Inguinal Region Flashcards
Where is the deep inguinal ring?
1.5 cm above the femoral pulse
Mid-point inguinal ligament (ASIS –> pubic tubercle)
Where is the superficial inguinal ring?
In a split in the external oblique aponeurosis- superior and medial to pubic tubercle.
What is the floor of the inguinal canal?
Inguinal ligament
What is the roof of the inguinal canal?
Transversus abdominus and internal oblique
What is the anterior wall of the inguinal canal?
External oblique
What is the posterior wall of the inguinal canal?
Transversals fascia + conjoint tendon (lateral 1/3rd)
What is medial to the inguinal canal?
Pubic tubercle
What is lateral to the inguinal canal?
Deep inguinal ring
What is the contents of the inguinal canal in men?
Spermatic cord: includes:
Arteries (testicular, artery to the vas and the cremasteric arteries),
Veins (pampiniform plexus),
Lymphatic vessels,
Nerves (genital branch of genitofemoral, sympathetic nerves)
Processes vaginalis
Ilioinguinal nerve
What is the contents of the inguinal canal in women?
Round ligament of uterus
Genital branch of genitofemoral nerve
Ilioinguinal nerve
What are the borders of Hesselbach’s triangle?
Laterally: Inferior epigastric artery
Medially: Rectus abdominus
Inferiorly: Inguinal ligament
What is the significance of Hesselbach’s triangle?
The area of entry of direct hernias through the posterior wall
What can be contained in an inguinal hernia?
Bowel
Omentum
What are the coverings of the spermatic cord?
External spermatic fascia
Cremasteric fascia
Internal spermatic fascia
What are the contents of the femoral sheath?
Femoral artery
Femoral veins
Lymphatics
Femoral branch of the genitofemoral nerve
