The abdominal wall 1.Surface landmarks Boundaries,Planes and regions 2.Anterolateral abdominal wall 1.Muscles 2.Blood vessels and lymphatic drainage 3.Nerves 3.Inguinal region and inguinal canal 1.1 Body landmarks ·Xiphoid process Costal arch 。 Anterior superior iliac spine "ASIS" lliac crest tubercle 5cm from asis) Superior border of pubic symphysis Pubic tubercle
The abdominal wall 1. Surface landmarks Boundaries, Planes and regions 2. Anterolateral abdominal wall 1. Muscles 2. Blood vessels and lymphatic drainage 3. Nerves 3. Inguinal region and inguinal canal 1.1 Body landmarks • Xiphoid process • Costal arch • Anterior superior iliac spine “ASIS” • Iliac crest ( tubercle 5cm from asis) • Superior border of pubic symphysis • Pubic tubercle
Boundaries of the abdomen Boundary ·Superiorly- xiphoid process(①，lower border of costal arch②③，11 th and12th ribs,vertebra T12 。Inferiorly- superior border of pubic symphysis(13), pubic crest(②，pubic tubercle(11), fold of inguinal canal, anterior superior iliac spine ASIS(⑦， iliac crest⑥，spinous process of L5
Boundaries of the abdomen Boundary • Superiorly－ xiphoid process①, lower border of costal arch ② ③, 11th and 12th ribs, vertebra T12 • Inferiorly－ superior border of pubic symphysis⒀, pubic crest⑿, pubic tubercle⑾, fold of inguinal canal, anterior superior iliac spine ASIS⑦, iliac crest ⑥, spinous process of L5
The abdominal regions -Nine regions R.hypochondriac Epigastric region region L.hypochondriacregion R.lateral regions L.lateral regions R.inguinal region Umbilical region L.inguinal region Hypogastric(Pubic)region 2 horizontal planes:subcostal and transtubercular planes 2 vertical planes---line joins the midclavicular to midpoint of inguinal canal
The abdominal regions ——Nine regions R. hypochondriac region Epigastric region L. hypochondriac region R. lateral regions Umbilical region L. lateral regions R. inguinal region L. inguinal region Hypogastric(Pubic) region 2 horizontal planes: subcostal and transtubercular planes 2 vertical planes--- line joins the midclavicular to midpoint of inguinal canal
The abdominal regions -Four quadrants ·Left and right upper quadrants 。Left and right lower quadrants The median plane and the transverse umbilicus plane
The abdominal regions ——Four quadrants • Left and right upper quadrants • Left and right lower quadrants • The median plane and the transverse umbilicus plane
Landmarks of abdomen ·Pubic symphysis ·Pubic tubercle ·lliac crest ·Umbilicus Linea semilunaris1---9--5--13 Transpyloric plane L1 First layer-liver,gallbladder,stomach 1. Second layer-duodenum,pancreas,spleen Third layer-suprarenal gland,kidney,ureter,inferior vena cava,abdominal aorta,nerves and lymphatics
Landmarks of abdomen • Pubic symphysis • Pubic tubercle • Iliac crest • Umbilicus • Linea semilunaris1---9--5--13 • Transpyloric plane L1 First layer－liver, gallbladder, stomach Second layer－duodenum, pancreas, spleen Third layer－suprarenal gland, kidney, ureter, inferior vena cava, abdominal aorta, nerves and lymphatics