Corona mortis: in vivo anatomical knowledge and the risk of injury in totally extraperitoneal inguinal hernia repair

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dc.authoridKorkmaz, Mehmet Fatih/0000-0001-7498-6763
dc.authoridsoyer, haci vural/0000-0003-4271-7467
dc.authoridAtes, Mustafa/0000-0003-2821-453X
dc.authoridSARICI, KEMAL BARIŞ/0000-0001-9595-1906
dc.authoridKınacı, Erdem/0000-0002-0380-7585
dc.authoridKose, Evren/0000-0002-0246-2589
dc.authoridCUGLAN, SONGUL/0000-0003-3572-1425
dc.authorwosidÇUĞLAN, Songül/AAB-5025-2020
dc.authorwosidKorkmaz, Mehmet Fatih/AAE-6018-2020
dc.authorwosidsoyer, haci vural/KAM-0073-2024
dc.authorwosidAtes, Mustafa/ABI-5100-2020
dc.authorwosidÇUĞLAN, Songül/AAP-8286-2021
dc.authorwosidSARICI, KEMAL BARIŞ/ABI-4356-2020
dc.authorwosidKınacı, Erdem/HTR-1780-2023
dc.contributor.authorAtes, M.
dc.contributor.authorKinaci, E.
dc.contributor.authorKose, E.
dc.contributor.authorSoyer, V.
dc.contributor.authorSarici, B.
dc.contributor.authorCuglan, S.
dc.contributor.authorKorkmaz, F.
dc.date.accessioned2024-08-04T20:41:21Z
dc.date.available2024-08-04T20:41:21Z
dc.date.issued2016
dc.departmentİnönü Üniversitesien_US
dc.description.abstractCorona mortis (CMOR) is the arterial and/or venous vascular communication(s) between the obturator and external iliac vessels. Totally extraperitoneal (TEP) inguinal hernioplasty can be associated with vascular complications especially during the fixation of the mesh. Theoretically, CMOR is an important nominee. But, the data in literature are insufficient about CMOR injury. Additionally, most of the studies about CMOR have been usually performed on cadavers. We aimed to reveal the preperitoneal vascular anatomy of inguinal area and provide in vivo knowledge about CMOR. The risk of arterial injury was also evaluated. The data of preperitoneal vascular anatomy of 321 patients who underwent TEP procedure between January 2005 and July 2014 were retrospectively evaluated. Mean age was 46 +/- 8.9 years, 53 females vs 268 males. 391 hemipelvises were evaluated. Two types of arterial structure were identified; (1) an aberrant obturator artery forming an anastomosis with branches of ordinary obturator artery; (2) a pubic branch of inferior epigastric artery. The incidence of arterial CMOR was 28.4 % and of any arterial structure was 45.0 %. An arterial CMOR was considered as thick (aeyen2 mm) or thin (< 2 mm). Injury of arterial CMOR during tack stapling on Cooper's ligament was seen in six cases (1.5 %). All of them were thin (< 2 mm) in structure. Venous CMOR was visible only under low pressure in work space. During TEP hernia repair, CMOR and/or pubic branch of inferior epigastric artery can be damaged. To prevent this complication, tacks should be stapled to Cooper's ligament close to symphysis pubis and dissection should be careful on the posterior surface of superior pubic ramus. Small caliber (< 2 mm) arterial CMOR is more prone to be injured during TEP procedure. To explore venous structures properly, pressure in workspace should be kept as low as possible.en_US
dc.identifier.doi10.1007/s10029-015-1444-8
dc.identifier.endpage665en_US
dc.identifier.issn1265-4906
dc.identifier.issn1248-9204
dc.identifier.issue5en_US
dc.identifier.pmid26621137en_US
dc.identifier.scopus2-s2.0-84948984847en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage659en_US
dc.identifier.urihttps://doi.org/10.1007/s10029-015-1444-8
dc.identifier.urihttps://hdl.handle.net/11616/97073
dc.identifier.volume20en_US
dc.identifier.wosWOS:000383514200004en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofHerniaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnastomosisen_US
dc.subjectBleeding complicationsen_US
dc.subjectCorona mortisen_US
dc.subjectGroinen_US
dc.subjectInferior epigastric arteryen_US
dc.subjectInguinalen_US
dc.subjectLaparoscopicen_US
dc.subjectObturator arteryen_US
dc.subjectRetropubicen_US
dc.subjectTEPen_US
dc.titleCorona mortis: in vivo anatomical knowledge and the risk of injury in totally extraperitoneal inguinal hernia repairen_US
dc.typeArticleen_US

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