Cooper's ligament is the thick fibrous band overlying the pectineal line of the superior pubic ramus. It is the strongest structure in the groin available for hernia mesh fixation. The McVay (Cooper's ligament) repair in open inguinal herniorrhaphy attaches the conjoint tendon to Cooper's ligament for femoral hernia repair and medial inguinal hernia reconstruction.
| Origin | Pectineal line of the superior pubic ramus |
|---|---|
| Insertion | Continuous along the pectineal line laterally |
| Actions | Provides the strongest fixation point for inguinal hernia mesh repair |
|---|
Cooper's ligament repair (McVay) is used specifically for femoral hernias and medial inguinal hernias, providing a strong floor closure. In laparoscopic hernia repair (TAPP and TEP), mesh is fixed to Cooper's ligament medially using tacks for secure repair.
Cooper's ligament is the primary fixation point for mesh in femoral hernia repair providing the strongest available tissue in the femoral ring closure.
This website uses cookies to enhance your experience. Some are essential for site functionality, while others help us analyze and improve your usage experience. Please review your options and make your choice.
If you are under 16 years old, please ensure that you have received consent from your parent or guardian for any non-essential cookies.
Your privacy is important to us. You can adjust your cookie settings at any time. For more information about how we use data, please read our privacy policy. You may change your preferences at any time by clicking on the settings button below.
Note that if you choose to disable some types of cookies, it may impact your experience of the site and the services we are able to offer.
Some required resources have been blocked, which can affect third-party services and may cause the site to not function properly.
This website uses cookies to enhance your browsing experience and ensure the site functions properly. By continuing to use this site, you acknowledge and accept our use of cookies.
