A new method of spermatic cord mobilization in herniorrhaphy
Article first published online: 3 FEB 2012
Copyright © 2012 Wiley Periodicals, Inc.
Volume 25, Issue 8, pages 1074–1079, November 2012
How to Cite
Tan, Y.-H., Xiao, Y.-G., Du, G.-N., Liu, J.-W., Li, M., Xu, L.-X.-Z. and Qiu, W.-S. (2012), A new method of spermatic cord mobilization in herniorrhaphy. Clin. Anat., 25: 1074–1079. doi: 10.1002/ca.22037
- Issue published online: 30 OCT 2012
- Article first published online: 3 FEB 2012
- Manuscript Accepted: 10 JAN 2012
- Manuscript Revised: 18 DEC 2011
- Manuscript Received: 13 NOV 2011
- inguinal hernia;
- tension-free hernioplasty;
- spermatic cord;
- cremasteric fascia;
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/m2 (21.5–27.1 kg/m2). 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. Clin. Anat. 25:1074–1079, 2012. © 2012 Wiley Periodicals, Inc.