Triangle Of Doom Inguinal Hernia

Direct inguinal herniae occur through hesselbach s triangle.

Triangle of doom inguinal hernia. Within the boundaries of this area you can find the external iliac artery and vein. The triangle of doom is an inverted v shaped area with its apex at the internal deep inguinal ring. Indirect inguinal herniae pass lateral to the inferior epigastric vessles. Inferior epigastric artery and vein.

The triangle of pain is an v shaped area with its apex at the internal deep inguinal ring. The triangle of doom is bound laterally by the gonadal vessels and medially by the vas deferens in the male or the round ligament of the uterus in the female. The three dangerous area. 8 triangle of doom.

The triangle of doom is an anatomical triangle defined by the vas deferens medially spermatic vessels laterally and peritoneal fold inferiorly. Within the boundaries of this area you can find the external iliac artery and. During a laparoscopic inguinal hernia repair the dangerous triangle the triangle of doom refers to a triangular area bound by the vas deferens the testicular vessels and the peritoneal fold. This is actually the site for the origins of the indirect inguinal hernia.

It does indicate an area where it is dangerous to place staples or sutures during laparoscopic hernia surgery. Not labeled on diagram but runs a similar path to the inguinal aponeurotic falx labeled at bottom. Named after fc hesselbach 1759 1816 german anatomist and surgeon 1. 3 medial umbilical ligament.

It is not a triangle as it only has two boundaries. Does not lead to pain. It is just to be cautious of the nerves. Bowel can then exit the canal via the superficial inguinal ring and form a lump in the scrotum or.

The inguinal triangle represents an area of potential weakness in the abdominal wall through which herniation can occur. The triangle of doom is bordered medially by the vas deferens and laterally by the vessels of the spermatic cord the summit of the triangle corresponding to the deep inguinal ring. Labeled at center left and run from upper right to bottom center. Triangle of pain contains femoral nerve lateral femoral cutaneous nerve and genitofemoral nerve it is a misnomer i e.

Lateral border of the rectus sheath. It bears significance in laparoscopic repair of groin hernia. An example of a similar situation with terminology is the so called triangle of doom. Inguinal triangle is labeled in green.

The contents of the space include the external iliac vessels the deep circumflex iliac vein the femoral nerve and the genital branch of the genitofemoral nerve. Triangle of doom contains major vessels if injured may cause a hemorrhagic catastrophe. Inguinal hernia is of two types based on the site of origin. In a direct inguinal hernia bowel herniates through a weakness in the inguinal triangle and enters the inguinal canal.

Inguinal ligament lateral border. Runs from upper left to bottom left.