Noussios George, Galanis Nikiforos, Chatzis Iosif, Konstantinidis Sergios, Filo Eva, Karavasilis George, Katsourakis Anastasios
School of Physical Education and Sports Sciences of Serres, Aristotle University of Thessaloniki, Thessaloniki, Greece.
School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
J Clin Med Res. 2020 Feb;12(2):108-114. doi: 10.14740/jocmr4062. Epub 2020 Feb 1.
Inguinal hernia repair is one of the most common daily operations in general surgery. However, the anatomical structures of the region, such as the corona mortis (the crown of death), make this procedure quite challenging. A comprehensive knowledge of its anatomy is essential, since massive hemorrhage may occur if the vessel is injured. The current review of the literature aimed to report the frequency and anatomical variations of vascular corona mortis.
A substantial study was coordinated through PubMed, Scopus and Google Scholar. The Prisma guidelines were used for the systematic review of the articles found. A total of 13 studies and 1,455 patients were included for the statistical analysis.
The results showed that corona mortis was present in about half the hemi-pelvises, and to be more accurate, the prevalence was 46%. Venous corona mortis was more frequent than the arterial type (42% vs. 25%).
Considering the percentages mentioned above, every surgeon who schedules an operation on the retro-pubic area, especially during a hernioplasty procedure, should evaluate the possibility of the presence of corona mortis. Anatomical knowledge of the region is vital for attempting to eliminate the risk of injuring the corona mortis during surgery.
腹股沟疝修补术是普通外科最常见的日常手术之一。然而，该区域的解剖结构，如死亡冠，使该手术颇具挑战性。全面了解其解剖结构至关重要，因为一旦血管受损可能会发生大出血。当前的文献综述旨在报告死亡冠血管的发生率及解剖变异情况。
通过PubMed、Scopus和谷歌学术进行了一项大规模研究。采用Prisma指南对所检索到的文章进行系统综述。共纳入13项研究及1455例患者进行统计分析。
结果显示，约半数半骨盆中存在死亡冠，更确切地说，其发生率为46%。静脉型死亡冠比动脉型更常见（42%对25%）。
鉴于上述百分比，每位计划进行耻骨后区域手术的外科医生，尤其是在疝修补手术过程中，都应评估存在死亡冠的可能性。该区域的解剖知识对于在手术中试图消除损伤死亡冠风险至关重要。
