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Vaisseaux epiqastriques inferieurs (fleche noire). 20 ANATOMIE ABDOMINALE ET INGUING-FEMORALE 19 19A FIGURE 19- Region inguinale: 1- muscle oblique externe, mobilisation de la partie aponevrotique: 2- mobilisation du muscle oblique interne; 3- anneau inguinal profond; 4- cordon spermatique avec l'artere crernasterienne (reference bleue) branche de l'artere epiqastrique inferleure (fleche jaune); 5paroi posterieure du canal inguinal; 6- bord inferieur du muscle transverse. 21 21A 20 20A FIGURE 20- Region inguinale: 1- muscle oblique externe, mobilisation de la partie aponevrotique: 2- muscle oblique interne; 3- anneau inguinal profond; 4- ligament rond ; 5paroi posterieure du canal inguinal; 6- veine fernorale; 7- artere femora Ie; 8- nerf femoral.

FTTIan Gemia SOCiety. Asian·Pacific Hernia Society Editor, Co-Edlt or and 1986 - 1991 1988 - 1991 1987 1987 1988 1988 1991 · 1998 1998 2008 • o r member of acfvI50ry boa ros of Kle ntlflc Joumals Theofeticalsurgeon Hepatogastroenterology DerChiNrg langenbecks Archiv LeberMagen Darm Gastro Verdauung u. Stoffwechselkrankheiten Acta ChiNrgica Austnece (European Surgeon) Del" Onkologe Hernia Surgery Pr. Dr. oe 32 REPARATION DE SHOULDICE POUR HERNIE INGUINALE REPARATION DE SHOULDICE POUR HER IE INGUINALE INTRODUCTION DU FILM : II n 'y a aucune technique absolu pour la reparation des hernies inguinales.

25 min 18 FIGURE 18-En cas de difficulte delicatement l'aiquille. 25 min 20 20A FIGURE 20- Si Ie patient Iedemande, on peut associer une sedation per-operatoire que nous faisons souvent par du Propofol int raveineux. 30 ANESTHESIE LOCALEALA NAROPBNE REMARQUE DE L'AUTEUR II n'y a pas de risque de lesion nerveuse s'agissant d'un bloc par infiltration sans abord tronculaire, ni de perforation. Les contre-indications restent des troubles severes de l'hemostase, une infection locale et l'lntolerance aux anesthesiques locaux.

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