Abate S, Ferulano G P, Lobello R
Arch Sci Med (Torino). 1979 Jan-Mar;136(1):31-6.
Following a previous note on the musculus obliquus externus, attention is now directed to the obliques internus and the transversus in an assessment of the anatomical formations of the groin, in the light of doubts concerning their constitution expressed in the recent literature, and in a critical appraisal of the hernioplasty techniques proposed. Data from the cadaver, which appear to be of particular interest, show muscle-aponeurosis fissures in both the obliquus parvus and the obliquus externus; these may be the cause of recurrent hernias. The differences in the extent of the muscle and aponeurosis portions of the obliquus internus and the greater or lesser area of the trigonum inguinale, which is covered by aponeurotic fibres of the transversus, are regarded as important factors in the genesis of inguinal hernia.
继之前关于腹外斜肌的笔记之后,鉴于近期文献中对腹股沟解剖结构组成存在疑问,并对所提出的疝修补技术进行批判性评估,现在将注意力转向腹内斜肌和腹横肌,以评估腹股沟的解剖结构。来自尸体的数据似乎特别有趣,显示小斜肌和腹外斜肌均存在肌肉 - 腱膜裂隙;这些可能是复发性疝的原因。腹内斜肌的肌肉和腱膜部分范围的差异,以及由腹横肌腱膜纤维覆盖的腹股沟三角面积的大小,被视为腹股沟疝发生的重要因素。