Unit Two Abdominal Wall Flashcards
The rectus sheath is formed by
Aponeuroses of three lateral abdominal muscles
Rectus sheath completely encloses
The upper 3/4s of the rectus abdominis muscles
The rectus sheath covers the anterior surface of what part of the abdominal muscle
Lower 1/4 of the muscle
The anterior wall aponeurosis of the upper 3/4 covers what
External oblique and internal oblique
The rectus sheath posterior wall aponeurosis of upper 3/4 covers what
Internal oblique and transversus abdominis
In the upper 3/4 of the rectus sheath internal oblique splits to enclose what muscle
Rectus abdominis
Rectus sheath of lower 1/4 anterior wall aponeurosis covers what
External oblique, internal oblique and transversus abdominis
Rectus sheath lower 1/4 posterior wall aponeurosis
No posterior wall but contains transversalis fascia and arcuate line
The posterior layer of the rectus sheath ends inferiorly at what
Arcuate line
What are the contents of the rectus sheath
Rectus abdominis, pyramidalis, lower 6 thoracic nerves, superior epigastric vessels, inferior epigastric vessels, posterior intercostal vessels, lymphatics
The inguinal canal is the oblique passage through
The lower part of the anterior abdominal wall
The inguinal canal extends from
The deep to superficial inguinal ring
The inguinal canal is found above
Medial 1/2 of inguinal ligament
Inguinal canal begins where
Deep inguinal ring
Inguinal canal ends where
Superficial inguinal ring
What are the four boundaries in the inguinal canal
Floor, anterior wall, roof and posterior wall
What is the floor boundary of the inguinal canal
Rolled edge of inguinal ligament supported by lacunae ligament
Anterior wall of of inguinal canal
Aponeurosis of external oblique and lateral internal oblique
What is the roof boundary of the inguinal canal
Lower edges of internal oblique and transversus (conjoint tendon medially)
Posterior wall boundary of inguinal canal
Transversalis fascia laterally and conjoint tendon medially
Contents of inguinal canal in female
Round ligament and ilioinguinal nerve (L1)
Contents in male inguinal canal
Spermatic cord and ilioinguinal nerve (L1)
What is the inguinal ligament
Dense band of inferior most part of external abdominal oblique
Inguinal ligament acts as a
Flexor retinaculum of hip joint along with iliopubic tract
What is the iliopubic tract
Thickening of transverse abdomen posteriorly
Inguinal ligament forms the roof of what
Subinguinal space
What are the two types of inguinal hernias
Indirect and direct
Indirect hernia is what compared to inferior epigastric vessels
Lateral
Indirect hernia goes through
Canal and pushes out
Which inguinal hernia most likely to happen
Indirect
Direct hernia goes through what
Wall
Direct hernia is where compared to inferior epigastric vessels
Medial
Indirect hernia congenital or acquired
Congenital
Direct hernia congenital or acquired
Acquired
What is the spermatic cord
The collection of structures that traverse the inguinal canal and pass to and from the testis
What makes up the spermatic fasciae
Internal spermatic, cremasteric, external spermatic fascia
Peritoneum forms what in spermatic cord
Tunica vaginalis
Transversalis fascia turns into what of spermatic cord
Internal spermatic fascia
Internal abdominal oblique muscle becomes what in spermatic cord
Cremaster muscle and fascia
External abdominal oblique muscle becomes what in the spermatic cord
External spermatic fascia
Function of cremaster muscle
Contracts testes
What are the contents in the spermatic cord
Vas deferens, testicular artery, cremasteric artery, artery to vas deferens, pampiniform plexus, testicular vein, genital branch of genitofemoral nerve, autonomic nerves (pain), lymphatics and processes vaginalis
Function of pampiniform plexus
Cools blood by pulling heat out for testes
In the upper 3/4 of the rectus sheath, what splits the abdominal wall to enclose the rectus abdominis
Internal oblique