c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Femoral Hernia Anatomy and Repair: 1

A D V E R T I S E M E N T

   
 

The space between the inguinal ligament and the superior ramus of the pubis is filled laterally by the iliopsoas muscle. The pectineal (Cooper's) ligament is thickened periosteum over the pectineal ridge of the superior pubic ramus. The lowest fibers of the external oblique aponeurosis (inguinal ligament) reflect back onto the pectineal ligament forming the lacunar (Gimbernat's) ligament. The pectineus muscle originates from the superior ramus of the pubis below the pectineal ligament.     

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Femoral Hernia Anatomy and Repair: 2

A D V E R T I S E M E N T

   
 

The femoral artery and vein occupy the space between the iliopsoas muscle and lacunar ligament. The femoral nerve emerges through the fibers of the iliopsoas muscle lateral to the vessels. Note the small space between the vein and the lacunar ligament.      

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Femoral Hernia Anatomy and Repair: 3

A D V E R T I S E M E N T

   
 

A continuation of the transversalis fascia of the abdomen surrounds the femoral vessels forming the femoral sheath. The small space medial to the vein within the femoral sheath is the femoral canal through which lymphatics pass from the leg into the abdomen. The femoral nerve is outside the femoral sheath.      

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This page was last modified on 3/1/1999.