Nerves of Anterior Abdominal Wall (Page 30)
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Nerves of Anterior Abdominal Wall
(Page 30)
Nerves of Anterior abdominal Wall
Thoraco-abdominal nerves (T7-T11)
Subcostal n.
Ilio-hypogastric n.
Ilio-inguinal n.
Dr. Sherif Fahmy
Ext abdominal oblique m.
Internal abdominal oblique m.
Transversus abdominis
Thoracoabdominal n.
Lateral cutaneous n
Rectus Abdominis
Anterior cutaneous n
Course of Thoraco-abdominal nerves
Dr. Sherif Fahmy
Subcostal n.
Psoas major m.
Ilio-hypogastric n.
Ilio-inguinal n.
Quadratus lumborum m
Transversus abdominis
Lateral cutaneous n. of thighFemoral n.
Course of subcostal, iliohypogastric & ilioinguinal nerves
Dr. Sherif Fahmy
Ilio-hypogastric n.
Ilio-inguinal n.
Dr. Sherif Fahmy
External abdominal oblique.
Internal abdominal oblique
Ilio-hypogastric n
Ilio-inguinal n
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Cutaneous nerves
Thoraco-abdominal nerves (T7-T11)
Subcostal n.
Ilio-hypogastric n.
Ilio-inguinal n.
Dr. Sherif Fahmy
Rectus SheathRectus Sheath(Page 17)(Page 17)
Dr. Sherif Fahmy
Dr. Sherif Fahmy
Dr. Sherif Fahmy
ContentsContents
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Dr. Sherif Fahmy
Lateral head
Medial head
Pyramidalis m.
Tendinous intersections
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The Groin (Inguinal Region)
(Page 35)
Inguinal Ligament
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Inguinal (Poupart’s) Inguinal (Poupart’s) LigamentLigament(Page 35)(Page 35)
Pubic tubercle
.A.S.I.S
Pectineal lig
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Dr. Sherif Fahmy
Dr. Sherif Fahmy
Inguinal Canal(Page 37)
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Dr. Sherif Fahmy
Dr. Sherif Fahmy
Inguinal (Hasselbach’s)
Triangle
Inferior epigastric vs.
Lateral margin of rectus abdominis m.
Inguinal lig.
Inner aspect of anterior abdominal wall
HerniaExternal:1- Inguinal (direct & indirect).2- Femoral hernia.3- Umbilical hernia.4- Other abdominal hernia.Internal:1- Diaphragmatic hernia.2- Hernia in lesser sac.
External Hernia1- Inguinal (indirect & direct).2- Femoral hernia.3- Umbilical hernia (congenital, infantile and adult paraumbilical).4- Others (lumbar hernias, incisional and obturator).
Internal hernias1- Lesser sac hernia.2- Duodenal recesses hernias.
Causes of Hernia1- Congenital oblique inguinal hernia.2- Weakness of abdominal wall (obesity, pregnancy, scar & nerve injury).3- Increased intra-abdominal pressure (chronic straining & Abdominal swelling).
Structure of Hernia1- Defect (internal inguinal ring).2- Sac (neck, body and fundus).3- Contents (intestine, peritoneum and organs except pancreas).4- Coverings differs according type of hernia.
Tests of Hernia1- Internal ring test.2- External ring test.
Oblique inguinal hernia
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Direct inguinal hernia
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Dr. Sherif Fahmy
Oblique inguinal hernia.
Femoral hernia
Umbilical hernia
Dr. Sherif Fahmy
Dr. Sherif Fahmy
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