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Inguinal Region Part I

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Posted by lae2 on September 23, 2017 at 14:55:04:

1. Each of the three digastric muscles that make up the anterior abdominal wall contribute a tunic to the spermatic cord.
2. The processes vaginalis, if entirely patent, provides a communication between the peritoneal cavity and the tunica vaginalis.
3. The deep ring is of the parietal peritoneum.
4. The posterior boundary of the inguinal canal is formed by the conjoint tendon.
5. Hernias that occur at either the medial inguinal fossa or the supravesical fossa are indirect inguinal hernias.
6. Direct inguinal hernias may be palpated from the anterior surface of the scrotum.
7. An indirect hernia passes deep to internal spermatic fascia.
8. The cremasteric artery is found superficial to internal spermatic fascia and deep to external spermatic fascia.
9. The pampiniform plexus is deep to the internal spermatic fascia.
10. The deferential artery and plexus are found within the internal spermatic fascia.
11. The testicular artery is within the internal spermatic fascia.
12. The genital branch of the genitofemoral nerve is superficial to the cremasteric fascia.
13. The inferior boundary of the inguinal canal is the inguinal ligament.
14. Commonly, a direct inguinal hernia contained between external spermatic fascia and cremasteric fascia.
15. The afferent limb of cremasteric reflex is, in part, mediated by the femoral branch of the genitofemoral nerve.
16. The efferent limb of the cremasteric reflex is mediated by the anterior scrotal branch of the ilioinguinal nerve.
17. In the female, the processes vaginalis precedes the ovary in following the gubernaculum.
18. Lymph vessels accompany the round ligament of the female to the region of the mons pubis.
19. Metastatic disease from the inferior pole of the ovary may follow a lymphatic pathway through the inguinal canal and then to the superficial inguinal lymph nodes.
20. The reflected inguinal ligament is found medial and superior to the pubic tubercle.
21. The lacunar ligament is lateral and inferior to the pubic tubercle.
22. Direct inguinal hernias are palpated inferior and lateral to the pubic tubercle.
23. Femoral hernias are palpated medial and superior to the pubic tubercle.
24. Femoral hernias are more common in males than in females.
25. In the case of femoral and inguinal hernias, the innermost layer of the hernial sac is transversalis fascia.

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