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Douglas Line
The arcuate line of rectus sheath, the , the arcuate line, or the semicircular line of Douglas, is a horizontal line that demarcates the lower limit of the posterior layer of the rectus sheath. It is commonly known simply as the arcuate line. It is also where the inferior epigastric artery and vein perforate the rectus abdominis. Structure Superior to the arcuate line, the internal oblique muscle aponeurosis splits to envelop the rectus abdominis muscle both anteriorly and posteriorly. The anterior layer is derived from the external oblique aponeurosis and the anterior lamina of the internal oblique aponeurosis. The posterior layer is made up of the posterior lamina of the internal oblique aponeurosis and the transversus abdominis aponeurosis. Inferior to the arcuate line, the aponeuroses of the external oblique muscle, the internal oblique muscle, and the transversus abdominis muscle merge and pass superficial to the rectus abdominis muscle. Therefore, inferior to the arcuate ...
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Interfoveolar Ligament
Lateral to the conjoint tendon, previously known as the inguinal aponeurotic falx, there is a ligamentous band originating from the lower margin of the transversalis fascia and extending down in front of the inferior epigastric artery In human anatomy, inferior epigastric artery refers to the artery that arises from the external iliac artery. It anastomoses with the superior epigastric artery. Along its course, it is accompanied by a similarly named vein, the inferior epig ... to the superior ramus of the pubis; it is termed the interfoveolar ligament of Hesselbach and sometimes contains a few muscular fibers. It is named for Franz Kaspar Hesselbach. References Ligaments Muscular system {{ligament-stub ...
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Transversus Abdominis
The transverse abdominal muscle (TVA), also known as the transverse abdominis, transversalis muscle and transversus abdominis muscle, is a muscle layer of the anterior and lateral (front and side) abdominal wall which is deep to (layered below) the internal oblique muscle. It is thought by most fitness instructors to be a significant component of the core. Structure The transverse abdominal, so called for the direction of its fibers, is the innermost of the flat muscles of the abdomen. It is positioned immediately inside of the internal oblique muscle. The transverse abdominal arises as fleshy fibers, from the lateral third of the inguinal ligament, from the anterior three-fourths of the inner lip of the iliac crest, from the inner surfaces of the cartilages of the lower six ribs, interdigitating with the diaphragm, and from the thoracolumbar fascia. It ends anteriorly in a broad aponeurosis (the Spigelian fascia), the lower fibers of which curve inferomedially (medially and do ...
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Retropubic Space
Retropubic space is a potential avascular space located between the pubic symphysis and the urinary bladder. The retropubic space is a preperitoneal space, located behind the transversalis fascia and in front of peritoneum . Other names for the retropubic space are "Cave of Retzius" or "Retzius' space", named after the Swedish anatomist Anders Retzius (1796-1860). The space is a useful landmark in different gynecological and urological surgeries. Structure The space is located in the pelvic region and is bounded by the following structures: *Anteriorly: Symphysis pubis *Laterally: Pubic rami and obturator internus muscles *Posteriorly: Urinary bladder *Floor: Anterior vagina (in women) and proximal urethra Function The retropubic space is a potential space. Compartmental Pressure The retropubic space is directly adjacent to the abdominal cavity and is hence affected with change in intra-abdominal pressure, which in turn affects the physiology of urination and continenc ...
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Spigelian Hernia
A Spigelian is the type of ventral hernia where aponeurotic fascia pushes through a hole in the junction of the linea semilunaris and the arcuate line creating a bulge. It appears in the abdomen lower quadrant between an area of dense fibrous tissue and abdominal wall muscles causing a (Spigelian aponeurosis). It is the protuberance, of omentum, adipose tissue, or bowel in that weak space between the abdominal wall muscles, that ultimately pushes the intestines or superficial fatty tissue through a hole causing a defect. As a result, it creates the movement of an organ or a loop of intestine in the weakened body space that it is not supposed to be in. It is at this separation ( aponeurosis) in the ventral abdominal region, that herniation most commonly occurs. Spigelian hernias are rare compared to other types of hernias because they do not develop under abdominal layers of fat but between fascia tissue that connects to muscle. The Spigelian hernia is generally smaller in diamet ...
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Translucent
In the field of optics, transparency (also called pellucidity or diaphaneity) is the physical property of allowing light to pass through the material without appreciable scattering of light. On a macroscopic scale (one in which the dimensions are much larger than the wavelengths of the photons in question), the photons can be said to follow Snell's law. Translucency (also called translucence or translucidity) allows light to pass through, but does not necessarily (again, on the macroscopic scale) follow Snell's law; the photons can be scattered at either of the two interfaces, or internally, where there is a change in index of refraction. In other words, a translucent material is made up of components with different indices of refraction. A transparent material is made up of components with a uniform index of refraction. Transparent materials appear clear, with the overall appearance of one color, or any combination leading up to a brilliant spectrum of every color. The opposite ...
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Abdominal Wall
In anatomy, the abdominal wall represents the boundaries of the abdominal cavity. The abdominal wall is split into the anterolateral and posterior walls. There is a common set of layers covering and forming all the walls: the deepest being the visceral peritoneum, which covers many of the abdominal organs (most of the large and small intestines, for example), and the parietal peritoneum- which covers the visceral peritoneum below it, the extraperitoneal fat, the transversalis fascia, the internal and external oblique and transversus abdominis aponeurosis, and a layer of fascia, which has different names according to what it covers (e.g., transversalis, psoas fascia). In medical vernacular, the term 'abdominal wall' most commonly refers to the layers composing the anterior abdominal wall which, in addition to the layers mentioned above, includes the three layers of muscle: the transversus abdominis (transverse abdominal muscle), the internal (obliquus internus) and the external o ...
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Pubic Crest
Medial to the pubic tubercle is the pubic crest, which extends from this process to the medial end of the pubic bone. It gives attachment to the conjoint tendon, the rectus abdominis, the abdominal external oblique muscle, and the pyramidalis muscle. The point of junction of the crest with the medial border of the bone is called the ''angle'' to it, as well as to the symphysis, the superior crus of the subcutaneous inguinal ring The inguinal canals are the two passages in the anterior abdominal wall of humans and animals which in males convey the spermatic cords and in females the round ligament of the uterus. The inguinal canals are larger and more prominent in males. T ... is attached. References External links * Bones of the pelvis Pubis (bone) {{musculoskeletal-stub ...
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Navel
The navel (clinically known as the umbilicus, commonly known as the belly button or tummy button) is a protruding, flat, or hollowed area on the abdomen at the attachment site of the umbilical cord. All placental mammals have a navel, although it is generally more conspicuous in humans. Structure The umbilicus is used to visually separate the abdomen into quadrants. The umbilicus is a prominent scar on the abdomen, with its position being relatively consistent among humans. The skin around the waist at the level of the umbilicus is supplied by the tenth thoracic spinal nerve (T10 dermatome). The umbilicus itself typically lies at a vertical level corresponding to the junction between the L3 and L4 vertebrae, with a normal variation among people between the L3 and L5 vertebrae. Parts of the adult navel include the "umbilical cord remnant" or "umbilical tip", which is the often protruding scar left by the detachment of the umbilical cord. This is located in the center of the ...
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Transversalis Fascia
The transversalis fascia (or transverse fascia) is a thin aponeurotic membrane of the abdomen. It lies between the inner surface of the transverse abdominal muscle and the parietal peritoneum. It forms part of the general layer of fascia lining the abdominal parietes. It is directly continuous with the iliac fascia, the internal spermatic fascia, and pelvic fasciae. Structure In the inguinal region, the transversalis fascia is thick and dense. It is joined by fibers from the aponeurosis of the transverse abdominal muscle. It becomes thin as it ascends to the diaphragm and blends with the fascia covering the under surface of this muscle. It is directly continuous with the iliac fascia, the internal spermatic fascia, and pelvic fasciae. Borders Behind, it is lost in the fat which covers the posterior surfaces of the kidneys. Below, it has the following attachments: posteriorly, to the whole length of the iliac crest, between the attachments of the transverse abdominal an ...
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Abdominal External Oblique Muscle
The abdominal external oblique muscle (also external oblique muscle, or exterior oblique) is the largest and outermost of the three flat abdominal muscles of the lateral anterior abdomen. Structure The external oblique is situated on the lateral and anterior parts of the abdomen. It is broad, thin, and irregularly quadrilateral, its muscular portion occupying the side, its aponeurosis the anterior wall of the abdomen. In most humans (especially females), the oblique is not visible, due to subcutaneous fat deposits and the small size of the muscle. It arises from eight fleshy digitations, each from the external surfaces and inferior borders of the fifth to twelfth ribs (lower eight ribs). These digitations are arranged in an oblique line which runs inferiorly and anteriorly, with the upper digitations being attached close to the cartilages of the corresponding ribs, the lowest to the apex of the cartilage of the last rib, the intermediate ones to the ribs at some distance from th ...
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Rectus Sheath
The rectus sheath, also called the rectus fascia,. is formed by the aponeuroses of the transverse abdominal and the internal and external oblique muscles. It contains the rectus abdominis and pyramidalis muscles. Structure The rectus sheath can be divided into anterior and posterior laminae. The arrangement of the layers has important variations at different locations in the body. Below the costal margin For context, above the sheath are the following two layers: # Camper's fascia (anterior part of Superficial fascia) # Scarpa's fascia (posterior part of the Superficial fascia) Within the sheath, the layers vary: Below the sheath are the following three layers: # transversalis fascia # extraperitoneal fat # parietal peritoneum The rectus, in the situation where its sheath is deficient below, is separated from the peritoneum only by the transversalis fascia, in contrast to the upper layers, where part of the internal oblique also runs beneath the rectus. Because of the ...
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Internal Oblique
The abdominal internal oblique muscle, also internal oblique muscle or interior oblique, is an abdominal muscle in the abdominal wall that lies below the external oblique muscle and just above the transverse abdominal muscle. Structure Its fibers run perpendicular to the external oblique muscle, beginning in the thoracolumbar fascia of the lower back, the anterior 2/3 of the iliac crest (upper part of hip bone) and the lateral half of the inguinal ligament. The muscle fibers run from these points superomedially (up and towards midline) to the muscle's insertions on the inferior borders of the 10th through 12th ribs and the linea alba. In males, the cremaster muscle is also attached to the internal oblique. Nerve supply The internal oblique is supplied by the lower intercostal nerves, as well as the iliohypogastric nerve and the ilioinguinal nerve. Function The internal oblique performs two major functions. Firstly as an accessory muscle of respiration, it acts as an antagoni ...
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