Cooper Ligament Repair Inguinal Hernia

This chapter describes the steps in technique and potential pitfalls associated with the use of this repair. The cooper ligament repair is a primary tissue repair that involves suturing the conjoined tendon superiorly to cooper s ligament inferiorly medial to the femoral vein and to the inguinal ligament at the level of and lateral to the femoral vein. The first cooper ligament repair was done in 1897 by the austrian surgeon georg lotheissen who used the superior pubic ligament in 2 patients who had lost their inguinal ligaments in the course.

inguinal hernia repair incision inguinal hernia scar pictures inguinal hernia right side more common inguinal hernia recovery time after open surgery inguinal hernia repair problems inguinal hernia repair cost uk inguinal hernia repair methods inguinal hernia repair pain years later

Shown Is The Left Inguinal Region With The Peritoneum Removed As

View From Lap Hernia Repair Anatomia Abdomen Estudio

Pin On Triangles In Anatomy

Surgery Laparoscopic Hernia Repair May Be Considered In Nearly

Accesssurgery Print Hernia Repair Rectus Abdominis Muscle

Inguinal Ligament Lacunar Ligament Gimbernat S Pectineal

The repair is extended from the femoral canal to the coopers ligament anteriorly so that the conjoined tendon is tied to the inguinal ligament past the canal.

Cooper ligament repair inguinal hernia. Some surgeons prefer to reinforce the repair to cooper s ligament by another row of sutures approximating poupart s ligament to the aponeurosis of the transverse abdominal muscle figure 6. The suturing of the internal oblique muscle to poupart s ligament is not considered worthwhile. This variant of non prosthetic inguinal hernia repair first used by georg lotheissen in austria now bears his name. The cooper ligament repair mcvay repair is the only anterior herniorrhaphy that repairs all of the hernia defects that occur in the groin.

The mcvay repair uses autologous tissue to close the floor of the inguinal canal. The cooper ligament repair mcvay repair ประมาณป 1939 ม การพบว า insertion ของ transversus abdominis muscle และ transversalis fascia อย ท cooper s ligament ไม ใช inguinal ligament การผ าต ดโดยใช cooper s ligament น chester mcvay ทำให การผ าต ด. It typically requires a relaxing incision and careful dissection near the femoral vessels. It involves suturing the conjoined tendon to the cooper ligament from the pubic tubercle laterally to the femoral canal.

The basic principle of the cooper ligament repair is the closure of the deficiency in the posterior inguinal wall effected by suturing the upper margin of the defect represented by the aponeurosis of the transversus plus. 1 department of general surgery istanbul oncology hospital istanbul turkey. Although this repair gives excellent results it has been largely superseded by the less invasive tension free repairs in which patients have a quicker recovery. This repair closes the femoral canal and is thus a good repair to use when a femoral hernia is encountered.

Open tension free three dimensional cooper ligament repair for femoral hernia. The femoral canal must be narrowed for this approach. Cooper was the first to describe the superior pubic ligament although he never used it to surgically repair a groin hernia. A comparison of the shouldice and cooper ligament repair of the posterior inguinal wall.

Repair of direct inguinal hernia mcvay. It was characterized by cooper in 1804. The pectineal ligament is the posterior border of the femoral ring. The structure is strong and holds suture well facilitating reconstruction of the floor of the inguinal canal.