The presence of five veins at the
deep inguinal ring apart from other structures like vas deference, testicular artery and the lymphatics might hinder the venous drainage of the testis and thus result in varicocele.
Table 1 shows the relation of testis to
deep inguinal ring as confirmed on diagnostic laparoscopy (n = 33).
The IEA originates from the external iliac artery and lies immediately medial to the
deep inguinal ring (Figure 1).
About 1.5 x 0.6 cm sized left ovary with fallopian tube and an unfused uterine bud were identified near
deep inguinal ring on the left side.
The ectopic testis may be located at the
deep inguinal ring, inguinal canal or in contralateral hemiscortum.
The cord structures were ligated at
deep inguinal ring and a high orchidectomy was carried out.
In the final step, a rolled polypropylene mesh 12x15 cm side was inserted through the 10mm port and, with the use of graspers, the mesh was placed horizontally, covering the inguinal wall from the midline of the pubis and lateral to the
deep inguinal ring. The mesh was fixed to cooper's ligaments by a stitch with prolene 2/0.
[3] extending into the patent processus vaginalis through the
deep inguinal ring. Appendicectomy was performed in all the cases.