Which blood vessel may be injured in an inguinal hernia repair?
External iliac or femoral vessels, especially veins, may be injured during fixation of the mesh to the inguinal ligament in its lateral part. The tissue bites in the inguinal ligament should not be very deep.
Is the inferior epigastric artery in the inguinal canal?
The inferior epigastric artery is a branch of the external iliac artery. It is found on the anterior abdominal wall, passing superomedially from the inguinal canal towards the midline. It terminates at the level of the umbilicus by anastomosing with the superior epigastric artery.
How do inguinal hernias relate to the inferior epigastric vessels?
A direct inguinal hernia (alternative plural: herniae) is a type of groin herniation, that arises from protrusion of abdominal viscera through a weakness of the posterior wall of the inguinal canal medial to the inferior epigastric vessels, specifically through Hesselbach’s triangle.
What are the major structures that can be injured during surgical inguinal hernia repair?
Injury to internal organs. Although extremely rare, injury to the intestine, bladder, kidneys, nerves and blood vessels leading to the legs, internal female organs, and vas deferens-the tube that carries sperm-can occur during hernia surgery and may lead to more operations.
Do vascular surgeons do hernias?
Hernias can occur to anyone, at any age, at any time. While some hernias are simply a nuisance, others can be painful and even prevent you from participating in the activities you enjoy. At General and Vascular Surgery, we have an entire team of expert, board-certified surgeons specializing in hernia surgery.
Where is the femoral artery?
The common femoral artery forms as a continuation of the external iliac artery below the level of the inguinal ligament. It is found just medial to the midpoint of the inguinal ligament in the inguinal crease region.
What is the inferior epigastric artery a branch of?
external iliac artery
The inferior epigastric artery is a direct branch off the external iliac artery. This artery continues moving superiorly and medially for 4–6 cm before it enters the rectus abdominis muscle. The artery gives off several small branches as it runs from the external iliac artery to the muscle (see Figure 5.5).
Where does the inferior epigastric artery come from?
The inferior epigastric artery arises commonly from the external iliac artery just superior to the inguinal ligament. This artery runs superiorly in the transversalis fascia to enter the rectus sheath below the arcuate line, and finally anastomoses with the superior epigastric artery [1].
How do you know if a hernia has failed?
Mesh used for hernia repair surgery has a high failure rate that can cause serious complications for patients, even years after the implant. Seven common signs and symptoms of hernia mesh failure include bulging, burning, constipation, impotent and sexual dysfunction, nausea, lethargy, and pain.