Aponeurotic and fascial continuities in the abdomen, pelvis and thigh

Surgical Anatomy of the Groin

“…This was the irst modern operation, based on a perfect anatomic analysis of the region. In the twentieth century, the modiications of Bassini's operation and McVay and Anson [16] revised the ideas of Lotheissen and insisted on the interest of low ixation, to the Cooper's ligament, underlying the importance of anatomic unity of the region while performing the surgical treatment of both inguinal and femoral hernias simultaneously [1][2][3].…”

“…For certain authors, these are the structures that we should rely on while passing the stitches more than the inguinal ligament, such as the conception of McVay and Anson [16].…”

“…Between the femoral vein and the ligament of Gimbernat, extends a ibrous layer into which passes the lymphatics of the inferior extremities. This structure is called the femoral septum, which in fact is the inferior expansion of the transversalis fascia [15,16].…”

“…The sutures that are suiciently strong, passing from the Cooper's ligament, placed near the contact of pubic bone may virtually lift up the whole body. The Mc Vay procedure relies on this resistance, which automatically closes the inguinal and femoral passages when the sutures are in place [1,16].…”

“…Likewise the deep inguinal ring is formed under which the inferior epigastric vessels pass. The fascia transversalis ataches to the posterior border of the inguinal ligament laterally and continues downward to form the femoral septum, and inally ataches strongly to the deep layer of the Cooper's ligament [16].…”