ArticleHernia : the journal of hernias and abdominal wall surgery2016
Corona mortis: in vivo anatomical knowledge and the risk of injury in totally extraperitoneal inguinal hernia repair.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Surgical Anatomy of Corona Mortis: A Literature Review and Its Significance in Minimally Invasive Surgery.Acta medica academica · 2025Pooled it
- Pooled it
- Corona Mortis: A Systematic Review of Literature.Clinics (Sao Paulo, Brazil) · 2021Pooled it
- CT imaging findings of corona mortis and a new method for venous typing.Scientific reports · 2025Article
- Corona mortis: clinical evaluation of prevalence, anatomy, and relevance in anterior approaches to the pelvis and acetabulum.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- The Incidence and Variation of Corona Mortis in Multiracial Asian: An Insight from 82 Cadavers.Malaysian orthopaedic journal · 2024Article
- Anatomical peculiarities of dissection in the transabdominal preperitoneal procedure for inguinal hernias.Journal of medicine and life · 2023Article
- A Bipartite Obturator Artery with Multiple Pelvic Branching-A Gynecologic Approach.Diagnostics (Basel, Switzerland) · 2022Article
- What is the reality in outpatient vs inpatient groin hernia repair? An analysis from the Herniamed Registry.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Post-surgical pseudoaneurysm of the corona mortis artery treated by arterial embolization from two arteries: A case report.Radiology case reports · 2022Article
- Anatomical position of the corona mortis relative to the anteroposterior and inlet views.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Embryological Development and Topographic Anatomy of Pelvic Compartments-Surgical Relevance for Pelvic Lymphonodectomy.Journal of clinical medicine · 2021Article
- Case Report: How an Iliac Vein Lesion During Totally Endoscopic Preperitoneal Repair of an Inguinal Hernia Can Be Safely Managed.Frontiers in surgery · 2021Article
- A Phylogenetic and Ontogenetic Perspective of the Unique Accumulation of Arterial Variations in One Human Anatomic Specimen.Medicina (Kaunas, Lithuania) · 2020Review
- Frequency and Clinical Review of the Aberrant Obturator Artery: A Cadaveric Study.Diagnostics (Basel, Switzerland) · 2020Article
- The Anatomical Characteristics of Corona Mortis: A Systematic Review of the Literature and Its Clinical Importance in Hernia Repair.Journal of clinical medicine research · 2020Article
- Usefulness of repair using Hem-o-lok™ for peritoneal tear as a complication of totally extraperitoneal repair: Case series.Annals of medicine and surgery (2012) · 2020Article
- The Majority of Corona Mortis Are Small Calibre Venous Blood Vessels: A Cadaveric Study of North Indians.Hip & pelvis · 2019Article
- A 12-year experience of using the Kugel procedure for adult inguinal hernias via the internal ring approach.Hernia : the journal of hernias and abdominal wall surgery · 2018Article
- Risk factors for perioperative complications in inguinal hernia repair - a systematic review.Innovative surgical sciences · 2017Review
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeCorona mortis (CMOR) is the arterial and/or venous vascular communication(s) between the obturator and external iliac vessels. Totally extraperitoneal (TEP) inguinal hernioplasty can be associated with vascular complications especially during the fixation of the mesh. Theoretically, CMOR is an important nominee. But, the data in literature are insufficient about CMOR injury. Additionally, most of the studies about CMOR have been usually performed on cadavers. We aimed to reveal the preperitoneal vascular anatomy of inguinal area and provide in vivo knowledge about CMOR. The risk of arterial injury was also evaluated. MATERIALS: The data of preperitoneal vascular anatomy of 321 patients who underwent TEP procedure between January 2005 and July 2014 were retrospectively evaluated.
resultsMean age was 46 ± 8.9 years, 53 females vs 268 males. 391 hemipelvises were evaluated. Two types of arterial structure were identified; (1) an aberrant obturator artery forming an anastomosis with branches of ordinary obturator artery; (2) a pubic branch of inferior epigastric artery. The incidence of arterial CMOR was 28.4 % and of any arterial structure was 45.0 %. An arterial CMOR was considered as thick (≥2 mm) or thin (<2 mm). Injury of arterial CMOR during tack stapling on Cooper's ligament was seen in six cases (1.5 %). All of them were thin (<2 mm) in structure. Venous CMOR was visible only under low pressure in work space.
conclusionDuring TEP hernia repair, CMOR and/or pubic branch of inferior epigastric artery can be damaged. To prevent this complication, tacks should be stapled to Cooper's ligament close to symphysis pubis and dissection should be careful on the posterior surface of superior pubic ramus. Small caliber (<2 mm) arterial CMOR is more prone to be injured during TEP procedure. To explore venous structures properly, pressure in workspace should be kept as low as possible.
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