. 41: 584-592.
  11. Stoppa R.Antropometricheskie harakteristiki publichnoj arki i pravil'noj raboty zashhitnyh mehanizmov protiv formirovanija gryzh. [Anthropometric characteristics of the public arch and proper function of the defense mechanisms against hernia formation]. Hernia, 2005; 9 (4): 400.
  12. Wolloscheck T. et al.Pahovaja gryzha: izmerenie biomehaniki nizhnej brjushnoj stenki i pahovogo kanala.[Inguinal hernia: measurement of the biomechanics of the lower abdominal wall and the inguinal canal]. Hernia, 2004; 8 (3): 233-241.
  13. Yang J. D. et al.Pereocenka svjazki Genle (Vnutrennjaja medial'naja pahovaja svjazka; Genle, 1871 g.): topogistologicheskoe issledovanie s ispol'zovaniem korejskih zarodyshej. [Reappraisal of the ligament of Henle (ligamentum inguinale internum mediale; Henle, 1871): a topohistological study using Korean foetuses]. Folia Morphol (Warsz), 2013; 72 (2): 147-154.

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