Anterior Abdominal Wall Flashcards
Layers of anterolateral abdominal wall (superficial to deep)
skin> superficial fatty layer > scarpa fascia > external oblique > internal oblique > transversus abdominus > transversalis fascia > parietal peritoneum
Rectus sheath
aponeurotic sheath
Envelopes rectus abdominus m and pyramidalis m
Posterior and anterior layers
Relative to arcuate line
Rectus sheath superior to arcuate line
Anterior layer: aponeuroses of EO and 1/2 IO
Posterior layer: aponeuroses of 1/2 IO, TA, and transversalis fascia
Rectus sheath inferior to arcuate line
Anterior layer: Aponeuroses of EO, IO, TA
Posterior layer: Transversalis fascia
Circumflex iliac a
branch of femoral artery
supplies region of inguinal ligament
Epigastric a.
branch of femoral a
supplies abdomen inferior to umbilicus
circumflex iliac v
drains to femoral v
drains region of inguinal ligament
epigastric v.
drains to femoral v
drains to abdomen of umblicus
Superficial vessels
Superficial circumflex iliac vein
Superficial epigastric vein
Femoral vein
Deep circumflex iliac vessels path
Branch of external iliac
Runs between internal oblique and transversalis abdominis
What does deep circumflex iliac supply?
inferior lateral abdominal mm.
Superior epigastric vessels path
branch of internal thoracic (mammary)
Enters posterior rectus sheath lateral to sternum
Anastomoses with inferior epigastric
What does superior epigastric supply?
Supplies rectus abdominus muscle
Path of musculophrenic vessels
Branch of internal thoracic (mammary)
Runs along costal cartilages
What does musculophrenic vessel supply?
Upper abdominal muscle and diaphragm
T7, T8, T9
supply region above umbilicus
T10
supplies umbilical region
@bellybutton
T11, T12, L1
supply region below umbilicus
Path of ventral rami T7-L1
Runs between internal oblique and transversus abdominus
Location of inguinal region
inferior to lateral abdominal region
superior to thigh
medial to ilium
lateral to pubic bone
between ASIS and pubic tubercle
Contents of inguinal region
inguinal ligament, canal, superficial and deep rings of inguinal canal, walls of canal
inguinal ligament path
Folded inferior border of external oblique aponeurosis
ASIS to pubic tubercle
What does inguinal ligament supply?
upper abdominal muscle and diaphragm
Inguinal canal path
traverses anterior abdominal wall
3-5 cm long
parallel to inguinal ligament