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D R M A RYA M A L A M K H A N
M B B S , F C P S
S 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
SURGIC...
• Anatomical landmarks
• Anatomical planes
• Quadrants and regions
• Dermatomes
• Muscles and rectus sheath
• Layers of ab...
LANDMARKS
1. Xiphoid process.
2. Costal margin.
3. Tip of the ninth costal
cartilage.
4. Tendinous intersections.
5. Umbil...
THE ANATOMICAL PLANES
HORIZONTAL PLANES
XIPHISTERNAL
PLANE=T9
SUBCOSTAL
PLANE=L3
SUPRACRISTAL
PLANE= L4
TRANSTUBERCULAR
PL...
THE QUADRANTS AND REGIONS
DERMATOMES
VENOUS AND NERVE SUPPLY
LYMPHATIC SUPPY
FASCIAL LAYERS
LAYERS OF ABDOMINAL WALL
THE EXTERNAL OBLIQUE MUSCLE
THE INTERNAL OBLIQUE MUSCLE
THE TRANSVERSUS ABDOMINIS
THE RECTUS ABDOMINIS MUSCLE
THE RECTUS SHEATH
THE INGUINAL CANAL
THE INGUINAL LIGAMENT
THE SPERMATIC CORD
Three fasciae:
External spermatic (from external
oblique fascia)
Cremasteric (from internal oblique
mus...
HASSELBACH’S TRIANGLE
THE NERVES OF INGUINAL REGION
THE FEMORAL CANAL
THE FEMORAL HERNIA
THE ABBERANT OBTURATOR ARTEY
THE ABDOMINAL WALL FROM INSIDE
SPACE OF BOGROS AND RETRO-PUBIC
SPACE OF RETZIUS
LAPAROSCOPIC ANATOMY
LAPAROSCOPIC ANATOMY
LAPAROSCOPIC ANATOMY
THE TRIANGLE OF DOOM
THE TRIANGLE OF PAIN
THE CIRCLE OF DEATH
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anatomy of anterior abdominal wall

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  1. 1. D R M A RYA M A L A M K H A N M B B S , F C P S S 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
  2. 2. • Anatomical landmarks • Anatomical planes • Quadrants and regions • Dermatomes • Muscles and rectus sheath • Layers of abdominal wall • Inguinal canal • Femoral canal • Laparoscopic anatomy
  3. 3. 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. 13. Pubic symphysis.
  4. 4. THE ANATOMICAL PLANES HORIZONTAL PLANES XIPHISTERNAL PLANE=T9 SUBCOSTAL PLANE=L3 SUPRACRISTAL PLANE= L4 TRANSTUBERCULAR PLANE=L5 INTERSPINOUS PLANE VERTICAL PLANES Midline Two Paramedian Planes (Mid Clavicular Line/ Mammary Line)
  5. 5. THE QUADRANTS AND REGIONS
  6. 6. DERMATOMES
  7. 7. VENOUS AND NERVE SUPPLY
  8. 8. LYMPHATIC SUPPY
  9. 9. FASCIAL LAYERS
  10. 10. LAYERS OF ABDOMINAL WALL
  11. 11. THE EXTERNAL OBLIQUE MUSCLE
  12. 12. THE INTERNAL OBLIQUE MUSCLE
  13. 13. THE TRANSVERSUS ABDOMINIS
  14. 14. THE RECTUS ABDOMINIS MUSCLE
  15. 15. THE RECTUS SHEATH
  16. 16. THE INGUINAL CANAL
  17. 17. THE INGUINAL LIGAMENT
  18. 18. THE SPERMATIC CORD Three 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 artery Three veins: Pampiniform plexus and testicular vein Cremasteric vein Deferential vein Three nerves: Genital branch of genitofemoral nerve Ilioinguinal nerve Sympathetic nerves (testicular plexus) Lymphatics
  19. 19. HASSELBACH’S TRIANGLE
  20. 20. THE NERVES OF INGUINAL REGION
  21. 21. THE FEMORAL CANAL
  22. 22. THE FEMORAL HERNIA
  23. 23. THE ABBERANT OBTURATOR ARTEY
  24. 24. THE ABDOMINAL WALL FROM INSIDE
  25. 25. SPACE OF BOGROS AND RETRO-PUBIC SPACE OF RETZIUS
  26. 26. LAPAROSCOPIC ANATOMY
  27. 27. LAPAROSCOPIC ANATOMY
  28. 28. LAPAROSCOPIC ANATOMY
  29. 29. THE TRIANGLE OF DOOM
  30. 30. THE TRIANGLE OF PAIN
  31. 31. THE CIRCLE OF DEATH
  • AhmedHaleim1

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anatomy of anterior abdominal wall

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