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- W3107580587 abstract "Introduction Recurrence of inguinal hernia after surgery secondary to mesh fixation techniques still remains a complication of inguinal hernioplasty. This study focuses on evaluating the reflected inguinal ligament and its potential in surgical application. Method A total of 181 patients undergoing inguinal hernia repair at Travancore Medical College, Kollam, Kerala between 2015 to 2020 were included in the study. The reflected inguinal ligament was identified by tracing fibres passing upwards and medially from the pubic tubercle to the rectus sheath. The incidence of the ligament and its shape were documented. Results Of the 181 patients, the male to female ratio was 7.6:1. The average age of the study population was 55.1 ± 14.3. 37% had right sided inguinal hernia, 19% had left sided inguinal hernia and 44% had bilateral inguinal hernia. Intraoperatively, the reflected inguinal ligament was identified in all patients with 60% having a triangular shape and rest had rectangular shape. Rectangular shape is more common as age increases. Discussion Current literature rarely examines the reflected inguinal ligament in depth. Further ambiguity is caused by various authors using different nomenclature for the ligament. Accepting the limitations such as constrained geographical variation in our study population, the findings of our study in combination with those of existing literature warrants further studies specifically evaluating the reflected inguinal ligament. Conclusion The reflected ligament was identified in all of our patients. This study recommends that further studies evaluate the reflected inguinal ligament as a potential landmark to fix the medial end of the mesh during inguinal hernioplasty." @default.
- W3107580587 created "2020-12-07" @default.
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- W3107580587 date "2020-11-15" @default.
- W3107580587 modified "2023-09-30" @default.
- W3107580587 title "REFLECTED INGUINAL LIGAMENT: A POTENTIAL ANATOMICAL LANDMARK FOR MESH FIXATION IN INGUINAL HERNIA REPAIR." @default.
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- W3107580587 doi "https://doi.org/10.36106/paripex/8600115" @default.
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