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Surgery Hernia c14e9b49

A surgeon was doing a laparoscopic hernia surgery and he visualized the Triangle of doom. Which of the following is not the boundary of the same?

A
Vas deferens
B
Gonadal Vessels
C
Reflected peritoneum
D
Inguinal ligament
High-Yield Explanation
Ans. (d) Inguinal ligamentRef: Schwartz 10th ed; pg. 1499-1501Triangle of doomTriangle of pain* Medially - Vas deferens* Laterally Gonadal vessels* Interiorly - Reflected peritoneum* Medially - gonadal vessels* Laterally - Reflected peritoneum* Above by Iliopubic tractContents - External iliac vessels, Deep circumflex iliac vein, Genital branch of genitofemoral nerveContents include Lateral femoral cutaneous nerves, femoral branch of GFN and Femoral nerveImportance* Tackers should never be placed in these triangles.* If placed in Doom - Hemorrhage will occur, Pain - intractable postoperative pain will occur* Together called Trapezoid of Disaster

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