surgical anatomy of abdomen
TRANSCRIPT
D R M U H A M M A D I M R A N K H A NM B B S , F C P S
S E N I O R R E G I S T R A RS U R G I C A L E WA R D
K H Y B E R T E A C H I N G H O S P I TA L
SURGICAL-ANATOMY OF ANTERIOR
ABDOMINAL WALL
POINTS
• Anatomical landmarks• Anatomical planes • Dermatomes • Muscles and rectus sheath• Layers of abdominal wall• Inguinal canal• Femoral canal• Laparoscopic anatomy
LANDMARKS
1. Xiphoid process. 2. Costal margin. 3. Tip of the ninth costal cartilage. 4. Tendinous intersections. 5. Umbilicus. 6. Iliac crest. 7. Anterior superior iliac spine. 8. Linea semilunaris. 9. Linea alba. 10. Inguinal ligament. 11. Pubic tubercule. 12. Pubic crest.
THE ANATOMICAL PLANESHORIZONTAL PLANES
XIPHISTERNAL PLANE=T9SUBCOSTAL PLANE=L3SUPRACRISTAL PLANE= L4 TRANSTUBERCULAR PLANE=L5INTERSPINOUS PLANE VERTICAL PLANES
MidlineTwo Paramedian Planes
(Mid Clavicular Line/ Mammary Line)
DERMATOMES
Bony pelvis
THE SPERMATIC CORDThree fasciae: External spermatic (from external oblique fascia) Cremasteric (from internal oblique muscle and fascia) Internal spermatic (from transversalis fascia)Three arteries: Testicular artery Cremasteric artery Deferential arteryThree veins: Pampiniform plexus and testicular vein Cremasteric vein Deferential veinThree nerves: Genital branch of genitofemoral nerve Ilioinguinal nerve Sympathetic nerves (testicular plexus)Lymphatics
THE FEMORAL HERNIA
LAPAROSCOPIC ANATOMY
LAPAROSCOPIC ANATOMY