A new method of spermatic cord mobilization in herniorrhaphy.
Spermatic cord mobilization is a routine part of inguinal hernia repair, but the method of cord mobilization varies among surgeons. This study establishes an anatomic plane for spermatic cord mobilization. We studied the anatomy of the superficial cremasteric fascia in 105 male patients during herniorrhaphy for primary inguinal hernias. The mean patient age was 44.8 (18-71) years and mean body mass index was 24.1 kg/m(2) (21.5-27.1 kg/m(2)). The two layers of the superficial cremasteric fascia between the spermatic cord and the inguinal falx were incised to mobilize the cord. We found that spermatic cord mobilization during herniorrhaphy can be easily approached through an anatomic plane between the spermatic cord and the conjoined tendon with subsequent division of the superficial cremasteric fascia. None of the patients experienced any hemorrhage or nerve injury during cord mobilization. We found this method to be both safe and easy to learn.
Third Department of General Surgery, The Affiliated Nanhai Hospital of Southern Medical University, Foshan, People's Republic of China.
Yi-Hong
YH
Tan
Yu-Gen
YG
Xiao
Guo-Neng
GN
Du
Jian-Wen
JW
Liu
Min
M
Li
Li-Xiao-Zi
LX
Xu
Wan-Shou
WS
Qiu
D000293:Adolescent; D000328:Adult; D000368:Aged; D005205:Fascia / Q000033:anatomy & histology; D000071938:Fasciotomy; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D007264:Inguinal Canal / Q000033:anatomy & histology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013085:Spermatic Cord / Q000033:anatomy & histology* / Q000601:surgery; D013710:Tendons / Q000033:anatomy & histology / Q000601:surgery; D055815:Young Adult