Embed Size (px)
Citation preview
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
Dr. Sherif Fahmy
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
Dr. Sherif Fahmy
Dr. Sherif Fahmy
Lateral head
Medial head
Pyramidalis m.
Tendinous intersections
Dr. Sherif Fahmy
The Groin (Inguinal Region)
(Page 35)
Inguinal Ligament
Dr. Sherif Fahmy
Inguinal (Poupart’s) Inguinal (Poupart’s) LigamentLigament(Page 35)(Page 35)
Pubic tubercle
.A.S.I.S
Pectineal lig
Dr. Sherif Fahmy
Dr. Sherif Fahmy
Dr. Sherif Fahmy
Inguinal Canal(Page 37)
Dr. Sherif Fahmy
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
Dr. Sherif Fahmy
Direct inguinal hernia
Dr. Sherif Fahmy
Dr. Sherif Fahmy
Oblique inguinal hernia.
Femoral hernia
Umbilical hernia
Dr. Sherif Fahmy
Dr. Sherif Fahmy
