A reevaluation of the structures accepted to represent the postnatal gubernaculum.
BACKGROUND
The structure called the residual gubernaculum (G) has been evaluated to define its origin.


METHODS
Girls operated for inguinal hernia (n = 7) and boys operated for undescended testis (n = 12), inguinal hernia (n = 7), hydrocele of the cord (n = 1), and ectopic (n = 1) and entrapped (n = 1) testes were evaluated. Attachments of the structures coursing distally from the sacs were identified, and they were removed en block. Three samples, first from the distal part of the sac with the beginning of the fibrous structure, second from the midportion, and third from the most distal part, were prepared and stained with hematoxylin-eosin, trichrome and elastic van Gieson. Histologic structures within the samples were determined and compared with Mann-Whitney U test.


CONCLUSIONS
Structures called the residual G differed from the walls of accompanying sacs by only the absence of mesothelial lining. Therefore, the structure called the residual G in boys with an undescended testis and the round ligament in girls actually represent the obliterated processus vaginalis.
Department of Pediatric Surgery, Hacettepe University, Faculty of Medicine, Ankara, Turkey. ctanyal@gen.hun.edu.tr
F Cahit
FC
Tanyel
Beril
B
Talim
Gülsev
G
Kale
Nebil
N
Büyükpamukçu
D002675:Child, Preschool; D003456:Cryptorchidism / Q000196:embryology*; D005260:Female; D006552:Hernia, Inguinal / Q000196:embryology; D006801:Humans; D008022:Ligaments / Q000033:anatomy & histology*; D008297:Male; D012404:Round Ligament of Uterus / Q000033:anatomy & histology; D006848:Testicular Hydrocele / Q000196:embryology