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Silk sutures then incorporated from arching fibers of internal oblique to pectineal part of inguinal ligament, finally leaves of external oblique we closed with interrupted sutures.
In low constituted ingunal region there may be high arched myoaponeurotic upper border with wide gap between conjoined tendon and the inguinal ligament or pectineal ligament which creates tension, tissue necrosis with separation of sutured tissue and repeated recurrence of hernia in conventional repair (Abhramsons).
It is inserted by a long flat tendon attached to iliopectineal eminence, pectineal line and iliac fascia.
9) reported its insertion by a thin tendon, into iliopectineal eminence and arcuate line, inconstant insertion into iliac fascia and pectineal ligament.