Abdomen I ( Inguinal region and peritoneum) Flashcards
Where does the inguinal region lie?
along the inferior border of the anterolateral abdominal wall between the anterior superior iliac spine and pubic tubercle
What is the function of the inguinal cana?
passageway for testes/spermatic cord in males and round ligament of uterus in females
The deep inguinal ring is produced by ___________ of transversalis fascia
invagination
the superficial inguinal ring is produced by the opening of the external oblique ___________ forming medial crus and lateral crus
aponeurosis
What forms the boundaries of the inguinal canal?
external oblique aponeurosis (anteriorly), transversalis fascia and reinforced by internal oblique abs transversus abdominus neurosis posteriorly, inguinal ligament, lacunar ligaments, transversalis fascia laterally, arching fibers of internal oblique and transversus abdominus muscles medially and intercrural fibers of external oblique aponeurosis
what forms the anterior wall of the inguinal canal
external oblique aponeurosis
what forms the posterior wall of the inguinal canal
transversalis fascia and reinforced by internal oblique and transversus abdominis aponeurosis
what forms the floor of the inguinal canal?
inguinal ligament and lacunar ligaments
what forms the roof of the inguinal canal?
laterally by transversalis fascia, medially by arching fibers of internal oblique and transversus abdominus muscles, intercrural fibers of external oblique aponeuosis
What are the boundaries of the inguinal canal?
anterior wall, posterior wall, floor, roof
What happens during a direct inguinal hernia
bowels push through the superficial inguinal ring
what happens during an indirect inguinal hernia
bowel migrates through deep inguinal ring, down the inguinal canal, and passes out through the superficial inguinal ring and heads to scrotum
What is the spermatic cord?
bundle of ducts, nerves, and vasculature connecting the testes to the abdominal cavity
The spermatic cord is formed at the ________ inguinal ring, passes through the inguinal canal, enters the scrotum via the _________ inguinal ring, and ends scrotum at the posterior border of the _________
deep, superficial, testes
the fascial covering of the spermatic cord are derived from the __________ wall during prenatal descent
anterolateral
The external spermatic fascia is derived from the _______ ________ aponeurosis
external oblique
the cremaster muscle and fascia is derived from the _______ _______ muscle
internal oblique
Where does the dartos muscle insert? What is its function?
skin of the scrotum, elevates testes for temperature regulation
The internal spermatic fascia is derived from the __________ fascia
transversalis
The round ligament of females have similar fascial coverings from the _________ abdominal wall
anterolateral
What are the 6 main structures of the spermatic cord?
ductus deferens, testicular arteries, pampiniform venous plexus, lymphatic vessels, sympathetic nerve fibers, genital branch of genitofemoral nerve
what is the function of the ductus deferens?
conveys sperm from epididymis to ejaculatory duct
what do the testicular arteries arise from?
the aorta
The pampiniform venous plexus is a network that drains into the ________ veins
testicular
The genital branch of the genitofemoral nerve innervates the ________ muscle
cremaster
the lymphatic vessels of the spermatic cord follow the _______ arteries and dump into the _______ lymph nodes
testicular, lumbar
Within the scrotum, the testes and epididymis are covered by visceral layer of the _______ _________
tunica vaginalis
what is the tunica vaginalis?
serous sac produced as an out-pocketing of the abdominal peritoneum during the descent into the scrotum