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Medial Umbilical Fold
The medial umbilical ligament (or cord of umbilical artery, or obliterated umbilical artery) is a paired structure found in human anatomy. It is on the deep surface of the anterior abdominal wall, and is covered by the medial umbilical folds (''plicae umbilicales mediales''). It is different from the median umbilical ligament, a structure that represents the remnant of the embryonic urachus. Origins It represents the remnant of the umbilical arteries, which serves no purpose in humans after birth, except for the initial part that becomes the adult superior vesical artery. The occluded part of umbilical artery becomes the medial umbilical ligament postnatal. The medial umbilical ligament arises from the anterior division of the internal iliac artery. Functions It may be used as a landmark for surgeons performing laparoscopic procedures to help identify and avoid damaging the inferior epigastric arteries during port placement. Other than this, it has no purpose in an adult and ...
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Anatomy
Anatomy () is the branch of biology concerned with the study of the structure of organisms and their parts. Anatomy is a branch of natural science that deals with the structural organization of living things. It is an old science, having its beginnings in prehistoric times. Anatomy is inherently tied to developmental biology, embryology, comparative anatomy, evolutionary biology, and phylogeny, as these are the processes by which anatomy is generated, both over immediate and long-term timescales. Anatomy and physiology, which study the structure and function of organisms and their parts respectively, make a natural pair of related disciplines, and are often studied together. Human anatomy is one of the essential basic sciences that are applied in medicine. The discipline of anatomy is divided into macroscopic and microscopic. Macroscopic anatomy, or gross anatomy, is the examination of an animal's body parts using unaided eyesight. Gross anatomy also includes the br ...
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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 exter ...
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Median Umbilical Ligament
In human anatomy, the median umbilical ligament is an unpaired midline ligamentous structure upon the lower inner surface of the anterior abdominal wall. It is covered by the median umbilical fold. The median umbilical ligament represents the remnant of the fetal urachus. It extends from the apex of the bladder to the umbilicus, on the deep surface of the anterior abdominal wall. The medial umbilical ligament represents one of the five ligaments of the internal anterior abdominal wall inferior to the umbilicus; laterally on either side of it are one medial umbilical ligament and finally one lateral umbilical ligament. Development The median umbilical ligament begins as the allantois in the embryonic period. It then becomes the urachus in the fetus. This later develops into the median umbilical ligament at birth. It is also formed from the cloaca in utero. Function The median umbilical ligament has no known function. Clinical significance The median umbilical ligament ma ...
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Urachus
The urachus is a fibrous remnant of the allantois, a canal that drains the urinary bladder of the fetus that joins and runs within the umbilical cord. The fibrous remnant lies in the space of Retzius, between the transverse fascia anteriorly and the peritoneum posteriorly. Development The part of the urogenital sinus related to the bladder and urethra absorbs the ends of the Wolffian ducts and the associated ends of the renal diverticula. This gives rise to the trigone of the bladder and part of the prostatic urethra. The remainder of this part of the urogenital sinus forms the body of the bladder and part of the prostatic urethra. The apex of the bladder stretches and is connected to the umbilicus as a narrow canal. This canal is initially open, but later closes as the urachus goes on to definitively form the median umbilical ligament. Clinical significance Failure of the inside of the urachus to be filled in leaves the urachus open. The telltale sign is leakage of urine throu ...
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Umbilical Arteries
The umbilical artery is a paired artery (with one for each half of the body) that is found in the abdominal and pelvic regions. In the fetus, it extends into the umbilical cord. Structure Development The umbilical arteries supply deoxygenated blood from the fetus to the placenta. Although this blood is typically referred to as deoxygenated, this blood is fetal systemic arterial blood and will have the same amount of oxygen and nutrients as blood distributed to the other fetal tissues. There are usually two umbilical arteries present together with one umbilical vein in the umbilical cord. The umbilical arteries surround the urinary bladder and then carry all the deoxygenated blood out of the fetus through the umbilical cord. Inside the placenta, the umbilical arteries connect with each other at a distance of approximately 5 mm from the cord insertion in what is called the ''Hyrtl anastomosis''. Subsequently, they branch into chorionic arteries or ''intraplacental fetal art ...
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Internal Iliac Artery
The internal iliac artery (formerly known as the hypogastric artery) is the main artery of the pelvis. Structure The internal iliac artery supplies the walls and viscera of the pelvis, the buttock, the reproductive organs, and the medial compartment of the thigh. The vesicular branches of the internal iliac arteries supply the bladder. It is a short, thick vessel, smaller than the external iliac artery, and about 3 to 4 cm in length. Course The internal iliac artery arises at the bifurcation of the common iliac artery, opposite the lumbosacral articulation, and, passing downward to the upper margin of the greater sciatic foramen, divides into two large trunks, an anterior and a posterior. It is posterior to the ureter, anterior to the internal iliac vein, anterior to the lumbosacral trunk, and anterior to the piriformis muscle. Near its origin, it is medial to the external iliac vein, which lies between it and the psoas major muscle. It is above the obturator nerve ...
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Laparoscopy
Laparoscopy () is an operation performed in the abdomen or pelvis using small incisions (usually 0.5–1.5 cm) with the aid of a camera. The laparoscope aids diagnosis or therapeutic interventions with a few small cuts in the abdomen.MedlinePlus > Laparoscopy Update Date: 21 August 2009. Updated by: James Lee, MD // No longer valid Laparoscopic surgery, also called minimally invasive procedure, bandaid surgery, or keyhole surgery, is a modern surgical technique. There are a number of advantages to the patient with laparoscopic surgery versus an exploratory laparotomy. These include reduced pain due to smaller incisions, reduced hemorrhaging, and shorter recovery time. The key element is the use of a laparoscope, a long fiber optic cable system that allows viewing of the affected area by snaking the cable from a more distant, but more easily accessible location. Laparoscopic surgery includes operations within the abdominal or pelvic cavities, whereas keyhole surgery per ...
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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 epigastric vein. These epigastric vessels form the lateral border of Hesselbach's triangle, which outlines the area through which direct inguinal hernias protrude. Structure Origin The inferior epigastric artery arises from the external iliac artery, immediately superior to the inguinal ligament. Course and relations It curves forward in the subperitoneal tissue, and then ascends obliquely along the medial margin of the abdominal inguinal ring; continuing its course upward, it pierces the transversalis fascia, and, passing in front of the linea semicircularis, ascends between the rectus abdominis muscle and the posterior lamella of its sheath. It finally divides into numerous branches, which anastomose, above the umbilicus, with ...
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Supravesical Fossa
The supravesical fossa is a fossa bounded by the medial umbilical fold and median umbilical fold. External links * - "Internal surface of the anterior 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 v ...." Abdomen {{Anatomy-stub ...
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Medial Inguinal Fossa
The medial inguinal fossa is a depression located within the inguinal triangle on the peritoneal surface of the anterior abdominal wall between the ridges formed by the lateral umbilical fold and the medial umbilical ligament, corresponding to the superficial 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. Th .... Clinical significance It is associated with direct inguinal hernias. See also * Lateral inguinal fossa External links * - "Internal surface of the anterior abdominal wall." Abdomen {{anatomy-stub ...
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Direct Inguinal Hernia
An inguinal hernia is a hernia (protrusion) of abdominal-cavity contents through the inguinal canal. Symptoms, which may include pain or discomfort especially with or following coughing, exercise, or bowel movements, are absent in about a third of patients. Symptoms often get worse throughout the day and improve when lying down. A bulging area may occur that becomes larger when bearing down. Inguinal hernias occur more often on the right than left side. The main concern is strangulation, where the blood supply to part of the intestine is blocked. This usually produces severe pain and tenderness of the area. Risk factors for the development of a hernia include: smoking, chronic obstructive pulmonary disease, obesity, pregnancy, peritoneal dialysis, collagen vascular disease, and previous open appendectomy, among others. Predisposition to hernias is genetic and they occur more often in certain families. Deleterious mutations causing predisposition to hernias seem to have domina ...
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Lateral Umbilical Ligament
The lateral umbilical fold overlies the inferior epigastric artery (a branch of the external iliac artery) and its accompanying veins. Unlike the median and medial umbilical folds, the contents of the lateral umbilical fold remain functional after birth. It originates just medial to the deep inguinal ring to the arcuate line on the posterior surface of the anterior abdominal wall. Clinical significance The lateral umbilical fold is an important reference site with regards to hernia classification. A direct hernia occurs medial to the lateral umbilical fold, whereas an indirect hernia originates lateral to the fold. This latter case is due to the placement of the opening of the deep inguinal ring in the space lateral to the lateral umbilical fold, which allows the passage of the ductus deferens, testicular artery, and other components of the spermatic cord in men, or the round ligament of the uterus in women. Additional images File:Gray539.png, The arteries of the pelvis ...
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