Acetabulum - Ilioinguinal Approach
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Acetabulum - Ilioinguinal Approach

This Acetabulum – Ilioinguinal Approach course will teach you:

  • To access the acetabulum using a ilioinguinal approach, most often to reconstruct the acetabulum following a fracture.

Special attention is paid to the following hazards you may encounter during the Acetabulum – Ilioinguinal Approach:

  • Ilioinguinal and iliohypogastric nerve injury
  • Spermatic cord injury
  • Lateral femoral cutaneous nerve of the thigh injury
  • Inferior epigastric artery and vein injury
  • Deep vein thrombosis
  • Femoral nerve injury
  • Bladder injury
  • Corona mortis injury
  • Spermatic cord entrapment

With the following tips you might perform the Acetabulum – Ilioinguinal Approach even better:

  • External oblique muscle fixation
  • Sponge or gauze placement to pack the iliac fossa
  • Nerve protection using a forceps
  • External iliac vessel mobilization
  • Rectus abdominis release for greater exposure
  • Different closure techniques

After studying the Acetabulum – Ilioinguinal Approach course you are familiar with the most common complications:

Injury to the following nerves:

  • Femoral nerve
  • Lateral cutaneous nerve of thigh
  • Ilioinguinal and iliohypogastric nerve
  • Obturator nerve

Injury to the following vessels:

  • Common iliac vessels
  • Inferior epigastric artery and vein
  • Corona mortis

The following other complications:

  • Testicular ischemia and infertility
  • Bladder injury
  • Seroma
  • Inguinal hernia
  • Heterotopic Ossification

You might also be interested in:
Acetabulum – Stoppa Approach
Acetabulum – Kocher Langenbeck Approach

Step by step

Superficial dissection

Skin

Mark

Mark the skin starting in the midline 1cm above the pubic tubercle, and extending laterally cranial to the inguinal ligament, towards 5 cm above the anterior superior iliac spine and ending a few cm above the iliac crest.

Incise

Incise the skin along the marked line.

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