Nerves of Anterior Abdominal Wall

1. Nerves of Anterior
Abdominal Wall
(Page 30)

2. Nerves of Anterior
abdominal Wall
Thoraco-abdominal
nerves (T7-T11)
Subcostal n.
Ilio-hypogastric n.
Ilio-inguinal n.
Dr. Sherif Fahmy

3. 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

4. Subcostal n.
Psoas major m.
Ilio-
hypogastric n.
Ilio-
inguinal n.
Quadratus
lumborum m
Transversus
abdominis
Lateral
cutaneous n.
of thigh
Femoral n.
Course of subcostal, iliohypogastric & ilioinguinal nerves
Dr. Sherif Fahmy

5. Ilio-
hypogastric n.
Ilio-inguinal
n.
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6. External
abdominal
oblique.
Internal
abdominal
oblique
Ilio-hypogastric n
Ilio-inguinal n
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7. Cutaneous nerves
Thoraco-abdominal
nerves (T7-T11)
Subcostal n.
Ilio-hypogastric n.
Ilio-inguinal n.
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8. Rectus SheathRectus Sheath
(Page 17)(Page 17)

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12. ContentsContents

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15. Lateral head
Medial
head
Pyramidalis
m.
Tendinous
intersections
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16. The Groin
(Inguinal Region)
(Page 35)

17. Inguinal Ligament

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19. Inguinal (Poupart’s)Inguinal (Poupart’s)
LigamentLigament
(Page 35)(Page 35)

20. Pubic tubercle
.A.S.I.S
Pectineal lig
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23. Inguinal Canal
(Page 37)

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28. Inguinal (Hasselbach’s)
Triangle

29. Inferior epigastric vs.
Lateral margin
of rectus
abdominis m.
Inguinal
lig.
Inner aspect of anterior
abdominal wall

30. Hernia
External:
1- Inguinal (direct & indirect).
2- Femoral hernia.
3- Umbilical hernia.
4- Other abdominal hernia.
Internal:
1- Diaphragmatic hernia.
2- Hernia in lesser sac.

31. External Hernia
1- Inguinal (indirect & direct).
2- Femoral hernia.
3- Umbilical hernia (congenital,
infantile and adult paraumbilical).
4- Others (lumbar hernias,
incisional and obturator).

32. Internal hernias
1- Lesser sac hernia.
2- Duodenal recesses hernias.

33. Causes of Hernia
1- Congenital oblique inguinal hernia.
2- Weakness of abdominal wall
(obesity, pregnancy, scar & nerve
injury).
3- Increased intra-abdominal pressure
(chronic straining & Abdominal
swelling).

34. Structure of Hernia
1- Defect (internal inguinal ring).
2- Sac (neck, body and fundus).
3- Contents (intestine,
peritoneum and organs except
pancreas).
4- Coverings differs according

35. Tests of Hernia
1- Internal ring test.
2- External ring test.

36. Oblique inguinal
hernia
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37. Direct inguinal hernia
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39. Oblique inguinal
hernia.

40. Femoral hernia

41. Umbilical hernia

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