Flashcards in Abdominal Wall Hernias Deck (75)
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1
Majority of all abdominal wall hernias are found in the ____
groin
2
majority of groin hernias are located in the
inguinal canal
3
What are the layer of the abdominal wall (anterior to posterior)
Skin
Camper (Superficial fatty), Scarpa (Deep Membranous),
Gallaudet (External oblique fascia)
Internal Oblique fascia
Transversus abdominis
Transversalis fascia
Properitoneal space and fat
Parietal peritoneum
4
What are the layers of the scrotum?
SkIn
Dartos
Colles
External spermatic fascia
Cremasteric fascia
Does not reach the scrotum
Internal spermatic fascia
Properitoneal space and fat
Tunica vaginalis
5
The superficial fatty layer is the ____ muscle of the scrotum
Superficial fatty (camper) : dartos
6
The colles fascia is equivalent to the _____ in the abdominal wall
Scarpas
Deep Membranous (scarpa) : Colles
7
Gallaudet fascia is also the ____ in the scrotum
external spermatic fascia
8
The tunica vaginalis is equivalent of ___ in the abdomen
parietal peritoneum
9
This layer of the abdominal wall does not reach the scrotum
transversus abdominis
10
This is equivalent of the transversalis fascia in the in the internal spermatic fascia
transversalis fascia
11
What is the length of the inguinal canal?
4-6 cm in length
12
What are the walls of the inguinal canal?
Anterior: External oblique aponeurosis
Posterior: Medial - Conjoint, Lateral - transversalis fascia and TA muscle
Lateral: Internal oblique
Medial: Conjoint tendon
Superior: arching fibers of IO and TA muscles
Inferior: Inguinal and lacunal ligamnet
13
This lies immediately above and medial to the pubic tubercle; triangular opening
superficial inguinal ring
14
located between the pubic tubercle and the anterior superior iliac spine
deep inguinal ring
15
Contents of the femoral sheath
1. Femoral artery
2. Femoral vein
3. Lymphatics
16
The inguinal ligament is also called
Poupart's ligament
17
the conjoint tendon is composed of _____
Internal Oblique
Transversus Abdominis
18
[true/false]
the spermatic cord passes through the inguinal canal
true
19
What are the contents of the spermatic cord?
3 fasciae: external, cremasteric, internal spermatic fascia
3 arteries: testicular, cremasteric, vas deferens
3 veins: pampiniform, cremasteric, deferential
3 nerve: autonomic, genital branch of genitofemoral nerve, ilioinguinal nerve
Vas deferens
Lymphatics
20
the lacunar ligament under the inguinal ligament is called
Giembernat's
21
the nerve inside the triangle of doom
Genital branch of genitofemoral nerve
22
the arteries and veinsinside the triangle of doom
iliac artery and vein
gonadal vessels
23
the medial border of the triangle of doom is
ductus deferens
24
What are the borders of the triangle of pain
Inferolateral: iliopubic
Lateral: peritoneum
Superomedial: gonadal vessels
25
What are the arteries and veins containing the triangle of pain
deep circumflex iliac artery and vein
26
What are the nerve inside the triangle of pain
Femoral nerve
Femoral branch of the genitofemoral nerve
anterior cutaneous nerve
lateral femoral cutaneous nerve
27
the circle of death is composed of these arteries
1. External iliac arteries (from common iliac)
2. Internal iliac arteries (from common iliac)
3. obturator artery
4. Aberrant artery
5. Inferior epigastric
28
[sphincter/shutter action]
Tranversalis fascia
sphincter action
29
[sphincter/shutter action]
Transversus abdominis and internal oblique muscles
shutter action
30
