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Pectineal Ligament
The pectineal ligament, sometimes known as the inguinal ligament of Cooper, is an extension of the lacunar ligament. It runs on the pectineal line of the pubic bone. The pectineal ligament is the posterior border of the femoral ring. Structure The pectineal ligament connects to the lacunar ligament, and therefore to the inguinal ligament. It connects to the pectineus muscle on its ventral and superior aspects. It connects to the rectus abdominis muscle, and the abdominal internal oblique muscle, of the anterior abdominal wall. The pectineal ligament is usually around 6 cm long in adults. It is close to the major vasculature of the pelvis, including external iliac vein. Clinical significance The pectineal ligament is strong, and holds suture well. This facilitates reconstruction of the floor of the inguinal canal. It is a useful landmark for pelvic surgery. A variant of non-prosthetic inguinal hernia repair, first used by Georg Lotheissen in Austria, now bears his name. ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Lacunar Ligament
The lacunar ligament, also named Gimbernat’s ligament, is a ligament in the inguinal region. It connects the inguinal ligament to the pectineal ligament, near the point where they both insert on the pubic tubercle. Structure The lacunar ligament is the part of the aponeurosis of the external oblique muscle that is reflected backward and laterally and is attached to the pectineal line of the pubis. It is about 1.25 cm. long, larger in the male than in the female, almost horizontal in direction in the erect posture, and of a triangular form with the base directed laterally. Its ''base'' is concave, thin, and sharp, and forms the medial boundary of the femoral ring. Its ''apex'' corresponds to the pubic tubercle. Its ''posterior margin'' is attached to the pectineal line, and is continuous with the pectineal ligament. Its ''anterior margin'' is attached to the inguinal ligament. Its surfaces are directed upward and downward. Clinical significance The lacunar ligament ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Inguinal Canal
The inguinal canals are the two passages in the anterior abdominal wall of humans and animals which in males convey the spermatic cords and in females the round ligament of the uterus. The inguinal canals are larger and more prominent in males. There is one inguinal canal on each side of the midline. Structure The inguinal canals are situated just above the medial half of the inguinal ligament. In both sexes the canals transmit the ilioinguinal nerves. The canals are approximately 3.75 to 4 cm long. , angled anteroinferiorly and medially. In males, its diameter is normally 2 cm (±1 cm in standard deviation) at the deep inguinal ring.The diameter has been estimated to be ±2.2cm ±1.08cm in Africans, and 2.1 cm ±0.41cm in Europeans. A first-order approximation is to visualize each canal as a cylinder. Walls To help define the boundaries, these canals are often further approximated as boxes with six sides. Not including the two rings, the remaining four sides are usually ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Inguinal Canal
The inguinal canals are the two passages in the anterior abdominal wall of humans and animals which in males convey the spermatic cords and in females the round ligament of the uterus. The inguinal canals are larger and more prominent in males. There is one inguinal canal on each side of the midline. Structure The inguinal canals are situated just above the medial half of the inguinal ligament. In both sexes the canals transmit the ilioinguinal nerves. The canals are approximately 3.75 to 4 cm long. , angled anteroinferiorly and medially. In males, its diameter is normally 2 cm (±1 cm in standard deviation) at the deep inguinal ring.The diameter has been estimated to be ±2.2cm ±1.08cm in Africans, and 2.1 cm ±0.41cm in Europeans. A first-order approximation is to visualize each canal as a cylinder. Walls To help define the boundaries, these canals are often further approximated as boxes with six sides. Not including the two rings, the remaining four sides are usually ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Lacunar Ligament
The lacunar ligament, also named Gimbernat’s ligament, is a ligament in the inguinal region. It connects the inguinal ligament to the pectineal ligament, near the point where they both insert on the pubic tubercle. Structure The lacunar ligament is the part of the aponeurosis of the external oblique muscle that is reflected backward and laterally and is attached to the pectineal line of the pubis. It is about 1.25 cm. long, larger in the male than in the female, almost horizontal in direction in the erect posture, and of a triangular form with the base directed laterally. Its ''base'' is concave, thin, and sharp, and forms the medial boundary of the femoral ring. Its ''apex'' corresponds to the pubic tubercle. Its ''posterior margin'' is attached to the pectineal line, and is continuous with the pectineal ligament. Its ''anterior margin'' is attached to the inguinal ligament. Its surfaces are directed upward and downward. Clinical significance The lacunar ligament ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Inguinal Ligament
The inguinal ligament (), also known as Poupart's ligament or groin ligament, is a band running from the pubic tubercle to the anterior superior iliac spine. It forms the base of the inguinal canal through which an indirect inguinal hernia may develop. Structure The inguinal ligament runs from the anterior superior iliac crest of the ilium to the pubic tubercle of the pubic bone. It is formed by the external abdominal oblique aponeurosis and is continuous with the fascia lata of the thigh. There is some dispute over the attachments. Structures that pass deep to the inguinal ligament include: *Psoas major, iliacus, pectineus * Femoral nerve, artery, and vein * Lateral cutaneous nerve of thigh *Lymphatics Function The ligament serves to contain soft tissues as they course anteriorly from the trunk to the lower extremity. This structure demarcates the superior border of the femoral triangle. It demarcates the inferior border of the inguinal triangle. The midpoint of ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Astley Cooper
Sir Astley Paston Cooper, 1st Baronet (23 August 176812 February 1841) was a British surgeon and anatomist, who made contributions to otology, vascular surgery, the anatomy and pathology of the mammary glands and testicles, and the pathology and surgery of hernia. Life Cooper was born at Brooke Hall in Brooke, Norfolk on 23 August 1768 and baptised at the parish church on 9 September. His father, Dr Samuel Cooper, was a clergyman of the Church of England; his mother Maria Susanna Bransby was the author of several novels. At the age of sixteen he was sent to London and placed under Henry Cline (1750–1827), surgeon to St Thomas' Hospital. From the first he devoted himself to the study of anatomy, and had the privilege of attending the lectures of John Hunter. In 1789 he was appointed demonstrator of anatomy at St Thomas' Hospital, where in 1791 he became joint lecturer with Cline in anatomy and surgery, and in 1800 he was appointed surgeon to Guy's Hospital on the deat ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Austria
Austria, , bar, Östareich officially the Republic of Austria, is a country in the southern part of Central Europe, lying in the Eastern Alps. It is a federation of nine states, one of which is the capital, Vienna, the most populous city and state. A landlocked country, Austria is bordered by Germany to the northwest, the Czech Republic to the north, Slovakia to the northeast, Hungary to the east, Slovenia and Italy to the south, and Switzerland and Liechtenstein to the west. The country occupies an area of and has a population of 9 million. Austria emerged from the remnants of the Eastern and Hungarian March at the end of the first millennium. Originally a margraviate of Bavaria, it developed into a duchy of the Holy Roman Empire in 1156 and was later made an archduchy in 1453. In the 16th century, Vienna began serving as the empire's administrative capital and Austria thus became the heartland of the Habsburg monarchy. After the dissolution of the H ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Georg Lotheissen
Georg Lotheissen (September 14, 1868 – October 28, 1941) was an Austrian surgeon born in Geneva, Switzerland. In 1892 he earned his medical doctorate in Vienna, and following graduation was an assistant to Emil Zuckerkandl (1849–1910), and a surgical apprentice under Theodor Billroth (1829–1894) and Carl Gussenbauer (1842–1903). From 1895 to 1901, he served as first assistant to Viktor von Hacker (1852–1933) at the surgical clinic at Innsbruck, where in 1899 he received his habilitation in surgery. In 1902 he returned to Vienna, where in 1915 he became an associate professor. Lotheissen made important contributions in his work involving esophageal surgery and hernia repair. In 1897, he was the first surgeon to suture the conjoint tendon to Cooper's (pectineal) ligament, an operation he performed on a patient with a recurrent inguinal hernia. Decades later, American surgeon Chester McVay (1911–1987) popularized the operation, and this procedure is now refer ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Inguinal Hernia
An inguinal hernia is a hernia (protrusion) of abdominal-cavity contents through the inguinal canal. Symptoms, which may include pain or discomfort especially with or following coughing, exercise, or bowel movements, are absent in about a third of patients. Symptoms often get worse throughout the day and improve when lying down. A bulging area may occur that becomes larger when bearing down. Inguinal hernias occur more often on the right than left side. The main concern is strangulation, where the blood supply to part of the intestine is blocked. This usually produces severe pain and tenderness of the area. Risk factors for the development of a hernia include: smoking, chronic obstructive pulmonary disease, obesity, pregnancy, peritoneal dialysis, collagen vascular disease, and previous open appendectomy, among others. Predisposition to hernias is Genetic predisposition, genetic and they occur more often in certain families. Deleterious mutations causing predisposition to he ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Prosthesis
In medicine, a prosthesis (plural: prostheses; from grc, πρόσθεσις, prósthesis, addition, application, attachment), or a prosthetic implant, is an artificial device that replaces a missing body part, which may be lost through trauma, disease, or a condition present at birth (congenital disorder). Prostheses are intended to restore the normal functions of the missing body part. Amputee rehabilitation is primarily coordinated by a physiatrist as part of an inter-disciplinary team consisting of physiatrists, prosthetists, nurses, physical therapists, and occupational therapists. Prostheses can be created by hand or with computer-aided design (CAD), a software interface that helps creators design and analyze the creation with computer-generated 2-D and 3-D graphics as well as analysis and optimization tools. Types A person's prosthesis should be designed and assembled according to the person's appearance and functional needs. For instance, a person may need a trans ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Surgery
Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pathological condition such as a disease or injury, to help improve bodily function, appearance, or to repair unwanted ruptured areas. The act of performing surgery may be called a surgical procedure, operation, or simply "surgery". In this context, the verb "operate" means to perform surgery. The adjective surgical means pertaining to surgery; e.g. surgical instruments or surgical nurse. The person or subject on which the surgery is performed can be a person or an animal. A surgeon is a person who practices surgery and a surgeon's assistant is a person who practices surgical assistance. A surgical team is made up of the surgeon, the surgeon's assistant, an anaesthetist, a circulating nurse and a surgical technologist. Surgery usually ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Pelvis
The pelvis (plural pelves or pelvises) is the lower part of the trunk, between the abdomen and the thighs (sometimes also called pelvic region), together with its embedded skeleton (sometimes also called bony pelvis, or pelvic skeleton). The pelvic region of the trunk includes the bony pelvis, the pelvic cavity (the space enclosed by the bony pelvis), the pelvic floor, below the pelvic cavity, and the perineum, below the pelvic floor. The pelvic skeleton is formed in the area of the back, by the sacrum and the coccyx and anteriorly and to the left and right sides, by a pair of hip bones. The two hip bones connect the spine with the lower limbs. They are attached to the sacrum posteriorly, connected to each other anteriorly, and joined with the two femurs at the hip joints. The gap enclosed by the bony pelvis, called the pelvic cavity, is the section of the body underneath the abdomen and mainly consists of the reproductive organs (sex organs) and the rectum, while the ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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