Test 2 Flashcards
Layers of the abdominal wall
Skin. Steve Camper fascia. Cooked Scarpa fascia. Six External oblique. Eggs Internal oblique. In Transversus abdominis The Transversalis fascia. Tiny Extraperitoneal fat. Evil Parietal peritoneum. Pot
Superior to arcuate line, the ant. Ab. Wall layers are organized how
1.5/1.5
Inferior to arcuate line, the ant. Ab. Wall is organized how
3 in front, only transversalis fascia in back
What do the median, medial and lateral umbilical folds contain?
Median - median umbilical ligament (uracus)
Medial - portions of umbilical artery
Lateral - inferior epigastric vessels
What are the two vessels in the campers fascia
Superficial Circumflex a./v.
Superficial Epigastric a./v.
Between what layers does the deep circumflex iliac a./v. Run?
Between IO/TÁ
Where does the inferior epigastric a./v. Enter the rectus sheath?
Arcuate line
What vessels supply the upper rectus abdominus mm.
Superior epigastric vessels
Where does the musculophrenic a./v. Run?
Costal cartilages
Nerves of abdominal wall
Ventral Rami (efferent, motor) of T7-L1 spinal nn.
T7-T9 supply what region
T10 supplies what region
T11-L1 supply what region
Region above umbilicus
Umbilicus
Region below umbilicus
What does the inguinal ligament come from, where does it extend to/from
Folded inferior border of the EO aponeurosis
From ASIS to pubic tubercle
What does the male inguinal canal contain? Female?
Male: vas deferens, testicular nn. /vessels, cremasteric m./fascia
Female: round ligament of uterus
Superficial ring is an opening in what
Deep ring is opening in what
EO aponeurosis
Transversalis fascia
Where are the superficial and deep ring located?
S: lateral to pubic tubercle
D: lateral to inferior epigastric vessels
4 walls of inguinal canals
Anterior: EO aponeurosis
Posterior: transversalis fascia and conjoint tendon
Roof: IO/TA muscles
Floor: inguinal ligament
3 layers of hernial sac
Peritoneum, extraperitoneal fat, transversalis fascia
Indirect vs. direct hernia
I: through inguinal canal both deep and superficial rings, lateral to inferior epigastric vessels
D: Through inguinal (Hesselbach’s) triangle, medial to inferior epigastric vessels, through conjoint tendon, not in scrotum/labia
3 other types of hernias
Femoral, umbilical, epigastric
What are the functions of the greater omentum? Why are adhesions bad?
It can wall off infections and inflammation sites
Can strangulate
What are the parts that make up the greater omentum
Gastrocolic ligament
Gastrosplenic ligament
Gastrophrenic ligament
What does the lesser omentum attach to?
What are the two portions that connect the lesser omentum to the liver?
Lesser curvature of stomach, liver, and duodenum
Hepatogastric ligament, hepatoduodenal ligament
Where is the portal triad contained
Hepatoduodenal ligament
What are the three parts of the portal triad
Hepatic a.
Portal v.
Bile duct