The Vera Vault ty soooooooooooo much for highlighting this point. I just read your comment before watching video and then paid attention at the point you mentioned and got the same understanding as you did. Bundles of thanks
Let me just say, Mr. Pickering, that this is a most wonderful video. It explains in very simple terms how the conjoint tendon is formed. There is no other video out there that does it anywhere nearly as well. The other details of the inguinal canal are much more easily understood , but this one area - the formation of the conjoint tendon - most definitely is not. However, you've managed to quite elegantly explain it. Now, I can sleep easily. Kudos!!!
Good video helped alot! I'd just like to point out that Clinical Anatomy by Snell says the superficial inguinal ring opens superior and medial to the pubic tubercle (superior and lateral is mentioned in this video).
Thank you for this clear and excellent explanation sir. I now know that my discomfort is at the superficial ring. I have recently developed swelling following intermittent discomfort for several years.
The video is just epic .. plus on a side note what Snell says is that sup. inguinal ring lies above and medial to the tubic tubercle whereas in this video it has been mentioned tht it lies supralateral to the pubic tubercle. (if i am not mistaken)
what I want to know is, if you push a reducible hernia back in, how do you know that you have pushed it back into the abdominal wall, or that you have only pushed it back into the canal?
Conjoint tendon (aponeuroses of Internal oblique and Transversus abdominis) should insert on the pubic crest, not the pubic tubercle if I'm not mistaken? Just a note!
Please make tidier diagrams, there's no way I could copy that and have it decipherable on an exam paper! You've made the concept understandable, however.
Small point. Clinically we find the SUPERFICIAL inguinal ring MEDIAL to the pubic tubercule. I was taught that this is due to the insertion of the inguinal ligament onto the pubic tubercule AND pubic sumphysis. As there is no insertion between the two points this gap is the external ring. clinically we gind an indirect hernia passes MEDIALLY to the pubic tubercule. Confusion over this is relieved by palpating the vas deferens passing medially to the pubic tuercule; it HURTS if you tweak it!!