Abdominal Powerpoints Flashcards
Hernia through weakness in abdominal wall; things in the abdominal wall push directly through it; result of weakness in the floor of the inguinal ring
Direct
What is more common: direct or indirect hernias? are the hernias more common in men or women?
Indirect; indirect more common in men, direct equally common in men and women
Slit-like opening in fascia transversals; Immediately superior to midpoint of inguinal ligament
Deep inguinal ring
What is contained in the inguinal canal?
Spermatic cord in men; round ligament of uterus in women
Where does the medial crus attach?
pubic bone and pubic crest medial to pubic tubercle
Where does the lateral crus attach?
pubic tubercle
What keeps the lateral and medial crus together and the superficial inguinal ring intact?
Intercrural fibers
What makes the superior wall (roof) of the inguinal canal?
Arching fibers of IAO and TA
What makes the inferior wall (floor) of the inguinal canal?
- Superior surface of inguinal ligament
2. Lacunar ligament
Medial part of inguinal ligament that is reflected back and attaches to pectineal line
Lacunar ligament
What makes the anterior wall of the inguinal canal?
- Part of aponeurosis of external oblique
2. Reinforced laterally by fibers of int. oblique and sometimes the transversus abdominis
What makes the posterior wall of the inguinal canal?
- Fascia trasversali
2. Medially by fibers of conjoint tendon, the common tendon of int. oblique and transversus abdominis muscles
What makes the posterior wall of the inguinal canal?
- Fascia trasversali
2. Medially by fibers of conjoint tendon, the common tendon of int. oblique and transversus abdominis muscles
Below the arcuate line, where are the aponeurosis of EAO, IAO, and trans. abdominis in relation to the rectus abdominis?
All are anterior, superficial to the rectus abdominis
What is the arcuate line?
Where the aponeurosis of the trans abd and IAO stop
Above the arcuate line, where are the aponeurosis of EAO, IAO, and trans. abdominis in relation to the rectus abdominis?
- EAO: anterior, superficial to rectus abd.
- IAO: split and both anterior, superficial and posterior, deep to rectus abd.
- TA: Posterior, deep to rectus abd.
What is the pundendal nerve important for?
control of bowl, bladder, and sexual function
What is the lowest cutaneous nerve in the abdomen?
Iliohypogastric nerve