Anatomy of mortis corona vascular and its clinical significances in laparoscopic total extraperitoneal hernia repair_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WEI Jian ,  FU Zhaojun , YANG Yuhui , ZHANG Chen , FENG Huihe

Department of General Surgery, The Fourth People’s Hospital of Zigong City, Zigong, Sichuan 643000, P.R.China;

Corresponding author：

FU Zhaojun, Email: fuzhaojuncq@163.com

Keywords：

corona mortis vascular; laparoscope; total extraperitoneal hernia repair; appear rate

DOI：

10.7507/1007-9424.201606013

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To study anatomy of mortis corona vascular and analyze its characteristics and clinical significances in laparoscopic total extraperitoneal hernia repair (TEP). Method The clinical data of 45 patients with inguinal hernia underwent laparoscopic TEP from July 2013 to October 2015 in the Fourth People’s Hospital of Zigong City were collected. Results ① There were 45 patients with inguinal hernia a total of 52 bilateral inguinal hernias (15 direct hernias, 37 oblique hernias). The total appear rate of corona mortis vascular was 61.5% (32/52). The appear rate of corona mortis artery was significantly higher than that of the corona mortis vein〔46.2% (24/52)versus 34.6% (18/52),P<0.05〕, the diameter of the corona mortis artery was significantly smaller than that of the corona mortis vein〔(3.2±0.3) mmversus (3.4±0.4) mm,t=2.231,P<0.05〕. ② The appear rates of corona mortis artery and vein in the male patients were significantly higher than those of the female patients (P<0.05). Compared with the female patients, the age of onset was older (P<0.05), thickness of abdominal wall was thinner (P<0.05), diameter of corona mortis vascular was bigger (P<0.05) in the male patients. ③ The total appear rate of corona mortis vascular in the patients with direct hernia was significantly lower than that of the patients with oblique hernia (P<0.05). The age of onset of the patients with direct hernia was significantly older than that of the patients with oblique hernia (P<0.05). Conclusions There is a higher appear rate of corona mortis vascular in patients with oblique hernia, which in male patients is higher as compared with female patients. Age of onset of male patient with inguinal hernia is older than that of female patient with inguinal hernia. It suggests that appear of corona mortis vascular might be associated with degeneration of abdominal wall. It has a certain role for localization and avoidance of corona mortis vascular in TEP.

Citation： WEIJian, FUZhaojun, YANGYuhui, ZHANGChen, FENGHuihe. Anatomy of mortis corona vascular and its clinical significances in laparoscopic total extraperitoneal hernia repair. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(2): 185-189. doi: 10.7507/1007-9424.201606013 Copy

1.	Darmanis S, Lewis A, Mansoor A,et al. Corona mortis: an anatomical study with clinical implications in approaches to the pelvis and acetabulum. Clin Anat, 2007, 20(4): 433-439.
2.	Sarikcioglu L, Sindel M, Akyildiz F,et al. Anastomotic vessels in the retropubic region: corona mortis. Folia Morphol (Warsz), 2003, 62(3): 179-182.
3.	Hubka P, Svabik K, Martan A,et al. A serious bleeding complication with injury of the corona mortis with the TVT-Secur procedure: two cases of contact of TVT-S with the corona mortis during cadaver study. Int Urogynecol J, 2010, 21(9): 1179-1180.
4.	Gobrecht U, Kuhn A, Fellman B. Injury of the corona mortis during vaginal tape insertion (TVT-Secur^TM using the U-Approach). Int Urogynecol J, 2011, 22(4): 443-445.
5.	Maricevich M, Farley D. A pseudo-TEP repair of an incarcerated obturator hernia. Int J Surg Case Rep, 2011, 2(8): 290-292.
6.	何凯, 姚琪远. 腹腔镜腹壁疝修补术的并发症及其预防方法. 中华疝和腹壁外科杂志(电子版), 2007, 1(2): 117-120.
7.	Ozmen M, Zulfikaroglu B, Ozalp N,et al. Femoral vessel blood flow dynamics following totally extraperitonealvs Stoppa procedure in bilateral inguinal hernias. Am J Surg, 2010, 199(6): 741-745.
8.	Ullah Z, Bhargava A, Jamal-Hanjani M,et al. Totally extra-peritoneal repair of inguinal hernia by a glove-balloon: technical innovation. Surgeon, 2007, 5(4): 245-247.
9.	Feng B, He ZR, Li JW,et al. Feasibility of incremental laparoscopic inguinal hernia repair development in China: an 11-year experience. J Am Coll Surg, 2013, 216(2): 258-265.
10.	Nixon J, Kumar S. The totally extraperitoneal approach (TEP) to inguinal hernia repair. Surgeon, 2005, 3(4): 281-287, 305.
11.	苏小梅, 李桂珍. 高龄患者腹腔镜疝修补术后常见并发症的原因分析与护理. 齐齐哈尔医学院学报, 2012, 33(17): 2412-2413.
12.	Hamza Y, Gabr E, Hammadi H,et al. Four-arm randomized trial comparing laparoscopic and open hernia repairs. Int J Surg, 2010, 8(1): 25-28.
13.	Zamora-Amorós C, Calado-Leal C, Illán-Riquelme A,et al. Totally extraperitoneal endoscopic surgery of inguinal hernia: results of 250 hernia repairs. Cir Esp, 2012, 90(8): 501-505.
14.	朱仕文, 孙德江, 王满宜, 等. Corona mortis 的解剖学研究. 山东医药, 2010, 50(44): 28-29.
15.	Garrido-Gómez J, Pena-Rodríguez C, Martín-Noguerol T,et al. Corona mortis artery avulsion due to a stable pubic ramus fracture. Orthopedics, 2012, 35(1): e80-e82.
16.	Tekatli H, Schouten N, van Dalen T,et al. Mechanism, assessment, and incidence of male infertility after inguinal hernia surgery: a review of the preclinical and clinical literature. Am J Surg, 2012, 204(4): 503-509.
17.	姚琪远. 腹腔镜疝修补手术常见并发症及处理. 中国实用外科杂志, 2007, 27(9): 708-710.
18.	Ramser M, Messmer AS, Zbinden I,et al. Incarcerated obturator hernia-laparoscopic repair with intraoperative view of the corona mortis. J Surg Case Rep, 2014, 2014(8): 1240-1243.
19.	Rusu MC, Cergan R, Motoc AG,et al. Anatomical considerations on the corona mortis. Surg Radiol Anat, 2010, 32(1): 17-24.
20.	Smith JC, Gregorius JC, Breazeale BH,et al. The corona mortis, a frequent vascular variant susceptible to blunt pelvic trauma: identification at routine multidetector CT. J Vasc Interv Radiol, 2009, 20(4): 455-460.
21.	Rehder P, Glodny B, Pichler R,et al. Massive retropubic hematoma after minimal invasive mid-urethral sling procedure in a patient with a corona mortis. Indian J Urol, 2010, 26(4): 577-579.
22.	洪华兴, 陈海啸, 洪正华, 等. Corona Mortis 血管解剖学研究及其临床意义. 中国骨伤, 2006, 19(6): 355-357.
23.	Secin FP, Touijer K, Mulhall J,et al. Anatomy and preservation of accessory pudendal arteries in laparoscopic radical prostatectomy. Eur Urol, 2007, 51(5): 1229-1235.
24.	Pungpapong SU, Thum-umnauysuk S. Incidence of corona mortis; preperitoneal anatomy for laparoscopic hernia repair. J Med Assoc Thai, 2005, 88 Suppl 4: S51-S53.
25.	Roig MP, Bertomeu CA, Delgado MC,et al. Pain, analgesic consumption and daily life activities recovery in patients undergoing ambulatory totally extra-peritoneal laparoscopic inguinal hernioplasty versus ambulatory Lichtenstein hernioplasty. Cir Esp, 2011, 89(8): 524-531.
26.	Stavropoulou-Deli A, Anagnostopoulou S. Corona mortis: anatomical data and clinical considerations. Aust N Z J Obstet Gynaecol, 2013, 53(3): 283-286.

1. Darmanis S, Lewis A, Mansoor A,et al. Corona mortis: an anatomical study with clinical implications in approaches to the pelvis and acetabulum. Clin Anat, 2007, 20(4): 433-439.
2. Sarikcioglu L, Sindel M, Akyildiz F,et al. Anastomotic vessels in the retropubic region: corona mortis. Folia Morphol (Warsz), 2003, 62(3): 179-182.
3. Hubka P, Svabik K, Martan A,et al. A serious bleeding complication with injury of the corona mortis with the TVT-Secur procedure: two cases of contact of TVT-S with the corona mortis during cadaver study. Int Urogynecol J, 2010, 21(9): 1179-1180.
4. Gobrecht U, Kuhn A, Fellman B. Injury of the corona mortis during vaginal tape insertion (TVT-Secur^TM using the U-Approach). Int Urogynecol J, 2011, 22(4): 443-445.
5. Maricevich M, Farley D. A pseudo-TEP repair of an incarcerated obturator hernia. Int J Surg Case Rep, 2011, 2(8): 290-292.
6. 何凯, 姚琪远. 腹腔镜腹壁疝修补术的并发症及其预防方法. 中华疝和腹壁外科杂志(电子版), 2007, 1(2): 117-120.
7. Ozmen M, Zulfikaroglu B, Ozalp N,et al. Femoral vessel blood flow dynamics following totally extraperitonealvs Stoppa procedure in bilateral inguinal hernias. Am J Surg, 2010, 199(6): 741-745.
8. Ullah Z, Bhargava A, Jamal-Hanjani M,et al. Totally extra-peritoneal repair of inguinal hernia by a glove-balloon: technical innovation. Surgeon, 2007, 5(4): 245-247.
9. Feng B, He ZR, Li JW,et al. Feasibility of incremental laparoscopic inguinal hernia repair development in China: an 11-year experience. J Am Coll Surg, 2013, 216(2): 258-265.
10. Nixon J, Kumar S. The totally extraperitoneal approach (TEP) to inguinal hernia repair. Surgeon, 2005, 3(4): 281-287, 305.
11. 苏小梅, 李桂珍. 高龄患者腹腔镜疝修补术后常见并发症的原因分析与护理. 齐齐哈尔医学院学报, 2012, 33(17): 2412-2413.
12. Hamza Y, Gabr E, Hammadi H,et al. Four-arm randomized trial comparing laparoscopic and open hernia repairs. Int J Surg, 2010, 8(1): 25-28.
13. Zamora-Amorós C, Calado-Leal C, Illán-Riquelme A,et al. Totally extraperitoneal endoscopic surgery of inguinal hernia: results of 250 hernia repairs. Cir Esp, 2012, 90(8): 501-505.
14. 朱仕文, 孙德江, 王满宜, 等. Corona mortis 的解剖学研究. 山东医药, 2010, 50(44): 28-29.
15. Garrido-Gómez J, Pena-Rodríguez C, Martín-Noguerol T,et al. Corona mortis artery avulsion due to a stable pubic ramus fracture. Orthopedics, 2012, 35(1): e80-e82.
16. Tekatli H, Schouten N, van Dalen T,et al. Mechanism, assessment, and incidence of male infertility after inguinal hernia surgery: a review of the preclinical and clinical literature. Am J Surg, 2012, 204(4): 503-509.
17. 姚琪远. 腹腔镜疝修补手术常见并发症及处理. 中国实用外科杂志, 2007, 27(9): 708-710.
18. Ramser M, Messmer AS, Zbinden I,et al. Incarcerated obturator hernia-laparoscopic repair with intraoperative view of the corona mortis. J Surg Case Rep, 2014, 2014(8): 1240-1243.
19. Rusu MC, Cergan R, Motoc AG,et al. Anatomical considerations on the corona mortis. Surg Radiol Anat, 2010, 32(1): 17-24.
20. Smith JC, Gregorius JC, Breazeale BH,et al. The corona mortis, a frequent vascular variant susceptible to blunt pelvic trauma: identification at routine multidetector CT. J Vasc Interv Radiol, 2009, 20(4): 455-460.
21. Rehder P, Glodny B, Pichler R,et al. Massive retropubic hematoma after minimal invasive mid-urethral sling procedure in a patient with a corona mortis. Indian J Urol, 2010, 26(4): 577-579.
22. 洪华兴, 陈海啸, 洪正华, 等. Corona Mortis 血管解剖学研究及其临床意义. 中国骨伤, 2006, 19(6): 355-357.
23. Secin FP, Touijer K, Mulhall J,et al. Anatomy and preservation of accessory pudendal arteries in laparoscopic radical prostatectomy. Eur Urol, 2007, 51(5): 1229-1235.
24. Pungpapong SU, Thum-umnauysuk S. Incidence of corona mortis; preperitoneal anatomy for laparoscopic hernia repair. J Med Assoc Thai, 2005, 88 Suppl 4: S51-S53.
25. Roig MP, Bertomeu CA, Delgado MC,et al. Pain, analgesic consumption and daily life activities recovery in patients undergoing ambulatory totally extra-peritoneal laparoscopic inguinal hernioplasty versus ambulatory Lichtenstein hernioplasty. Cir Esp, 2011, 89(8): 524-531.
26. Stavropoulou-Deli A, Anagnostopoulou S. Corona mortis: anatomical data and clinical considerations. Aust N Z J Obstet Gynaecol, 2013, 53(3): 283-286.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Anatomy of mortis corona vascular and its clinical significances in laparoscopic total extraperitoneal hernia repair

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content