Akademik Veri Yönetim Sistemi
14 th ANNUAL MEETİNG of the ESPES, Strasbourg, Fransa, 18 - 20 Eylül 2024, ss.257-258
Introduction: The inguinal canal is a channel in the abdominal wall formed by the oblique muscles, serving as the passage for the spermatic cord in men and the round ligament in women. The inferior epigastric artery (A. epigastrica inferior) originates as a branch of the external iliac artery (A. iliaca externa), supplies the abdominal wall, and is located immediately medial to the inguinal canal. The inferior epigastric artery is a structure that requires attention, especially during surgical procedures, as it can be damaged during inguinal hernia repairs. Patients and Methods: The study included 203 male patients who presented with indirect inguinal hernias and underwent repair using the PIRS technique. The patients' age, the side of the inguinal hernia, the shape of the internal ring of the inguinal canal, and the relationship between the medial wall of the inguinal canal and the A. epigastrica were evaluated. Results: The average age of the children was 22 months. Of the inguinal rings examined, 122 were on the right side and 81 on the left. The inferior epigastric artery was prominently visible in 171 of the inguinal rings (84.2%) and formed the medial wall of 10 rings (4.9%). In 15 rings (7.3%), it did not intersect with the ring at certain angles. In the 188 rings where it intersected with the medial wall, the angle of intersection was 43.7 degrees. Conclusion: During high ligation of the inguinal canal, in addition to the spermatic cord and testicular vessels, the inferior epigastric artery is also an important structure to consider. It is of vital importance, especially in cases where it forms a common wall.