AnteriorAbdominalWallIntermediateDissectionEdemal interoostalmusclesPectoralis majormusolesExtemalabdominal obiquemusole(cutauay)Anterniortayerofrectussheath (cut edges)LUinea albaLatissimus dorsi muscleRectusabdominismuscleSeratus anterior muscleEtemalabdominalobliquemuscle(outaway)Tendinous inscriptionExtemal obliquelntermalabdominafobliquemuscleaponeurosis (cut edge)Pyramidalis muscleRectussheathIntemalabdominal obliquemuscle-Falx inguinalis (oonjoinedtendon)Extemal obique aponeurosisAriteriorsupenioriliac spine(cut andtumed down)Inguinal (Poupart'syligamentCremastermuscie (ateral ongin)Pectineal (Cooper's)ligamentFalx inguinalis (conjoined tendon)-Laounar(Gimbemat's)figament-Pubic tubencleRetlected inguinal ligamentSuspensory ligamentofpenisFemoral vein (infemoral sheath)CremastermusoleandfasciaFossa ovalis--Deeppenile(Buck's)fasciaCremastermuscle (medialorigin)AExtemalspematiofascia(cut)Fasoialata4Great saphenous veinSuperficial(dartos)fasciaofpenisandsorotum(outyACRR-REIRY
Conjointtendon(flaxinguinalis):thelowerfibersoftheinternalobliquemusclefusewiththelowermostarchingfibers ofthetransversemuscleofthe abdomen andinsertwiththeminto thepubictubercle,forming theconjoint tendon.CremasterConiointTendon
TransversalisFasciaIs consideredthe downward continuationofthetransversalismuscleThe lower free margin of this musclearches with the internal oblique muscleover the internal inguinal ringto form thetransverses abdominis aponeuroticarch
Transversalis Fascia ➢ Is considered the downward continuation of the transversalis muscle ➢ The lower free margin of this muscle arches with the internal oblique muscle over the internal inguinal ring to form the transverses abdominis aponeurotic arch
AnteriorAbdominalWallDeep DissectionSuperior epigastrio vesselsAntenorlayerofrectus sheathSerratus anteriormuscleLineaalbaExtemalabdominalAnteniorlayerofrectussheath(out)obliquemusale (outTransversusabdominismusole(cut)Rectus abdominis musclesTransversalisfasoia (opened on let)Etemalobllqueaponeurosis(out)Peritoneumand extraperitoneal(subserous)fasoia (areolartissue)Intemalobliqueaponeurosis (cut)Mediatumbilical ligamentTransversusabdominismusole(obliteratedumbilicalartery)IntemalabdominalUmbilical prevesical fasciaobliquemuscle (cut)18Arcuate linePostenorlayerof rectus sheathArouate lineInferiorepigastricarteryandvein (cut)Inferiorepigastric vesselsSiteof deep inguinal ningAriteriorsuperior iliao spine(oniginofintemal spematicFalx inguinalis (conjoinedtendon)Cremastenio andpubic branchesLacunar(Gimbemat's)ligament)ofinfenorepigastnicartenySuperficlal circumflex iliacFemoral sheath CoontainingSuperfioial epigastno arteryfemoral artenyand vein)Superficial extemalInguinal(Poupart's)ligamentpudendal antery (out)Pectineal(Cooper's)ligamentRetlected inguinal Sigamernt-Fatinprevesical space (ofRetzius)Fascia lata-Pectineal fasciaPubiotuberoleSantonusmuscleCremastermusdle and fasciaIntemal spematio fasciaDeeppenile(Buok's)fasoiarCremastermuscleSuperficial (dartos)and fascia (cut)Extemalspematicfascla (out)fascia of oenis andACER-RFAY
PreperitonealSpaceContains:Adipose tissueLymphaticsBlood vesselsa)Externaliliacarteryb)Inferiorepigastricarteryc)Obturator arteryd)ArteriacoronamortisNervesa)Lateralfemoral cutaneous nerveb)Genitofemoralnerve
Preperitoneal Space Contains: ⚫ Adipose tissue ⚫ Lymphatics ⚫ Blood vessels a) External iliac artery b) Inferior epigastric artery c) Obturator artery d) Arteria corona mortis ⚫ Nerves a) Lateral femoral cutaneous nerve b) Genitofemoral nerve