SURGICAL ANATOMY OF POSTERIOR WALL OF INGUINAL CANAL IN SPERMATIC CORD LIPOMAS

Abstract

Purpose: to study a surgical anatomy of posterior wall of inguinal canal in lipomas of spermatic cord (round ligament of uterus).Materials and Methods: surgical anatomy of the posterior wall of inguinal canal was studied in 164 fresh cadavers after sudden death of persons due to diseases not connected with abdominal trauma. The height and length of inguinal gap and deep inguinal ring and length of inguinal canal were measured. The location of deep inguinal ring relatively to the edge of abdominal internal oblique muscle using original authors’ method was studied..Results: lipomas of spermatic cord and round ligament of uterus have a dual nature background. In some cases lipomas arise primarily as a result of weakness of posterior wall of an inguinal canal, influencing progression of pathological changes of tissues and inguinal hernia’s formation. In other cases lipomas appear after inguinal hernia’s formation. A fatty degeneration of lower edge of abdominal internal oblique muscle in cases of inguinal hernias marks frequently, following by disturbance of valve mechanism of inguinal canal.Summary: Verification of spermatic cord lipoma demands its’ surgical removal.

Keywords

• lipoma
• spermatic cord
• inguinal hernia