Inguinal Canal Flashcards

1
Q

It allows structures of spermatic cord to pass to and from the —— to the —— in male
• Permits the passage of round ligament of uterus from the —— to the ——in female

A

It allows structures of spermatic cord to pass to and from the testis to the abdomen in male
• Permits the passage of round ligament of uterus from the uterus to the labium majus in female

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2
Q

It allows structures of ———to pass to and from the testis to the abdomen in male
• Permits the passage of ——— from the uterus to the labium majus in female

A

It allows structures of spermatic cord to pass to and from the testis to the abdomen in male
• Permits the passage of round ligament of uterus from the uterus to the labium majus in female

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3
Q

It is an —— passage through the lower part of the anterior abdominal wall

A

Oblique

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4
Q

Is it present in both sexes

A

T

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5
Q

Transmits ——— nerve in both sexes

A

Transmits ilioinguinal nerve in both sexes

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6
Q

Inguinal Canal
• It is about — inches or —cm long in the adults
• Extends from the ——-ring downward and
medially to the ——- ring
• Lies parallel to and immediately above the ——
• In the newborn child, the deep ring lies almost directly —— to the superficial ring

A

Inguinal Canal
• It is about 1 1⁄2 inches or 4cm long in the adults
• Extends from the deep inguinal ring downward and
medially to the superficial inguinal ring
• Lies parallel to and immediately above the inguinal ligament
• In the newborn child, the deep ring lies almost directly posterior to the superficial ring

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7
Q

Deep inguinal ring

Is an —— shaped opening in the ——
• Lies about — inch (—cm) above the ——midway between the —— and the ——
• Margins of the ring give attachment to the ——

A

Is an oval opening in the fascia transversalis
• Lies about 1⁄2 inch (1.3cm) above the inguinal ligament midway between the anterosuperior iliac spine and the symphysis pubis
• Margins of the ring give attachment to the internal spermatic fascia

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8
Q

Superficial Inguinal Ring
• —— in shape
• Defect in the aponeurosis of the ——muscle
• Lies immediately above and medial to the ——
• Its margins some times called ——), give attachment to the ——-

A

Superficial Inguinal Ring
• Triangular in shape
• Defect in the aponeurosis of the external
oblique muscle
• Lies immediately above and medial to the pubic tubercle
• Its margins some times called crura(Med & lat crus), give attachment to the external spermatic fascia

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9
Q

The anterior wall is made up of the —— muscle throughout, and is reinforced by the ———laterally.
The ——— lies even more laterally as part of the anterior abdominal wall

A

The anterior wall is made up of the external oblique muscle throughout, and is reinforced by the internal oblique m. laterally.
The transversus abdominus m. lies even more laterally as part of the anterior abdominal wall

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10
Q

The conjoint tendon attaches to the ——, reinforces the —— wall medially and also forms the —— of the canal

A

The conjoint tendon attaches to the pubic crest, reinforces the posterior canal wall medially and also forms the ROOF of the canal

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11
Q

The ——— and ———. combine to form the CONJOINT tendon that arches over the contents of the inguinal canal

A

The transversus abdominis and internal oblique mm. combine to form the CONJOINT tendon that arches over the contents of the inguinal canal

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12
Q

The transversus abdominis and internal oblique mm. combine to form the —— tendon

A

Conjoint tendon

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13
Q

The posterior wall is formed by —— throughout and the —— medially. The wall is particularly weak over the ——

A

The posterior wall is formed by transversalis fascia throughout and the conjoint tendon medially. The wall is particularly weak over the deep inguinal ring

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14
Q

The floor is formed by an incurving of the ———, which is part of the ——-muscle, forming a gutter. (Medially it forms the ——- ligament

A

The floor is formed by an incurving of the inguinal ligament, which is part of Floor
the external oblique muscle, forming a gutter. (Medially it forms the lacunar
ligament which is not illustrated)

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15
Q

Roof is formed by the ————
and the ———

A

Roof is formed by the conjoint tendon
and the meeting of the anterior and
posterior walls of the canal

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16
Q

The anterior wall of the canal is formed by ———-throughout and by ———laterally. This wall is weak medially because of the “hole” in the external oblique muscle (= ———)

A

The anterior wall of the canal is formed by external oblique muscle (orange) throughout and by internal oblique muscles (red/black/white) laterally. This wall is weak medially because of the “hole” in the external oblique muscle (= superficial inguinal ring

17
Q

Direct inguinal:
Occurs in —— (rarely ——).
Due to weakness in abdominal wall behind or lateral to ———inguinal ring.
Passes directly through abdominal wall to ——- ring.
Does it extend into scrotum?.
Has sac formed by ———-.
can be acquired

A

Direct inguinal:
Occurs in older men (rarely women).
Due to weakness in abdominal wall behind or lateral to superficial inguinal ring.
Passes directly through abdominal wall to superficial inguinal ring.
Does not extend into scrotum.
Has sac formed by peritoneum.
can be acquired

18
Q

Indirect inguinal: Traverses —— and —— inguinal rings
and —— canal.
Lies within coverings of ——.
Can it descend into scrotum?.
More common than a —— inguinal hernia.
More common in ——-.
May be congenital.T or F

A

Indirect inguinal: Traverses deep and superficial inguinal rings
and inguinal canal.
Lies within coverings of spermatic cord.
May descend into scrotum.
More common than a direct inguinal hernia.
More common in boys and young men.
May be congenital.

19
Q

Contents of inguinal canal include

A

Contents of inguinal canal
1. Spermatic cord & its contents in
male
2. Round ligament in female
3. Genital branch of genitofemoral nerve
4. Ilioinguinal nerve: Enter the canal through the posterior wall

20
Q

Structures of Spermatic Cord include

A

Structures of Spermatic Cord
1. Vas deferens
2. Testicular artery and vein
3. Testicular lymph vessels
4. Autonomic nerves
5. Processus vaginalis
6. Cremasteric artery
7. Artery of the vas deferens
8. Genital branch of genitofemoral nerve