Inguinal Region

Question 1

Roof of Inguinal Canal

Answer 1

2 Muscles

1. Internal oblique
2. Transversus Abdominus fibers

Question 2

Anterior Wall of Inguinal Canal

Answer 2

2 Aponeuroses

1. External Oblique
2. Reinforced by internal oblique

Question 3

Floor of Inguinal Canal

Answer 3

2 Ligaments

1. Lacunar ligament
2. Inguinal ligament

Question 4

Posterior Wall of Inguinal Canal

Answer 4

2 Tendons

1. Transversalis fascia
2. Conjoint Tendon

Question 5

Deep Inguinal Ring

Answer 5

Entrance

Oval opening in transversalis fascia

Question 6

Superficial Inguinal Ring

Answer 6

Exit

Above pubic tubercle

Question 7

Hesselbach’s Triangle- Boundaries

Answer 7

Where direct hernia’s can occur
Superficial- inferior epigastric vessels
Medially- rectus abdominus
Inferior- inguinal ligament

Question 8

Ligaments of Inguinal region

Answer 8

1. Inguinal Ligament
2. Lacunar Ligament
3. Pectineal Ligament

Question 9

Inguinal Ligament

Answer 9

Runs from ASIS to pubic tubercles

Question 10

Lacunar Ligament

Answer 10

Connects inguinal ligament to pubic ramus

Thickened region

Question 11

Pectineal Ligament

Answer 11

Lateral part of lacunar ligament

Question 12

What are the contents of the inguinal canal for males?

Answer 12

Spermatic cord
Genital nerve
Ilioinguinal Nerve

Question 13

What are the contents of the inguinal canal for females?

Answer 13

Round ligament

Ilioinguinal canal

Question 14

External Spermatic Fascia

Answer 14

comes from external abdominal oblique aponeurosis

Question 15

Cremasteric Fascia

Answer 15

Middle layer
Comes from internal abdominal oblique
runs with cremaster muscles

Question 16

Internal spermatic fascia

Answer 16

Comes from transversalis fascia

Question 17

Vas (ductus) Deferens

Answer 17

help transport sperm into abdominal cavity before they come back out again

Question 18

Development of testes

Answer 18

They begin in the abdomen as retroperitoneal

Descend down via gubernaculum pulling them down

Question 19

Processus Vaginalis

Answer 19

Early extension of peritoneal cavity into scrotum

Gets pinched off to form tunica vaginalis

Question 20

Tunica Vaginalis

Answer 20

remnant of processus vaginalis

Question 21

Cremasteric Reflex

Answer 21

2 nerves in testes that should pull testes up if not twisted

1. Ilioinguinal nerve L1
2. Genital branch from genitofemoral nerev L1-L2

Question 22

Direct Hernia

Answer 22

Pass through Hesselbach’s Triangle
Medial to inferior epigastric vessels
Occurs in older males
Often reducible

Question 23

Indirect Hernia

Answer 23

Pass through inguinal canal
Lateral to inferior epigastric vessels
Occurs in younger males
Irreducible

Question 24

Femoral Hernia

Answer 24

Fill medial portion of femoral triangle
Inferior to inguinal ligament
More common in females
Often reducible

Question 25

Incarcerated

Answer 25

trapped and cannot be manually reduced

Question 26

Strangulation

Answer 26

blood supply is cut off

Question 27

Is a sports hernia a true hernia?

Answer 27

No, it is a torn muscle in the lower abdominal region