[Anatomic pecularities of the inguinal canal in West Indians. Influence on the management of inguinal hernia].
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.
Service de Chirurgie O.B., Hôpital P. Zobda-Quitman, C.H.R. de Fort-de-France, Martinique.
A
A
Amar
J M
JM
Gouffrant
J P
JP
Marry
J
J
Jougon
M A
MA
Coicaud
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006552:Hernia, Inguinal / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007264:Inguinal Canal; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D013536:Suture Techniques; D014900:West Indies
Particularités anatomiques du canal inguinal chez l'Antillais. Incidences sur la cure de hernie inguinale.