Lecture 4

Question 1

Vertical midline incisions are aka

Answer 1

Laparotomies

Question 2

Suprapubic incisions are used for:

Answer 2

abdominal hysterectomy, LSCS

Question 3

External obliques and internal obliques proximal attachment

Answer 3

Lower ribs

Question 4

External obliques distal attachment

Answer 4

Iliac crest, pubic tubercle, linea alba

Question 5

External oblique fibres run in the same direction as

Answer 5

External intercostal muscles (vice versa for internal)

Question 6

Internal obliques distal attachment

Answer 6

Thoracolumbar fascia, iliac crest, linea alba

Question 7

Attachments of transversus abdominis are the same as ?

Answer 7

Internal obliques

Question 8

What muscles have tendinous intersections that divide them into smaller muscle sections?

Answer 8

Rectus abdominis (6 pack)

Question 9

Where does the linea alba run from and to?

Answer 9

Xiphoid process to pubic tubercle

Question 10

What is the rectus sheath

Answer 10

Combined aponeuroses of anterolateral abdominal wall muscles, surrounds the rectus abdominis

Question 11

Name given to the 7th to 11th intercostal nerves

Answer 11

Thoracoabdominal nerves

Question 12

Subcostal nerve root

Answer 12

T12

Question 13

Ilioinguinal nerve root

Answer 13

L1

Question 14

Iliohypogastric nerve root

Answer 14

L1

Question 15

Nerves supplying the anterolateral body wall travel between which 2 muscles?

Answer 15

Internal oblique and transversus abdominis

Question 16

Superior epigastric arteries branch from

Answer 16

The internal thoracic artery

Question 17

Inferior epigastric arteries branch from

Answer 17

The external iliac artery

Question 18

Blood supply to ANTERIOR abdominal wall

Answer 18

Superior and inferior epigastric arteries

Question 19

Blood supply to LATERAL abdominal wall

Answer 19

Intercostal and subcostal arteries

Question 20

Intercostal and subcostal arteries branch from

Answer 20

Posterior intercostal arteries

Question 21

Where do epigastric arteries lies relative to rectus abdominis

Answer 21

Posteriorly

Question 22

What happens to the rectus abdominis muscles in a LCSC incision?

Answer 22

They are separated

Question 23

What kind of laparoscopic incisions are there?

Answer 23

Subumbilical incision, lateral ports

Question 24

When making a lateral port incision, what structure do you need to be wary of?

Answer 24

Inferior epigastric arteries

Question 25

Path of the inferior epigastric arteries

Answer 25

Emerges just medial to the deep inguinal ring then travels superomedially

Question 26

The ureter ? when touched

Answer 26

Vermiculates