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The Anatomical Characteristics of Corona Mortis: A Systematic Review of the Literature and Its Clinical Importance in Hernia Repair
BACKGROUND: Inguinal hernia repair is one of the most common daily operations in general surgery. However, the anatomical structures of the region, such as the corona mortis (the crown of death), make this procedure quite challenging. A comprehensive knowledge of its anatomy is essential, since mass...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elmer Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011932/ https://www.ncbi.nlm.nih.gov/pubmed/32095180 http://dx.doi.org/10.14740/jocmr4062 |
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author | Noussios, George Galanis, Nikiforos Chatzis, Iosif Konstantinidis, Sergios Filo, Eva Karavasilis, George Katsourakis, Anastasios |
author_facet | Noussios, George Galanis, Nikiforos Chatzis, Iosif Konstantinidis, Sergios Filo, Eva Karavasilis, George Katsourakis, Anastasios |
author_sort | Noussios, George |
collection | PubMed |
description | BACKGROUND: Inguinal hernia repair is one of the most common daily operations in general surgery. However, the anatomical structures of the region, such as the corona mortis (the crown of death), make this procedure quite challenging. A comprehensive knowledge of its anatomy is essential, since massive hemorrhage may occur if the vessel is injured. The current review of the literature aimed to report the frequency and anatomical variations of vascular corona mortis. METHODS: A substantial study was coordinated through PubMed, Scopus and Google Scholar. The Prisma guidelines were used for the systematic review of the articles found. A total of 13 studies and 1,455 patients were included for the statistical analysis. RESULTS: The results showed that corona mortis was present in about half the hemi-pelvises, and to be more accurate, the prevalence was 46%. Venous corona mortis was more frequent than the arterial type (42% vs. 25%). CONCLUSIONS: Considering the percentages mentioned above, every surgeon who schedules an operation on the retro-pubic area, especially during a hernioplasty procedure, should evaluate the possibility of the presence of corona mortis. Anatomical knowledge of the region is vital for attempting to eliminate the risk of injuring the corona mortis during surgery. |
format | Online Article Text |
id | pubmed-7011932 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elmer Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-70119322020-02-24 The Anatomical Characteristics of Corona Mortis: A Systematic Review of the Literature and Its Clinical Importance in Hernia Repair Noussios, George Galanis, Nikiforos Chatzis, Iosif Konstantinidis, Sergios Filo, Eva Karavasilis, George Katsourakis, Anastasios J Clin Med Res Original Article BACKGROUND: Inguinal hernia repair is one of the most common daily operations in general surgery. However, the anatomical structures of the region, such as the corona mortis (the crown of death), make this procedure quite challenging. A comprehensive knowledge of its anatomy is essential, since massive hemorrhage may occur if the vessel is injured. The current review of the literature aimed to report the frequency and anatomical variations of vascular corona mortis. METHODS: A substantial study was coordinated through PubMed, Scopus and Google Scholar. The Prisma guidelines were used for the systematic review of the articles found. A total of 13 studies and 1,455 patients were included for the statistical analysis. RESULTS: The results showed that corona mortis was present in about half the hemi-pelvises, and to be more accurate, the prevalence was 46%. Venous corona mortis was more frequent than the arterial type (42% vs. 25%). CONCLUSIONS: Considering the percentages mentioned above, every surgeon who schedules an operation on the retro-pubic area, especially during a hernioplasty procedure, should evaluate the possibility of the presence of corona mortis. Anatomical knowledge of the region is vital for attempting to eliminate the risk of injuring the corona mortis during surgery. Elmer Press 2020-02 2020-02-01 /pmc/articles/PMC7011932/ /pubmed/32095180 http://dx.doi.org/10.14740/jocmr4062 Text en Copyright 2020, Noussios et al. http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Non-Commercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Noussios, George Galanis, Nikiforos Chatzis, Iosif Konstantinidis, Sergios Filo, Eva Karavasilis, George Katsourakis, Anastasios The Anatomical Characteristics of Corona Mortis: A Systematic Review of the Literature and Its Clinical Importance in Hernia Repair |
title | The Anatomical Characteristics of Corona Mortis: A Systematic Review of the Literature and Its Clinical Importance in Hernia Repair |
title_full | The Anatomical Characteristics of Corona Mortis: A Systematic Review of the Literature and Its Clinical Importance in Hernia Repair |
title_fullStr | The Anatomical Characteristics of Corona Mortis: A Systematic Review of the Literature and Its Clinical Importance in Hernia Repair |
title_full_unstemmed | The Anatomical Characteristics of Corona Mortis: A Systematic Review of the Literature and Its Clinical Importance in Hernia Repair |
title_short | The Anatomical Characteristics of Corona Mortis: A Systematic Review of the Literature and Its Clinical Importance in Hernia Repair |
title_sort | anatomical characteristics of corona mortis: a systematic review of the literature and its clinical importance in hernia repair |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7011932/ https://www.ncbi.nlm.nih.gov/pubmed/32095180 http://dx.doi.org/10.14740/jocmr4062 |
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