Cooper S Ligament Inguinal Hernia

The pectineal ligament is the posterior border of the femoral ring.

Cooper s ligament inguinal hernia. Rutledge the cooper ligament repair mcvay repair is the only anterior herniorrhaphy that repairs all of the hernia defects that occur in the groin. In halverson and mcvay s twenty two year series of 263 repairs for primary direct inguinal hernia using the cooper ligament method throughout this rate was 4 9 per cent. A tissue cassette with a ventral hernia sac. Anatomy and management is intended for general surgeons and hernia specialists.

It is used for indirect inguinal hernias and small direct hernias. It was characterized by cooper in 1804. In my personal twenty one year series of 4 812 primary direct inguinal hernia repairs using the shouldice method exclusively a recurrence rate of 0 7 per cent was achieved. A tissue cassette that includes inguinal ligament inferior epigastric artery coopers ligament and testicular vessels.

Representation of the right cooper s ligament the iliopubic tract and the inguinal ligament. Cooper ligament repair of groin hernias robb h. 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 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 runs parallel to the inguinal ligament from. The mcvay cooper ligament approach is popular for larger inguinal hernias and direct or recurrent hernias whereas the bassini approach used to be a popular approach but is not used as often today due to the tensionfree approach. 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 of prior unsuccessful. Cooper was the first to describe the superior pubic ligament although he never used it to surgically repair a groin hernia.

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 vas deferens the round ligament of the uterus and testicular blood vessels can be completely exposed only when the internal spermatic fascia is incised and the hernia sac or the peritoneal fold is separated to the cephalad direction. Although this repair gives excellent results it has been largely superseded by the less invasive tension free repairs in which patients have a quicker. Possible simulated tasks include plane dissection hernia sac reduction mesh placement and closure.

It typically requires a relaxing incision and careful dissection near the femoral vessels. The superior pubic ligament cooper ligament is the periosteum of the superior pubic ramus.