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1. Reproduction > Anatomy of Surgical incisions > Flashcards

Anatomy of Surgical incisions Flashcards

1
Q

Describe the external obliques?

A

hands in pocket

attatch between the lower ribs + iliac crest, pubic tubercle and linea alba

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2
Q

Describe the internal obliques?

A

attach between the lower ribs, thoracolumbar fascia, iliac breast and linea alba

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3
Q

Describe the transversus abdominus?

A

attach between the lower ribs, thoracolumbar fascia, iliac crests and linea alba

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4
Q

What divides the rectus abdominus?

A

tendinous intersections

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5
Q

Where does the linea alba run between?

A

xiphoid process -> pubic symphysis

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6
Q

What is the rectus sheath?

A

combined aponeuroses of the anterolateral abdominal wall muscles

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7
Q

What is the only thing cut in a lower segment cesarean section?

A

rectus sheath

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8
Q

What is the nerve supply to the anterolateral wall muscles?

A

7th-11th intercostal nerves
subcostal T12
iliohypogastric - L1
ilioinguinal - L1

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9
Q

What is the blood supply to the anterior anterolateral wall?

A

superior and inferior epigastric arteries

they lie posterior to the rectus abdominus

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10
Q

What is the blood supply to the lateral anterolateral wall?

A

intercostal and subcostal arteries

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11
Q

What is the procedure of a lower segment cesarean section (LSCS)?

A

rectus sheath is cut then the rectus muscles are separated from each other in a lateral direction, towards their blood supply

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12
Q

What layers need to be closed in a LSCS?

A

uterine wall with visceral peritoneum
rectus sheath
fascia if high BMI
skin

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13
Q

What layers are opened in a laparotomy?

A

skin and fascia
linea alba
peritoneum

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14
Q

What layers need to be closed in a laparotomy?

A

peritoneum and linea alba
fascia if increased BMI
skin

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15
Q

What type of iscision is a laparotomy?

A

midline incision - relatively bloodless meaning poor healing and increased chance of complications

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16
Q

In a lateral port inscision in a lapaoscopy, what needs to be avoided?

A

inferior epigastric artery

17
Q

What is the inferior epigastric artery a branch of?

A

external iliac artery

it emerges just deep to the inguinal ring

18
Q

What is a abdominal hysterectomy?

A

removal of the uterus via the same incision as a LSCS

19
Q

What is a vaginal hysterectomy?

A

removal of the uterus via the vagina

20
Q

Where does the ureter pass in relation to the uterine artery?

A

inferior

1. Reproduction (50 decks)

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