Diop M, Dia A, Ndiaye A, Lo E A, Sow M L, Ndiaye P D
Laboratoire d'Anatomie et d'Organogenèse, Faculté de Médecine, de Pharmacie et d'Odontostomatologie, Université Cheikh Anta Diop de Dakar, B.P. 15647, Dakar, Sénégal.
Morphologie. 2000 Sep;84(266):29-32.
The aim of our study was to find a way of preserving the ilioinguinal nerve during surgical procedures for the repair of inguinal hernias. 40 inguinal regions were dissected, 37 ilio-inguinal nerves studied. The emergence of the nerve was at 4.21 cm of the anterior superior iliac spine, at 0.78 cm of the inguinal ligament on average. Its course was parallel to the inguinal ligament, always lay under the aponevrosis of the external oblique abdominal muscle, it passed through the superficial abdominal ring in 67.56% before proceeding on anterior side of spermatic cord. This result allowed us to examine the possibility of the nerve course variation's, of anastomosis with iliohypogastric nerve and particularly the best way to identify it when surgical procedures are performed in the lower portion of the abdomen.
我们研究的目的是找到一种在腹股沟疝修补手术过程中保留髂腹股沟神经的方法。解剖了40个腹股沟区域,研究了37条髂腹股沟神经。神经的出现位置平均在髂前上棘前方4.21厘米处,腹股沟韧带上方0.78厘米处。其走行与腹股沟韧带平行,始终位于腹外斜肌腱膜下方,67.56%的神经在穿过浅环后继续走行于精索前方。这一结果使我们能够研究神经走行变异的可能性、与髂腹下神经吻合的情况,特别是在腹部下部进行手术时识别该神经的最佳方法。