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A new method of spermatic cord mobilization in herniorrhaphy

Authors

  • Yi-Hong Tan,

    1. Third Department of General Surgery, The Affiliated Nanhai Hospital of Southern Medical University, Foshan, People's Republic of China
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  • Yu-Gen Xiao,

    1. Third Department of General Surgery, The Affiliated Nanhai Hospital of Southern Medical University, Foshan, People's Republic of China
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  • Guo-Neng Du,

    1. Third Department of General Surgery, The Affiliated Nanhai Hospital of Southern Medical University, Foshan, People's Republic of China
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  • Jian-Wen Liu,

    1. Third Department of General Surgery, The Affiliated Nanhai Hospital of Southern Medical University, Foshan, People's Republic of China
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  • Min Li,

    1. Third Department of General Surgery, The Affiliated Nanhai Hospital of Southern Medical University, Foshan, People's Republic of China
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  • Li-Xiao-Zi Xu,

    1. Third Department of General Surgery, The Affiliated Nanhai Hospital of Southern Medical University, Foshan, People's Republic of China
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  • Wan-Shou Qiu

    Corresponding author
    1. Department of General Surgery, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China
    • Department of General Surgery, Third Affiliated Hospital of Sun Yat-sen University, NO. 600, Tian He Road, Guangzhou, 510630, P.R. China
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Abstract

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.

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