![\"Henry](\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2019\/08\/henry-fruchaud.jpg\")
<\/figure> All groin (inguinofemoral) hernias<\/a> originate in a single weak area called the myopectineal orifice. This oval, funnel-like, \u2018potential\u2019 orifice formed by the following structures, makes the \u2018myopectineal orifice of Fruchaud\u2019. <\/p>\n\n\n\n This ligament ascends in the median plane from the apex of the bladder to the umbilicus. It represents the obliterated allantoic duct and its lower part is the site of the rare urachal cyst.<\/p>\n\n\n\n This ligament represents the obliterated umbilical artery on each side and can be traced down to the internal iliac artery.<\/p>\n\n\n\n It is the ridge of peritoneum, which is raised by the inferior epigastric vessels.<\/p>\n\n\n\n These ligaments delineate the infraumbilical fossae<\/strong><\/p>\n\n\n\n These fossae are important for surgeons-<\/p>\n\n\n\n The infraumbilical area between the median and medial umbilical The infraumbilical area between the medial and lateral umbilical The infraumbilical area lateral to the lateral umbilical ligament. This is It is the site for direct hernia<\/p>\n\n\n\n The iliopubic tract is a thickened lateral extension of the transversalis fascia, which runs from the superior pubic ramus to the iliopectineal arch and the anterior superior iliac spine. It is intimately associated with the inguinal ligament. It is anterior to the Cooper\u2019s ligament and posterior to the inguinal ligament. The iliopubic tract<\/a> separates the internal ring from the femoral canal. It is visualized as a fibrous (white) tract.<\/p>\n\n\n\n
-Henry Fruchaud <\/p>\n<\/div><\/div>\n\n\n\nBoundaries<\/h3>\n\n\n\n
![\"\"](\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2019\/08\/myopectineal-orifice-of-fruchaud.jpg\")
<\/figure>\n\n\n\nThe Peritoneal Landmarks<\/h2>\n\n\n\n
Median Umbilical Ligament:<\/h4>\n\n\n\n
Medial Umbilical Ligament<\/h4>\n\n\n\n
Lateral Umbilical Ligament<\/h4>\n\n\n\n
![\"The](\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2019\/08\/infraumbilical-ligaments.jpg\")
The Infraumbilical Fossae<\/h2>\n\n\n\n
Supravesical fossae:<\/strong><\/h3>\n\n\n\n
ligaments. This is the site for the origin of the supravesical hernia.<\/p>\n\n\n\nMedial Umbilical fossae<\/strong>:<\/h3>\n\n\n\n
ligaments. This is the site for the origin of the femoral and direct inguinal hernia.<\/p>\n\n\n\nLateral Umbilical fossae<\/strong>:<\/h3>\n\n\n\n
the site for the origin of the indirect inguinal hernia.<\/p>\n\n\n\n![\"Inguinal](\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2019\/08\/infraumbilical-fossae.jpg\")
![\"inguinal-region-laparoscopically\"](\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2019\/08\/inguinal-region-laparoscopically.jpg\")
<\/figure>\n<\/figure>\n\n\n\nHesselbach\u2019s Triangle (by Franz Caspar Hesselbach)<\/h2>\n\n\n\n
\n\n
\n\t \n1.<\/th> Superolateral boundary<\/th> Inferior epigastric vessels<\/th>\n<\/tr>\n<\/thead>\n \n\t 2<\/td> Medial boundary<\/td> Rectus sheath<\/td>\n<\/tr>\n \n\t 3.<\/td> Inferior boundary<\/td> Cooper\u2019s ligament\/
\nInguinal ligament<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n\n![\"Hesselbach\u2019s](\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2019\/08\/hesselbach-triangle.jpg\")
Iliopubic Tract<\/h2>\n\n\n\n
![\"Hernia](\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2022\/08\/banner-hernia.jpg\")
\n ![\"The](\"https:\/\/www.drrpadmakumar.com\/images\/banners\/drrpadmakumar-banner-1.jpg\")
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