The Groin Physiology Revisited ()
ABSTRACT
The purpose is to
contribute new information to the existing body of knowledge of the physiology
of the groin. In a prospective ultrasonographic study, after an informed
consent, 10 men and 10 women who were intact in the groin areas of surgery or
relevant disease were involved. For a comparison, additional groups of 5 men
and 5 women with abdominal wall hernias, but with no groin hernias, and other 5
men with inguinal hernias were included. The distal descent of the internal
oblique muscle during the Valsalva’s manoeuvre in men was 0.8 cm ± 0.1 and in
women it was 0.3 cm ± 0.1 (p < 0.001); the plate of transversus abdominis
muscle changed its initial configurations and took on the characteristics of
aponeurosis. During the Valsalva manoeuvre the rectus abdominis muscle
demonstrated a distal latero-caudal shift of its lateral margin. In individuals
with failed mechanics of the abdominal wall, the rectus abdominus does not
realize the protective function. The mobile anatomic structures in the groin
are oriented in three frontal planes. It formulated the concept of a
synchronous protective function of all myofascial structures in the groin. We
established that the anatomic structures transform the inguinal canal into a hermetic
entity, which protects both the ingunal canal and the spermatic cord.
Share and Cite:
Kovachev, L. and Tonchev, P. (2014) The Groin Physiology Revisited.
International Journal of Clinical Medicine,
5, 741-751. doi:
10.4236/ijcm.2014.513101.