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Czasopismo

2013 | 72 | 2 |

Tytuł artykułu

Reappraisal of the ligament of Henle (ligamentum inguinale internum mediale; Henle, 1871): a topohistological study using Korean foetuses

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Ligament of Henle is one of muscle-associated connective tissues of the rectus abdominis muscle, but it has been confused with the conjoint tendon (a common aponeurosis for insertion of the inferomedial end of the obliquus internus and transversus abdominis muscles). To reconsider the inguinal connective tissue structures, we examined 20 mid-term foetuses (10 males and 10 females) at approximately 14–20 weeks of gestation (crown rump length 100–170 mm). In female horizontal sections, we consistently found the ligament of Henle as a wing-like aponeurosis extending from the lateral margin of the rectus tendon behind the superficial inguinal ring. The ligament was separated from and located behind the conjoint tendon. In all male foetuses, instead of the ligament, the conjoint tendon was evident behind the superficial ring and it winded around the posterior aspect of the spermatic cord. Therefore, although a limited number of specimens were examined, the ligament of Henle was likely to be a female-specific structure. The ligament of Henle, if developed well, may provide an arch-like structure suitable for a name “falx inguinalis” instead of the inferomedial end of the conjoint tendon. In addition, a covering fascia of the iliopsoas muscle joined the posterior wall of the inguinal canal in male, but not in female, specimens. (Folia Morphol 2013; 72; 2: 147–154)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

72

Numer

2

Opis fizyczny

p.147-154,fig.,ref.

Twórcy

autor
  • Department of Surgery and Research Institute of Clinical Medicine, Chonbuk National University Hospital, Jeonju, Korea
autor
  • Department of Surgery and Research Institute of Clinical Medicine, Chonbuk National University Hospital, Jeonju, Korea
autor
  • Department of Anatomy, Chonbuk National University Medical School, San 2-20, Geumam-dong, Deokjin-gu, Jeonju 561-712, Republic of Korea
autor
  • Division of Internal Medicine, Iwamizawa Kojin-kai Hospital, Iwamizawa, Japan
  • Second Department of Anatomy and Embryology, Faculty of Medicine, Complutense University, Madrid, Spain
autor
  • Department of Surgery and Research Institute of Clinical Medicine, Chonbuk National University Hospital, Jeonju, Korea

Bibliografia

  • 1. Abe SH, Rhee SK, Osonoi M, Nakamura T, Cho BH, Murakami G, Ide Y (2010) Expression of intermediate filaments at muscle insertions of human fetuses. J Anat, 217: 167–173.
  • 2. Anson BJ, Morgan EH, McVay CB (1960) Surgical anatomy of the inguinal region based on a study of 500 body-halves. Surg Gynecol Obstet, 111: 707–725.
  • 3. Backhouse KM (1964) The gubernaculums testis Hunteri: testicular descent and maldescent. Ann R Coll Surg Engl, 35: 15–33.
  • 4. Biasutto SN, Repetto E, Aliendo MA, Borghino VN (2009) Inguinal canal development: the muscular wall and the role of the gubernaculums. Clin Anat, 22: 614–618.
  • 5. Bouchet A, Cuilleret J (1991) Anatomie topographique, descriptive et fonctionnelle, 4. L’abdomen, la region retro-péritonéale, le petit bassin, le périnée. 2nd Ed. Simep, Paris, pp. 1841–1843.
  • 6. Condon RE (1995) The anatomy of the inguinal region and its relation to groin hernia. In: Nyhus LM, Condon RE eds. Hernia. Chapter 2. 4th Ed. JB Lippincott, Philadelphia, pp. 16–72.
  • 7. Gilroy AM, Marks SC Jr, Lei Q, Page DW (1992) Anatomical characteristics of the iliopubic tract: implications for repair of inguinal hernias. Clin Anat, 5: 255–263.
  • 8. Henle J (1871) Handbuch der systemmatischen Anatomie des Menschen. Bd 1. Teil 3. 2nd Ed. Friedrich Vieweg, Braunschweig, p. 72.
  • 9. Hollinshead H (1966) Anatomy for surgeons. Vol. 2. The thorax, abdomen, and pelvis. Hoeber-Harper International edition. Harper & Row, New York, pp. 245–246.
  • 10. Heyns CF (1987) The gubernaculums during testicular descent in the human fetus. J Anat, 153: 93–112.
  • 11. Niikura H, Okamot S, Nagase S, Takano T, Murakami G, Tatsumi H, Yaegashi N (2008) Fetal development of the human gubernaculum with special reference to the fasciae and muscles around it. Clin Anat, 21: 547–557.
  • 12. Rosen A, Nathan H, Luciansky E, Orda R (1989) The inguinal region: anatomic differences in men and women with reference to hernia formation. Acta Anat, 134: 306–310.
  • 13. Rosser J (1994) The anatomical basis for laparoscopic hernia repair revisited. Surg Laparoscopy Endoscopy, 4: 36–44.
  • 14. Sato T (1992) Regional anatomy for operative surgery of genito-urinary organs-34, inguinal region-1. Rinsho-Hinyouki, 46: 198–206.
  • 15. Sen T, Ugurlu C, Kulacoglu H, Elhan A (2011) Falx inguinalis: a forgotten structure. ANZ J Surg, 81: 112–113.
  • 16. Skandalakis JE, Colborn GL, Androulakis JA, Skandalakis LJ, Pemberton LB (1993) Embryology and anatomic basis of inguinal herniorrhaphy. Surg Clin North Am, 4: 799–836.
  • 17. Standring S (2005) Gray’s anatomy. 39th Ed. Elsevier Churchill Livingstone, London pp. 1109–1111.
  • 18. Yang JD, Hwang HP, Kim JH, Rodríguez-Vázquez JF, Abe S, Murakami G, Cho BH (2012) Development of the rectus abdominis and its sheath in the human fetus. Yonsei Med J, 53: 1028–1035.
  • 19. Williams PL (1995) Gray’s anatomy. 38th Ed. Churchill Livingstone, Edinburgh, p. 825.

Typ dokumentu

Bibliografia

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