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Triangle of doom
Laproscopic hernia repairs- avoid surgical staples in this area
Boundaries :
Laterally - gonadal vessels
Medially - spermatic cord in males, round ligament in females
Apex is towards deep ring
Misnomer - not a triangle
Content - external iliac vessels
Triangle of pain
Medially - spermatic vessels
Laterally - iliopubic tract
Inferiorly - inferior free edge of skin incision
Content :
Genitofemoral nerve
Lateral cutaneous nerve of thigh
Significance :
Surgical staples if put in this area can cause nerve entrapment and neuralgia
Corona mortis / circle of death
In Laproscopic hernia repair
-Anastomosis between aberrant and normal obturator artery
-If injured causes heavy bleeding from both the cut ends
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