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This triangle contains external iliac artery and vein, the deep circumflex iliac vein, the genital branch of genitofemoral nerve and hidden by fascia, the femoral nerve. It bears significance in laparoscopic repair of groin hernia. Surgical staples are avoided here. Similarly, the Triangle of Pain is an
An inguinal hernia or groin hernia is a hernia (protrusion) of abdominal cavity contents through the inguinal canal. Symptoms, which may include pain or discomfort especially with or following coughing, exercise, or bowel movements , are absent in about a third of patients.
By far the most common hernias (up to 75% of all abdominal hernias) are inguinal hernias, which are further divided into the more common indirect inguinal hernia (2/3, depicted here), in which the inguinal canal is entered via a congenital weakness at its entrance (the internal inguinal ring), and the direct inguinal hernia type (1/3), where ...
Inguinal triangle is labeled in green. Borders: inferior epigastric artery and vein: labeled at center left, and run from upper right to bottom center. inguinal ligament: not labeled on diagram, but runs a similar path to the inguinal aponeurotic falx, labeled at bottom. rectus abdominis muscle: runs from upper left to bottom left.
Post herniorrhaphy pain syndrome, or inguinodynia is pain or discomfort lasting greater than 3 months after surgery of inguinal hernia. Randomized trials of laparoscopic vs open inguinal hernia repair have demonstrated similar recurrence rates with the use of mesh and have identified that chronic groin pain (>10%) surpasses recurrence (<2%) and is an important measure of success.
Post-herniorrhaphy inguinodynia is a condition where 10-12% of patients experience severe pain after inguinal hernia repair, due to a complex combination of different forms of pain signals. [87] [88] [12] It can occur with any inguinal hernia repair technique, and if unresponsive to pain medications, further surgical intervention is often ...