Amar A, Gouffrant J M, Marry J P, Jougon J, Coicaud M A
Service de Chirurgie O.B., Hôpital P. Zobda-Quitman, C.H.R. de Fort-de-France, Martinique.
J Chir (Paris). 1990 Apr;127(4):216-9.
Inguinal and umbilical hernias are much more frequent in the black and half-breed than in the white population. We have observed anatomical differences in the inguinal region between Whites and Blacks. The latter have a vertical, wide subcutaneous ring and a smaller conjoined tendon, and it is hardly possible to reconstruct the fascia of the obliquus externus abdominis anterior to the cord in them. For Black patients, we propose the suture of the conjoined tendon to the crural arch, like in the Bassini procedure, and the suture of the fascia of the obliquus externus to the arch, but in a retrofunicular position. This technique allows, so to speak, duplicating the caudal connection of the conjoined tendon to the arch by means of the extensive suture of 2 tissues of similar nature, ie. the fascia of the obliquus externus and the crural arch.
腹股沟疝和脐疝在黑人和混血人种中比在白人中更为常见。我们观察到白人和黑人在腹股沟区域存在解剖学差异。后者有一个垂直、宽阔的皮下环和较小的联合腱，几乎不可能在精索前方重建腹外斜肌腱膜。对于黑人患者，我们建议像在巴西尼手术中那样，将联合腱缝合到腹股沟镰，将腹外斜肌腱膜缝合到腹股沟镰，但要在精索后方。可以说，这种技术通过对两种性质相似的组织，即腹外斜肌腱膜和腹股沟镰进行广泛缝合，复制了联合腱与腹股沟镰的尾端连接。
