قراءة
عرض

Transversalis fascia

Quadratus lumborum
Psoas m.

Transversalis fascia

Deep ing. ring
Femoral sheath

Nerve supply of anterolateral abd. wall

L1
T12
T10
T7
L1
T7
T10
L1

Nerve supply of anterolateral abd. wall

Blood supply of anterolateral abd. wall
musculophrenic
1. (Int. thorc. Art.)
3. (femoral Art.)
2. (abd. Aorta)
4. (ext. iliac. Art.)
5. (Int. iliac. Art.) → iliolumbar art.

Internal thoracic artery gives : - Superior epigastric artery - Musculophrenic artery Abdominal aorta gives: - Lower 2 posterior intercostal arteries - Subcostal artery - 4 lumbar arteries Femoral artery gives: - Superficial epigastric artery - Superficial circumflex iliac artery - Superficial external pudendal artery External iliac artery gives: - inferior epigastric artery - Deep circumflex iliac artery Internal iliac artery gives: - Iliolumbar artery

Lymphatic drainage

Deep lymphatics
Superficial lymphatics
Sternal nodes

Inguinal canal

Ing. Lig.
Deep ing. ring
Superf.ing. ring
Ing. Lig.
Ant. wall

Inguinal canal

Descent of testis

Descent of testis

8 months
5 months
3 months

Cryptochidism

Incomplete descent
maldescent

Descent of ovary

Inguinal canal
Ing. Lig.
Deep ing. ring
Superf.ing. ring
Ing. Lig.
Ant. wall

Boundaries of Inguinal canal

lacunar Lig.
Transversalis fascia
Conjoint tendon
Ing. Lig.
Transv. abdominis
(floor)
(roof)
Pos. wall

Structures pass through Inguinal canal

Cremasteric art.
Ilioiguinal nerve

Structures pass through Inguinal canal in female

Round lig. Of uterus. Art. And vein of round lig. Cremaster m. Genital branch. Ilioinguinal n.



Abdominal Hernia
Abd. cavity

Abdominal hernia

Inguinal hernia (direct and indirect) Femoral hernia Umbilical hernia

Abdominal hernia

Lumbar hernia Incisional hernia Epigastric hernia

Indirect Inguinal hernia

Direct Inguinal hernia
Hasselback’s triangle lacunar Lig.

Inf. epigastric artery


Inf. epigastric artery

Inf. epigastric artery

Direct Inguinal hernia
Indirect Inguinal hernia


indirect Inguinal hernia (hernia is through deep ing. Ring) congenital. Most common. Usually extend to scrotum. Lat. To inf. Epigastric. Art.
direct Inguinal hernia (hernia is through post. wall of in. canal) acquired. Less common. Rarely extend to scrotum. Med. To inf. Epigastric. Art.

folds and fossae on peritoneal aspect

supravesical
Med.Ing. Fossa (direct hernia)
Lat.umb. fold
Median umb. Lig.
Inf.epig.vess.
Medial umb. Lig.
Median umb. fold
Medial umb. fold
lat. Ing. Fossa (indirect hernia)






رفعت المحاضرة من قبل: Deaa Al-deen El-taee
المشاهدات: لقد قام 12 عضواً و 241 زائراً بقراءة هذه المحاضرة








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