腹股沟区解剖参考课件.pptVIP

* * * * INDIRECT Within the internal ring. Lateral to the epigastrics. In the lateral triangle. * * * * * * * * * * * * * * * * * * Playdoh activity: Have them cut a piece of wax paper approx. 14 cm x 14 cm in length Using a white rope (or part of knot tying rope), cut to form inguinal ligament Use white playdoh to form ASIS (anterior superior iliac spine) and pubic tubercle * * * * 4. Use blue playdoh to represent rectus sheath * * Rectus sheath is underneath the preperitoneal fat Yellow playdoh represents preperitoneal fat Use blue and red playdoh to create epigastric vein and artery * * Use pink playdoh to represent transversalis fascia Use end of marker to create internal ring (lateral of epigastric vessels) * * Use Penrose drain to represent spermatic cord through internal ring Use green playdoh to represent internal oblique – the lack of coverage shows weakness a potential opportunity for hernias to form. * * 11. Use red playdoh to represent external ring 12. Create ring (opening, not really ring – to include fibers over ring) and pull spermatic cord through external ring * * Excise external oblique. This is the incision surgeons make to enter the inguinal region to repair a hernia. Notice, the excision is made to the external ring. Next, the surgeon would pull the spermatic cord out of their way by using a Penrose drain and repair the hernia as required. * * * * * * * A HERNIA is a protrusion of an internal organ or part of an organ through a tear, hole or defect in the wall of a body cavity (i.e. the abdominal wall muscle). It may be present at birth, or be acquired later in life after repetitive heavy strain or injury to this abdom