Anterior Abdominal Wall Flashcards
Layers of anterior abdominal wall (superficial, 2)
Superficial fatty layer: Campers
Deep membranous layer: Scarpa’s
Layers of anterior abdominal wall (deep, 6)
External oblique Internal oblique Transversus abdominus Transversals fat Extraperitoneal fat Parietal peritoneum
Rectus sheath - above arcuate line
Anterior
Posterior
A: External oblique m., internal oblique m.
P: Internal oblique m., transversus abdominis m., transversals fascia.
Rectus sheath - below arcuate line
A: External oblique m., internal oblique m., transversus abdominis m.
P: Transversalis fascia
Thoracoabdominal nerve roots
T7-T11
Cutaneous branches (lateral and anterior) of subcostal nerve roots
T12
Iliohypogastric nerve root
L1
Ilio-inguinal nerve root
L1
Midline incision
From xiphoid process to pubic symphysis
Subcostal incision
Parallel to, but 2.5 cm inferior of costal margin.
Subrapubic incision
At pubic hairline. Horizontal w/ slight convexity.
Paramedian incision
From costal margin to iliac crest along lines semilunaris.
Superficial Lymphatics (3)
Axillary LNs
Parasternal LNs
Superficial Inguinal LNs
Deep Lymphatics (3)
External iliac LNs
Common iliac LNs
Lumbar LNs
Structures of the internal abdominal surface (6)
Median UF
Medial UFs
Lateral UFs
Supravesical fossae
Medial Inguinal fossae
Lateral Inguinal fossae
3 main characteristics of prune belly syndrome
Anterior abdominal wall muscles are deficient/absent Urinary tract anomalies (enlarged bladder, etc) BL cryptorchidism (undescended testicles)
Xiphsternal junction
Landmark and vertebral level
7th cc
T9
Midway of RA m.
Landmark and vertebral level
8th cc
T11
Transpyloric plane
Landmark and vertebral level
9th cc
L1
Subcostal plane
Landmark and vertebral level
10th cc
L3
Supracristal plane
Landmark and vertebral level
Crest if ilium
L4
Interspinous plane
Landmark and vertebral level
ASIS
L5
Suprapubic plane location
Below vertebral column.
Liposuction comes from:
Camper’s fascia