Advertisement

Anatomy of the Abdominal Wall

  • Cesare Stabilini
  • Ezio Gianetta
Chapter

Abstract

Hernia and Abdominal wall repair represents one of the surgical environments where knowledge is the real key to success, not the dissection of anatomic plane as happens in general surgery but the correct and effective use of anatomic structures represents the true ability of hernia surgeons. During the past years, several authors have left their names attached to anatomical structure and their variants testifying a great interest in the understanding of the pathological processes and modifications responsible of an abdominal wall defect. Today the interest in this field has raised more and more, thanks to the availability of new technologies, new approaches, and actually new procedures that push further the research in this area. It’s interesting to note that, on one hand, the need for a detailed knowledge of inguinal region has been flattened by the use of meshes, because of the reduced dissection in comparison to traditional tissue repairs. On the opposite side, the rise of Abdominal Wall Reconstruction concepts has been taken to the extreme of the concept of tenotomy and invented new anatomical routes and spaces for the surgeons. The aim of the present chapter is to easily describe these anatomical spaces and offer to the readers some tips and new insights to begin the route of abdominal wall anatomy.

Keywords

Abdominal wall Anatomy Abdominal hernia Hernia repair 

Suggested Reading

  1. Askar OM. Surgical anatomy of the aponeurotic expansions of the anterior abdominal wall. Ann R Coll Surg Engl. 1977;59:313.PubMedPubMedCentralGoogle Scholar
  2. Axer H, Keyserlingk DG, Prescher A. Collagen fibers in linea alba and rectus sheaths. I. General scheme and morphological aspects. J Surg Res. 2001;96(1):127–34.CrossRefGoogle Scholar
  3. Bendavid R. The space of Bogros and the deep inguinal venous circulation. Surg Gynecol Obstet. 1992;174:355.PubMedGoogle Scholar
  4. Condon RE. Surgical anatomy of the transversus abdominis. Ann Surg. 1971;173:1.CrossRefGoogle Scholar
  5. Cooper A. The anatomy and surgical treatment of abdominal hernia. Philadelphia, PA: Lea & Blanchard; 1804.Google Scholar
  6. Fathi L. Surgical anatomy and morphologic variations of umbilical structures. Am Surg. 2012;78(5):540–4.PubMedGoogle Scholar
  7. Fruchaud H. Anatomie Chirurgicale Des Hernies De L’aine. Paris: G. Doin; 1956.Google Scholar
  8. Lau H, Patil NG. Umbilical hernia in adults. Surg Endosc. 2003;17:2016–20.CrossRefGoogle Scholar
  9. Loukas M, El-Zammar D, Shoja MM, Tubbs RS, Zhan L, Protyniak B, Krutoshinskaya Y. The clinical anatomy of the triangle of Grynfeltt. Hernia. 2008;12(3):227–31.CrossRefGoogle Scholar
  10. Loukas M, Tubbs RS, El-Sedfy A, Jester A, Polepalli S, Kinsela C, Wu S. The clinical anatomy of the triangle of Petit. Hernia. 2007;11(5):441–4.CrossRefGoogle Scholar
  11. Macchi V, Porzionato A, Morra A, Picardi EEE, Stecco C, Loukas M, Tubbs RS, De Caro R. The triangles of Grynfeltt and Petit and the lumbar tunnel: an anatomo-radiologic study. Hernia. 2017;21(3):369–76.CrossRefGoogle Scholar
  12. Ndiaye A, Diop M, Ndoye JM, Konaté I, Ndiaye AI, Mané L, Nazarian S, Dia A. Anatomical basis of neuropathies and damage to the ilioinguinal nerve during repairs of groin hernias (about 100 dissections). Surg Radiol Anat. 2007;29(8):675–81.CrossRefGoogle Scholar
  13. Punekar IRA, Khouri JS, Catanzaro M, Shaikh AL, Langstein HN. Redefining the rectus sheath: implications for abdominal wall repair. Plast Reconstr Surg. 2018;141(2):473–9.PubMedGoogle Scholar
  14. Rizk NN. A new description of the anterior abdominal wall in man and mammals. J Anat. 1980;131:373.PubMedPubMedCentralGoogle Scholar
  15. Skandalakis JE, Skandalakis PN, Skandalakis LJ. Abdominal wall and hernias. In: Surgical anatomy and technique. New York: Springer; 2000. p. 133–5.CrossRefGoogle Scholar
  16. Sudrania OP, Agrawal RK, Deb S, Khanna AK. Pubomyoaponeurotic foramen and posterior groin plait for groin hernia. Hernia. 2003;7(4):210–4.CrossRefGoogle Scholar
  17. Testut L, Jacob O. Trattato Di Anatomia Topografica, vol. II. Torino: Utet; 1922.Google Scholar
  18. Wijsmuller AR, Lange JF, Kleinrensink GJ, van Geldere D, Simons MP, Huygen FJ, Jeekel J, Lange JF. Nerve-identifying inguinal hernia repair: a surgical anatomical study. World J Surg. 2007;31(2):414–20.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Cesare Stabilini
    • 1
  • Ezio Gianetta
    • 1
  1. 1.Department of SurgeryUniversity of Genoa School of MedicineGenoaItaly

Personalised recommendations