| Pectineal ligament | |
|---|---|
 The inguinal and lacunar ligaments. | |
| Details | |
| From | lacunar ligament |
| To | pectineal line |
| Identifiers | |
| Latin | ligamentum pectineum |
| TA98 | A04.5.01.011 |
| TA2 | 2367 |
| FMA | 20188 |
| Anatomical terminology | |
The pectineal ligament, sometimes known as the inguinal ligament of Cooper, is an extension of the lacunar ligament. It runs on the pectineal line of the pubic bone. The pectineal ligament is the posterior border of the femoral ring.
The pectineal ligament connects to the lacunar ligament, and therefore to the inguinal ligament. [1] It connects to the pectineus muscle on its ventral and superior aspects. [1] It connects to the rectus abdominis muscle, and the abdominal internal oblique muscle, of the anterior abdominal wall. [1]
The pectineal ligament is usually around 6 cm long in adults. [2] It is close to the major vasculature of the pelvis, including external iliac vein. [2]
The pectineal ligament is strong, and holds suture well.[ citation needed ] This facilitates reconstruction of the floor of the inguinal canal.[ citation needed ] It is a useful landmark for pelvic surgery. [1] A variant of non-prosthetic inguinal hernia repair, first used by Georg Lotheissen in Austria, now bears his name.[ citation needed ]
The pectineal ligament was characterized by Astley Cooper in 1804. [3] [4]
A hernia is the abnormal exit of tissue or an organ, such as the bowel, through the wall of the cavity in which it normally resides. Hernias come in a number of types. Most commonly they involve the abdomen, specifically the groin. Groin hernias are most commonly of the inguinal type but may also be femoral. Other hernias include hiatus, incisional, and umbilical hernias. Symptoms are present in about 66% of people with groin hernias. This may include pain or discomfort, especially with coughing, exercise or going to the bathroom. Often, it gets worse throughout the day and improves when lying down. A bulging area may appear that becomes larger when bearing down. Groin hernias occur more often on the right than left side. The main concern is strangulation, where the blood supply to part of the bowel is blocked. This usually produces severe pain and tenderness in the area. Hiatus, or hiatal, hernias often result in heartburn but may also cause chest pain or pain with eating.
The cremaster muscle is a muscle that covers the testis and the spermatic cord.
The inguinal canals are the two passages in the anterior abdominal wall of humans and animals which in males convey the spermatic cords and in females the round ligament of the uterus. The inguinal canals are larger and more prominent in males. There is one inguinal canal on each side of the midline.
An inguinal hernia is a protrusion of abdominal-cavity contents through the inguinal canal. Symptoms are present in about 66% of affected people. This may include pain or discomfort especially with coughing, exercise, or bowel movements. Often it gets worse throughout the day and improves when lying down. A bulging area may occur that becomes larger when bearing down. Inguinal hernias occur more often on the right than left side. The main concern is strangulation, where the blood supply to part of the intestine is blocked. This usually produces severe pain and tenderness of the area.
The inguinal ligament, also known as Poupart's ligament or groin ligament, is a band running from the pubic tubercle to the anterior superior iliac spine. It forms the base of the inguinal canal through which an indirect inguinal hernia may develop.
The abdominal external oblique muscle is the largest and outermost of the three flat abdominal muscles of the lateral anterior abdomen.
Athletic pubalgia, also called sports hernia, core injury, hockey hernia, hockey groin, Gilmore's groin, or groin disruption is a medical condition of the pubic joint affecting athletes.
In human anatomy, inferior epigastric artery refers to the artery that arises from the external iliac artery. It anastomoses with the superior epigastric artery. Along its course, it is accompanied by a similarly named vein, the inferior epigastric vein. These epigastric vessels form the lateral border of Hesselbach's triangle, which outlines the area through which direct inguinal hernias protrude.
The conjoint tendon is a sheath of connective tissue formed from the lower part of the common aponeurosis of the abdominal internal oblique muscle and the transversus abdominis muscle, joining the muscle to the pelvis. It forms the medial part of the posterior wall of the inguinal canal.
In human anatomy, the inguinal region refers to either the groin or the lower lateral regions of the abdomen. It may also refer to:
Femoral hernias occur just below the inguinal ligament, when abdominal contents pass through a naturally occurring weakness in the abdominal wall called the femoral canal. Femoral hernias are a relatively uncommon type, accounting for only 3% of all hernias. While femoral hernias can occur in both males and females, almost all develop in women due to the increased width of the female pelvis. Femoral hernias are more common in adults than in children. Those that do occur in children are more likely to be associated with a connective tissue disorder or with conditions that increase intra-abdominal pressure. Seventy percent of pediatric cases of femoral hernias occur in infants under the age of one.
The transversalis fascia is a thin aponeurotic membrane which lies between the inner surface of the transverse abdominal muscle and the parietal peritoneum.
The femoral ring is the base of the femoral canal. It is directed upward and is oval in form, its long diameter being directed transversely and measuring about 1.25 cm. Part of the intestine can sometimes pass through the femoral ring into the femoral canal causing a femoral hernia.
In human anatomy of the leg, the femoral sheath has three compartments. The lateral compartment contains the femoral artery, the intermediate compartment contains the femoral vein, and the medial and smallest compartment is called the femoral canal. The femoral canal contains efferent lymphatic vessels and a lymph node embedded in a small amount of areolar tissue. It is conical in shape and is about 2 cm long.
The lacunar ligament, also named Gimbernat’s ligament, is a ligament in the inguinal region. It connects the inguinal ligament to the pectineal ligament, near the point where they both insert on the pubic tubercle.
The iliopubic tract is a thickened band of fibers curving over the external iliac vessels, at the spot where they become femoral, on the abdominal side of the inguinal ligaments and loosely connected with it. It is apparently a thickening of the transverse fascia joined laterally to the iliac crest, and arching across the front of the femoral sheath to be inserted by a broad attachment into the pubic tubercle and pectineal line, behind the conjoint tendon. In some subjects this structure is not very prominently marked, and not infrequently it is altogether wanting. It can be of clinical significance in hernia repair.
The median umbilical ligament is an unpaired ligamentous structure in human anatomy. It is covered by the median umbilical fold.
The aponeurosis of the abdominal external oblique muscle is a thin but strong membranous structure, the fibers of which are directed downward and medially.
Georg Lotheissen was an Austrian surgeon born in Geneva, Switzerland.
Inguinal hernia surgery is an operation to repair a weakness in the abdominal wall that abnormally allows abdominal contents to slip into a narrow tube called the inguinal canal in the groin region.
