AnatomyOrganismsDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesTechnology, Industry, Agriculture
Rectus AbdominisAbdominal WallAbdominal MusclesHernia, UmbilicalHematomaAnesthesia, RectalEpigastric ArteriesLaughter TherapyHernia, AbdominalFasciaInfusions, IntralesionalHernia, VentralMuscular DiseasesSurgical MeshOculomotor MusclesCell WallCampylobacter rectusAbdominal PainAbdomenGastroschisisPolypropylenesAbdominal NeoplasmsFascia LataBupivacaineNerve Sheath NeoplasmsSurgical FlapsAbdominal Wound Closure TechniquesUmbilicusLaparotomySuture TechniquesReconstructive Surgical ProceduresSuturesSurgical Wound DehiscenceAbdominal InjuriesHerniorrhaphyStrabismusExotropiaAnesthetics, LocalTissue AdhesionsOphthalmologic Surgical ProceduresAnticoagulantsMyelin SheathAbdominoplastyOrbitPneumoperitoneum, ArtificialEsotropiaTensile StrengthFibromatosis, AggressivePolyglactin 910HerniaDiplopiaPeritoneal DiseasesFasciitisLaparoscopyGroinIntestinal FistulaBiocompatible MaterialsWound HealingAbducens NerveCicatrixPostoperative ComplicationsEpispadiasAbducens Nerve DiseasesOculomotor NerveHernia, InguinalTissue ExpansionEye MovementsThoracic WallBladder ExstrophyCutaneous FistulaDuane Retraction SyndromeSurgical Wound InfectionPeritoneumOculomotor Nerve Diseases
MidlineHerniasAbdominis musclesAnterolateral abdominalInternal obliquePerformed abdominal wall blocksQuadratus lumborumInguinalTransversus abdominisAponeurosisAbdomenTendinousSuperficialAnatomyHematomaIncisionDefectIntra-abdominal pressureDefectsIncisionsLinea albaSegmentalSurgicalPosterior abdoUltrasoundAortaEncloseMusculatureFascialDissectionArcuate lineThoracicReconstructionInferiorMedialBilateralCavityAnterior wallFlapMuscleEpigastricAponeuroticLateral abdominal wallIntercostalLarge abdominalPubicSurgeryTransverse abdominalPeritonealOrgansMeshHematomasThoraxProtrusionIlioinguinal
Midline18
  • The rectus muscles are separated in the midline by the linea alba. (medscape.com)
  • The linea alba is a line formed by the aponeuroses of the right and left rectus muscle and connects both muscles in the midline. (radiologyassistant.nl)
  • [ 9 ] Although aponeurotic suturing in the midline was noted to be able to reduce anterior projection of the abdominal wall, it did little to reduce the diameter of the waist. (medscape.com)
  • Five days after pretreatment injection, a plastic surgeon who was blinded to the injected material made a 6 cm vertical midline incision (a depth just above the posterior rectus sheath). (hindawi.com)
  • There are four pairs of abdominal muscles that cover the anterior and lateral abdominal region and meet at the anterior midline. (lumenlearning.com)
  • The linea alba is a white, fibrous band that is made of the bilateral rectus sheaths that join at the anterior midline of the body. (lumenlearning.com)
  • Assessment of the analgesic effectiveness of rectus sheath block in patients who had an emergency midline laparotomy : prospective observational cohort study. (ijrajournal.com)
  • The mass should not cross the midline and should be easier to palpate with abdominal muscle contractions. (mhmedical.com)
  • At midline, the anterior and posterior aponeuroses of the right and left rectus abdominis muscles combine to form the linea alba, a thick fibrous band of fascia. (aneskey.com)
  • There are four paired muscles in the anterolateral abdominal wall: the rectus abdominis (superficial, parallel in the midline), the external oblique, internal oblique, and transversus abdominis muscles (deep and most lateral). (mhmedical.com)
  • The aponeurotic components of the sheath interdigitate in a thickened fibrous midline raphe between the two recti known helpfully as the linea alba ('white line') . (gynecoloncol.com)
  • This produces a distinct ridge in the midline on increasing intra-abdominal pressure that is often mistaken for an epigastric hernia. (gynecoloncol.com)
  • Diastasis Recti Repair or diastasis of rectus muscle is a separation of the two midline, vertical abdominal muscles, called rectus muscles or six-pack muscles. (surgicaloasis.com)
  • These two sheaths are connected in the midline and create a vertical line, called linea alba or white line. (surgicaloasis.com)
  • If the abdominal wall gets extremely distended for any reason whether obesity or pregnancy, the two midline rectus muscles would separate from each other and the midline white line would stretch. (surgicaloasis.com)
  • Ventral/incisional hernias are generally in the abdominal midline and can be repaired with sutures if the defect is small but mesh is generally used for larger defects. (richardriccamd.com)
  • As with the other flat muscles, the transversus abdominis forms a broad aponeurosis that helps make up the rectus sheath before it fuses in the midline to the linea alba. (medscape.com)
  • centre, with complaints of increasing sub-umbilical midline (extending from The abdomen was opened through a abdominal distension and abdominal umbilicus to the pubic symphysis). (who.int)
Hernias17
  • This mission's purpose was multipronged, involving scanning and treating patients for cleft lips, abdominal reconstruction for complex hernias and bariatric procedures. (sonosite.com)
  • All of our patients with abdominal hernias received ultrasound-guided nerve blocks . (sonosite.com)
  • Abdominal hernias are usually a clinical diagnosis and have been considered a simple problem to be repaired. (radiologyassistant.nl)
  • In this article we will adress the key imaging features of complex abdominal wall hernias. (radiologyassistant.nl)
  • Because abdominal wall hernias are defects of the fascia of the abdominal wall, these fascia layers need to be brought together during surgery. (radiologyassistant.nl)
  • Abdominal wall hernias can be divided into primary hernias, that are not related to incisions and incisional hernias. (radiologyassistant.nl)
  • Primary abdominal hernias are hernias, that are located at certain weak spots in the abdominal wall. (radiologyassistant.nl)
  • Patients with abdominal wall hernias should be diagnosed and repaired before or at the same time as PD catheter insertion. (guidelinecentral.com)
  • Prior to discussing an approach to repair, it is helpful to appreciate the magnitude of the problem posed by incisional hernias and other abdominal wall defects. (medscape.com)
  • Ventral hernias can sometimes occur spontaneously, but more often, they are due to surgical trauma, particularly following abdominal interventions. (supergrouppllc.com)
  • Additionally, ventral hernias are often caused by incisions made in order to perform abdominal surgery. (supergrouppllc.com)
  • Abdominal hernias are extremely common, particularly among males, necessitating about 700,000 operations each year in the United States. (msdmanuals.com)
  • About 75% of all abdominal hernias are inguinal. (msdmanuals.com)
  • Spigelian hernias occur through defects in the transversus abdominis muscle lateral to the rectus sheath, usually below the level of the umbilicus. (msdmanuals.com)
  • Incisional hernias occur through an incision from previous abdominal surgery. (msdmanuals.com)
  • Defects in the integrity of the internal oblique may give rise to the formation of Spigellian Hernias, allowing protrusion of the peritoneal sac into the rectus sheath. (gynecoloncol.com)
  • Patient related risk factors include age, obesity, increasing waist circumference, respiratory comorbidity, cancer, diabetes mellitus and the presence of other abdominal wall hernias have all been identified as increasing risk of PSH in the literature. (eu.com)
Abdominis muscles8
  • The rectus sheath consists of the rectus abdominis muscles, an enveloping fascial sheath, and their blood supply via the epigastric arteries and veins. (medscape.com)
  • The rectus abdominis muscles are two parallel vertically aligned muscles. (medscape.com)
  • The rectus abdominis muscles arise from the superior ramus of the pubis and insert into the ventral aspect of the fifth, sixth, and seventh costal cartilages and the xiphoid process. (medscape.com)
  • These enclose the rectus abdominis muscles (a pair of long, linear muscles, commonly called the "sit-up" muscles) that originate at the pubic crest and symphysis, and extend the length of the body's trunk. (lumenlearning.com)
  • These nerves travel in the fascial plane between the internal oblique and the transversus abdominis muscles to the anterior abdominal wall. (aneskey.com)
  • The gastric tumor infiltrated her transverse mesocolon, the rectus abdominis muscles bilaterally and overran them anteriorly, causing a large parietal deficit and a complete external fistula. (biomedcentral.com)
  • The mass appeared to infiltrate her transverse mesocolon and her rectus abdominis muscles bilaterally, and to overrun them anteriorly causing a large parietal deficit and a complete external fistula. (biomedcentral.com)
  • The abdominal wall is composed of 5 paired muscles: 2 vertical muscles (the rectus abdominis and the pyramidalis) and 3 layered, flat muscles (the external abdominal oblique, the internal abdominal oblique, and the transversus abdominis muscles). (medscape.com)
Anterolateral abdominal4
  • Usually the anterior wall is made up of the aponeuroses of EOA and IOA above the arcuate and aponeuroses of all the three anterolateral abdominal muscles below this line (Williams et al . (scielo.cl)
  • These muscles of the anterolateral abdominal wall can be divided into four groups: the external obliques, the internal obliques, the transversus abdominis, and the rectus abdominis (Figure 1, Figure 2, and Table 1). (lumenlearning.com)
  • Analgesic effects of the US-guided TAP block can be explained by the organization of the thoracolumbar nerves along the musculofascial anatomy of the anterolateral abdominal wall. (mhmedical.com)
  • These muscles and their fascial attachments interdigitate and unite to form a sturdy, protective musculofascial layer that gives strength and support to the anterolateral abdominal wall (see the images below). (medscape.com)
Internal oblique11
  • The transverse abdominal muscle (TVA), also known as the transverse abdominis, transversalis muscle and transversus abdominis muscle, is a muscle layer of the anterior and lateral (front and side) abdominal wall , deep to (layered below) the internal oblique muscle. (wikipedia.org)
  • Above the arcuate line, the aponeuroses of the external oblique, the internal oblique, and the transversalis muscles invest the rectus muscle. (medscape.com)
  • The aponeurosis of the internal oblique (7) contributes to the anterior as well as to the posterior lamina of the sheath at this level. (stanford.edu)
  • The transversus muscle (14) passes posterior to the aponeurosis of the internal oblique to become aponeurotic approximately midway in its course behind the rectus muscle. (stanford.edu)
  • Here, the anterior and posterior rectus sheaths connect with the three lateral abdominal wall muscles: the external oblique, the internal oblique and the transverse abdominal. (radiologyassistant.nl)
  • This illustration demonstrates how the anterior and posterior rectus sheath are formed by the aponeuroses of the external oblique, internal oblique and transverse abdominal muscles. (radiologyassistant.nl)
  • The main branches were located between the internal oblique and transverse abdominal muscles. (eur.nl)
  • At the lateral border of the rectus abdominis, the aponeuroses of the external oblique, internal oblique, and transversus abdominis muscle combine to form the linea semilunaris. (aneskey.com)
  • 1) For most of the length of the paired recti, the anterior sheath is formed by the external oblique and anterior leaf of the internal oblique aponeuroses. (gynecoloncol.com)
  • The sheath is bounded laterally by the Linea Semilunaris , which is the longitudinal margin at which the internal oblique aponeuroses bifurcate to form anterior and posterior leaves. (gynecoloncol.com)
  • Separate the internal oblique and transverses abdominal muscles. (medicalopedia.org)
Performed abdominal wall blocks1
Quadratus lumborum1
  • The posterior abdominal wall is formed by the lumbar vertebrae, parts of the ilia of the hip bones, psoas major and iliacus muscles, and quadratus lumborum muscle. (lumenlearning.com)
Inguinal6
  • The transverse abdominal arises as fleshy fibers, from the lateral third of the inguinal ligament, from the anterior three-fourths of the inner lip of the iliac crest, from the inner surfaces of the cartilages of the lower six ribs, interdigitating with the diaphragm, and from the thoracolumbar fascia. (wikipedia.org)
  • The abdominal inguinal ring. (wikipedia.org)
  • It rises from the inguinal ligament to enter the posterior rectus sheath inferiorly. (medscape.com)
  • An open(surgical incision) repair can be performed using local anesthesia with intravenous sedation and I generally perform a mesh free inguinal hernia repair when performing this operation, using a relaxing incision in the anterior rectus sheath which allows mobilization of the transversalis fascia so that it can be sutured to Cooper's ligament(A ligament on the inside of the pelvis bone) without tension. (richardriccamd.com)
  • Toward the inferior half of the abdominal skin, these lines begin to assume a slightly more oblique course in an inferior medial direction toward the groin, paralleling the inguinal crease. (medscape.com)
  • Her inguinal lymph nodes were not was made in the anterior uterine wall started and a traditional birth attendant enlarged. (who.int)
Transversus abdominis4
  • The ultrasound (US)-guided transversus abdominis plane (TAP) block is a commonly used analgesic technique for surgeries involving the abdominal wall, as part of a multimodal postoperative pain treatment. (mhmedical.com)
  • The posterior sheath is formed by the posterior leaf of the internal and the transversus abdominis aponeuroses and bears the superior and inferior epigastric arteries and their anastomotic network. (gynecoloncol.com)
  • The transversus abdominis muscle is the deepest of the 3 paired, flat abdominal muscles. (medscape.com)
  • Above the arcuate line, the transversus abdominis aponeurosis contributes to the posterior rectus sheath. (medscape.com)
Aponeurosis6
  • a deep lamina that fused with the aponeurosis of transverses abdominis at the lateral border of rectus abdominis and a superficial lamina that fused with aponeurosis of external oblique abdominis mid-way between the medial and lateral borders of rectus abdominis muscle. (scielo.cl)
  • En todos los casos, la aponeurosis del músculo oblicuo interno del abdomen se dividió en dos láminas, una lámina profunda que se fusionaba con la aponeurosis del músculo transverso del abdomen en el borde lateral del músculo recto del abdomen y una lámina superficial que se fusionaba con la aponeurosis del músculo oblicuo externo del abdomen a mitad del recorrido entre los bordes medial y lateral del músculo recto del abdomen. (scielo.cl)
  • The elective surgery technique was Rives or Rives-Stoppa with an associated supraaponeurotic mesh if the closure of the anterior aponeurosis of the rectus sheath was not surgically closed (13 patients). (nih.gov)
  • The common aponeurosis splits into an anterior and posterior aponeurosis that encase the rectus abdominis muscle and nerve plexus in a sheath. (aneskey.com)
  • The rectus sheath is composed of an anterior and posterior aponeurosis that bind the rectus abdominis muscle and form the rectus sheath. (aneskey.com)
  • 2) There is no posterior sheath above the level of the costal margin , as the recti remain covered anteriorly by the external oblique aponeurosis and insert directly onto the underlying costal cartilages. (gynecoloncol.com)
Abdomen9
  • The transverse abdominal, so called for the direction of its fibers, is the innermost of the flat muscles of the abdomen. (wikipedia.org)
  • Este estudio tiene como objetivo describir el patrón de formación de la vaina del músculo recto del abdomen en una población seleccionada de Kenia. (scielo.cl)
  • La formación de la vaina del músculo recto del abdomen se analizó en 80 sujetos (47 hombres, 33 mujeres) durante autopsias y disección de cadáveres. (scielo.cl)
  • El patrón de formación de la vaina del músculo recto del abdomen, entre los kenianos muestra algunas variaciones que no han sido reportadas en trabajos anteriores. (scielo.cl)
  • There are three flat skeletal muscles in the antero-lateral wall of the abdomen. (lumenlearning.com)
  • This injury results in intense abdominal pain, which can mimic an acute abdomen. (mhmedical.com)
  • Entrance to the abdomen is accomplished and the falciform ligament removed by excision along its lateral attachments to the abdominal wall and ligation at its cranial aspect. (dvm360.com)
  • Visualization of the abdomen is further enhanced by placement of Balfour self-retaining retractors after laparotomy pads moistened with saline have been placed to protect the abdominal wall. (dvm360.com)
  • in the abdomen the ureter receives branches from the renal, gonadal, common iliac arteries and the abdominal aorta. (your-doctor.net)
Tendinous4
  • Three to four transverse tendinous inscriptions attach the rectus muscle to the enveloping fascia, usually above the arcuate line. (medscape.com)
  • The tendinous inscriptions form the typical segmental pattern of the rectus abdominis muscle. (medscape.com)
  • The linea semilunaris is a curved tendinous line that is located lateral to the rectus abdominis muscle on both sides. (radiologyassistant.nl)
  • The recti are interrupted by three paired tendinous intersections anchoring them to the anterior sheath, broadly found close to the xiphisternum , at the level of the umbilicus and then halfway between the two. (gynecoloncol.com)
Superficial2
Anatomy4
  • The best aid to understanding the pathogenesis and making the diagnosis of rectus sheath hematoma is knowledge of the relevant anatomy. (medscape.com)
  • Anatomy of the rectus sheath. (medscape.com)
  • With the addition of liposuction, Matarasso in 1988 expanded the use of abdominal contour surgery to a classification based on variations in patients' anatomy, from liposuction alone to limited and full abdominoplastic surgery. (medscape.com)
  • However, this condition, especially in female after pregnancy is usually associated with overall abdominal wall muscle laxity, extra skin and excess fat and therefore it could be resolved by abdominoplasty with liposculpture/liposuction to not only reconstruct the normal abdominal wall anatomy and function but also eliminate the extra skin and excess fat and restore the abdominal wall contour. (surgicaloasis.com)
Hematoma12
Incision8
  • Standard technique for abdominal wall closure should be practiced considering the need to provide good support, prevent infections, sinus formation, and incision pain and scar dehiscence. (intechopen.com)
  • From a mechanical standpoint, greater understanding of the abdominal wall as a dynamic musculotendinous structure has led to characterization of a laparotomy incision within the linea alba as a tendon injury, akin to laceration of an upper extremity tendon. (medscape.com)
  • This requires a small incision above the hernia, allowing us to push the protruding tissue back into place and then repair the opening in the muscle wall. (supergrouppllc.com)
  • The rectus sheath block provides periumbilical somatic analgesia from the levels T9-T11 and is used for surgeries involving a periumbilical incision. (aneskey.com)
  • The choice of abdominal incision is mainly dependent on the area that needs to be exposed, the elective or emergency nature of the operation and the surgeon's personal preference. (gynecoloncol.com)
  • However, type of abdominal incision may have a profound influence on the occurrence of postoperative wound complications. (gynecoloncol.com)
  • Considering the number of laparotomies performed (e.g. 4.000.000 in the USA annually), consequences of the use of a specific type of abdominal incision may be substantial. (gynecoloncol.com)
  • Surgery is initiated with a generous abdominal incision that allows access for palpation and visualization of all structures. (dvm360.com)
Defect12
  • Condition of the abdominal wall musculature and the ratio between the defect and the width of the rectus muscles (RDR). (radiologyassistant.nl)
  • The most significant area of the defect is around and below the umbilicus, where excess skin over a diastasis of the rectus muscles is most apparent. (medscape.com)
  • Any musculofascial defect in the abdominal wall was closed primarily using Vicryl 4-0 (a). (hindawi.com)
  • That said, while large abdominal wall defects can be plagued by significant herniation of intra-abdominal contents, the size of the fascial defect puts them at low risk for incarceration. (medscape.com)
  • A hernia of the abdominal wall is a protrusion of the abdominal contents through an acquired or congenital area of weakness or defect in the wall. (msdmanuals.com)
  • A sports hernia is not a true hernia because there is no abdominal wall defect through which abdominal contents protrude. (msdmanuals.com)
  • They can often reduce the hernia by pushing it back through the abdominal wall defect. (msdmanuals.com)
  • An elastic defect in this raphe may allow the fascia to stretch and abdominal contents to bulge forward through the resulting divarication of the recti. (gynecoloncol.com)
  • Since his condition is not a true hernia defect , it's not considered physically dangerous, but some patients complain of discomfort and instability in the abdominal wall especially during exercise and heavy activity. (surgicaloasis.com)
  • All robotic hernia repairs are performed with sac excision, primary closure of the defect and intra corporeal suturing of mesh to posterior rectus sheath without tackers or transfascial sutures. (sages.org)
  • An open repair can be performed or a laparoscopic repair can be performed depending on the size of the defect and possible complicating intra-abdominal processes. (richardriccamd.com)
  • Two intra-abdominal drains were positioned and the parietal defect (Figure 4 ) was reconstructed by positioning a biological prosthesis. (biomedcentral.com)
Intra-abdominal pressure2
  • The mesh is therefore buttressed up against the abdominal wall and additionally held in place by intra-abdominal pressure. (richardriccamd.com)
  • The intra-abdominal pressure (IAP) through intravesical measurement was lower than 10mmHg during the operation and during the postoperative course. (biomedcentral.com)
Defects11
  • For decades, the rectus abdominis flap has been used to reconstruct breast defects, primarily as a pedicled flap. (medscape.com)
  • Although not optimal for small or shallow defects, the rectus flap provides the reconstructive surgeon with an excellent option to reconstruct large defects. (medscape.com)
  • The rectus flap provides excellent reconstruction of total glossectomy defects. (medscape.com)
  • Nowadays, the gold standard for the surgical treatment of abdominal wall defects is the use of a mesh. (nih.gov)
  • Contraindications for laparoscopic PD catheter placement include active abdominal infection and uncorrectable mechanical defects of the abdominal wall. (guidelinecentral.com)
  • The management of complex abdominal wall defects has challenged both general surgeons and reconstructive surgeons since the turn of the last century. (medscape.com)
  • Formerly the domain of the general surgeon, the increasing complexity of the abdominal wall defects and the development of techniques involving manipulation and mobilization of muscle and myocutaneous flaps have drawn on the expertise of the plastic surgeon. (medscape.com)
  • Regardless of the surgeon's background, the goals of the reconstructive surgeon in managing complex abdominal wall defects are to restore the structural and functional continuity of the musculofascial system and to provide stable and durable wound coverage. (medscape.com)
  • These factors have produced a large subset of medically complicated patients with structurally complex abdominal wall defects. (medscape.com)
  • Abdominal wall defects are no longer characterized as "holes," but as chronic wounds that result in a complex neuromuscular deformity. (medscape.com)
  • The benefit of this technique is that it allows the closure of large abdominal defects while also reinforcing the abdominal wall. (supergrouppllc.com)
Incisions1
  • Knowledge of these variations is important in surgery as this sheath is always incised when making most aabdominal incisions. (scielo.cl)
Linea alba4
  • As the linea alba is an avascular area, it is frequently used as point of entrance for open abdominal surgery. (radiologyassistant.nl)
  • The anterior abdominal muscles include the medially located rectus femoris, which is covered by a sheet of connective tissue called the linea alba. (lumenlearning.com)
  • In between both muscles the rectus sheaths join to form the relatively avascular linea alba. (gynecoloncol.com)
  • The internal abdominal oblique inserts on the inferior border of the 10th-12th ribs, the linea alba, and the pubic crest via the conjoint tendon. (medscape.com)
Segmental3
  • The transverse abdominal and the segmental stabilizers (e.g. the multifidi) of the spine have evolved to work in tandem. (wikipedia.org)
  • The rectus abdominis muscle receives sensorimotor innervation through thoracolumbar spinal segmental nerves from spinal levels T7-L1. (aneskey.com)
  • The abdominal skin is innervated in a segmental pattern by the anterior rami of the T7-L1 thoracoabdominal nerves. (medscape.com)
Surgical7
  • Therefore, the rectus sheaths play an important role in surgical hernia repair. (radiologyassistant.nl)
  • A case of abdominal wall endometrioma diagnosed clinically and treated by wide surgical resection is presented to highlight the importance of clinical evaluation in the diagnosis of this condition. (slideshare.net)
  • Likewise, surgical techniques have evolved to emphasize restoration of abdominal wall function as well as structure. (medscape.com)
  • The resulting shift from a "tension-free repair" to a repair under "physiologic tension" has led to changes in surgical technique, with a greater preference for lighter-weight prosthetic materials and more widespread use of components separation, a procedure designed to improve abdominal wall compliance. (medscape.com)
  • If you notice any of these symptoms, particularly if you have recently had a surgical procedure performed in your abdominal region, we recommend seeing a doctor. (supergrouppllc.com)
  • Surgical techniques for Diastasis Recti Repair have continued to be refined in hopes of providing a repair with less chance of recurrence, less acute and chronic pain, less complications, faster recovery and better long term quality of life. (surgicaloasis.com)
  • Treatment consisted of a complex surgical procedure requiring general and reconstructive surgery cooperation in order to perform an en bloc gastric resection including colon and abdominal wall, followed by a parietal reconstruction through positioning of prosthesis and reverse abdominoplasty. (biomedcentral.com)
Posterior abdo1
Ultrasound5
Aorta1
Enclose2
  • 1998). This sheath has two walls, anterior and posterior, that enclose rectus abdominis muscle and its neurovascular bundle. (scielo.cl)
  • The aponeuroses of these three muscles form the sturdy rectus sheaths , which enclose the fourth abdominal wall muscle, the rectus abdominis, which inserts on the 5th, 6th and 7th ribs superiorly and on the pubic bone inferiorly. (gynecoloncol.com)
Musculature3
Fascial3
  • Several approaches along the fascial plane have been described to block specific areas of the abdominal wall. (mhmedical.com)
  • Are Fascial Plane Blocks the New Gold Standard for Analgesia in Major Abdominal Surgery? (e-congres.com)
  • The anatomic planes of the abdominal wall are made up of multiple muscular and fascial layers that interdigitate and unite to form a sturdy, protective musculofascial layer that protects the visceral organs and provides strength and stability to the body's trunk. (medscape.com)
Dissection6
  • This communication creates a natural dissection plane between the posterior rectus sheath and the bladder. (medscape.com)
  • Formation of the rectus sheath was analyzed in eighty subjects (47 male, 33 female) during autopsies and cadaveric dissection. (scielo.cl)
  • Selecting perforators is a balance of achieving adequate perfusion while minimizing abdominal wall morbidity from the dissection. (thieme-connect.de)
  • Although technically an easier dissection due to a shorter intramuscular course,[ 2 ] the lateral row is traditionally avoided to prevent abdominal wall morbidity related to its anatomical proximity to motor nerves supplying the abdominal wall. (thieme-connect.de)
  • The posterior lamella of the posterior rectus sheath and the transverse abdominis muscle were then divided and the dissection continued in the retroperitoneum. (diagnosticgreen.com)
  • An en bloc resection of stomach, colon and abdominal wall was performed (Figure 3 ) along with systematic lymph node dissection, followed by mechanic gastrojejunostomy and hand-sewn ileocolic anastomosis. (biomedcentral.com)
Arcuate line6
  • The arcuate line is located about 5 cm below the umbilicus and functionally separates the rectus sheath into superior and inferior portions. (medscape.com)
  • Below the arcuate line, the aponeuroses remain intact anteriorly, but only the weak transversalis fascia and peritoneum separate the muscle mass from the abdominal viscera posteriorly. (medscape.com)
  • According to these authors, the posterior wall only extends to the arcuate line and is made up of the aponeuroses of IOA and TA. (scielo.cl)
  • Perforator location is related to branch patterns described by Moon and Taylor of the DIEA coursing within the rectus sheath superior to the arcuate line. (thieme-connect.de)
  • 3) Roughly one third to halfway between the umbilicus and the pubic symphysis lies the arcuate Line (of Douglas) , which is the point at which the posterior elements of the sheath perforate to join the anterior sheath and leave the thickened transversalis fascia in direct contact with the rectus muscles. (gynecoloncol.com)
  • Below the arcuate line, it is fused with the other flat muscles as the anterior rectus sheath. (medscape.com)
Thoracic1
  • The transverse abdominal helps to compress the ribs and viscera, providing thoracic and pelvic stability. (wikipedia.org)
Reconstruction3
  • Reconstruction following orbital exenteration and maxillectomy is also facilitated with a rectus flap. (medscape.com)
  • Complex abdominal wall reconstruction (AWR) carries a significant wound morbidity. (diagnosticgreen.com)
  • Adequate blood flow evaluation with this technique contributes to the reduction of postoperative wound complications and improve patient outcomes following complex abdominal wall reconstruction. (diagnosticgreen.com)
Inferior5
  • It is the result of bleeding into the rectus sheath from damage to the superior or inferior epigastric arteries or their branches or from a direct tear of the rectus muscle. (medscape.com)
  • The arterial supply to the rectus sheath is derived from the superior and inferior epigastric arteries. (medscape.com)
  • The inferior epigastric artery then ascends loosely between the rectus abdominis muscle and the posterior rectus sheath. (medscape.com)
  • The VRAM (including skin, subcutaneous tissue, sheath and muscle) was then completed along the lateral aspect with preservation of the rectus abdominus insertion pedicle including inferior epigastric artery. (bmj.com)
  • Inferior epigastric vessel (IEV) bleeding usually results in a localised rectus sheath haematoma. (qscience.com)
Medial2
  • On the flanks of the body, medial to the rectus femoris, the abdominal wall is composed of three layers. (lumenlearning.com)
  • the anterior rectus sheath was preserved to the medial row and exenteration procedure completed with staggered urostomy and ileostomy. (bmj.com)
Bilateral3
Cavity5
  • Volume of the hernia sac in relation to the total peritoneal volume, also called "loss of domain", in order to determine whether there is enough space to reduce all herniated contents into the abdominal cavity without risk of recurrence or ventilatory restriction. (radiologyassistant.nl)
  • Beneath the rectus sheath the peritoneal cavity can be appreciated with the presence of abdominal contents, which can usually be observed during the block. (aneskey.com)
  • Several bones that help form the walls of the nasal cavity have air-containing spaces called the paranasal sinuses, which serve to warm and humidify incoming air. (usk.ac.id)
  • Good operating room lights properly positioned aid the surgeon in accurate examination of the abdominal cavity. (dvm360.com)
  • The abdominal cavity is the largest hollow space in the body. (medscape.com)
Anterior wall2
Flap5
  • Motor reinnervation of the rectus muscle, which allows for preservation of muscle bulk over time, has been described and serves to increase the usefulness of this versatile flap. (medscape.com)
  • The rectus abdominis flap is favored for this application because of its ease of harvest and reliability. (medscape.com)
  • The purpose of this article is to describe clinical outcomes based on row and number of perforators to reevaluate flap and abdominal donor site morbidity. (thieme-connect.de)
  • This is a type of advancement flap using the rectus abdominis muscle. (supergrouppllc.com)
  • Fluorescence guided imaging of the abdominal wall using the Indocyanine Green (ICG) dye provides an accurate and expeditious realtime assessment of the myocutaneous flap vascular perfusion. (diagnosticgreen.com)
Muscle23
  • During contractions of the rectus abdominis muscle, the length of the muscle changes, and the artery must glide with the muscle to avoid tearing. (medscape.com)
  • The superior epigastric artery enters the sheath from behind the seventh costal cartilage and descends between the rectus abdominis muscle and the posterior rectus sheath. (medscape.com)
  • The immediate cause of the rupture may be external trauma to the abdominal wall, iatrogenic trauma from surgery, or excessively vigorous contractions of the rectus muscle. (medscape.com)
  • The left rectus muscle has been detached from its origin and reflected medially. (stanford.edu)
  • The layers which comprise its sheath have been separated from each other near the lateral border of the muscle. (stanford.edu)
  • Rectus abdominis free tissue transfer allows for transfer of a large vascularized segment of skin and muscle from the abdominal wall to its intended recipient site. (medscape.com)
  • The result is stretching and thinning of these structures and diastasis of the rectus muscle. (medscape.com)
  • anterior to the rectus muscle. (cichlidresearch.com)
  • It has a large amount of smooth muscle, has a capsule and lined by transitional epithelium thrown into folds except over the trigone, wall. (cichlidresearch.com)
  • The three layers of muscle also help to protect the internal abdominal organs in an area where there is no bone. (lumenlearning.com)
  • Closing the abdominal wall in 3 layers with the transverse abdominal muscle separately might prevent damage to neighboring nerves. (eur.nl)
  • In some cases, steel mesh may be required to fortify the muscle wall. (supergrouppllc.com)
  • The rectus abdominis muscle is covered by anterior and posterior sheaths. (supergrouppllc.com)
  • By separating these sheaths from the muscle, a surgeon can increase the distance that the muscle may be stretched. (supergrouppllc.com)
  • A representation of the sensory distribution of the T9-T11 thoracolumbar spinal nerves in the rectus abdominis muscle. (aneskey.com)
  • It is important to note the deep epigastric artery provides blood supply to the rectus abdominis muscle and enters the muscle body at the level of the arcuate ligament. (aneskey.com)
  • Intercostal nerves eventually enter the sheath of the rectus abdominis muscle at its lateral margin (linea semilunaris). (mhmedical.com)
  • The posterior rectus sheath was separated from the rectus muscle all the way lateral until the perforator vessels were identified and protected. (diagnosticgreen.com)
  • The arcade is situated between the rectus abdominis muscle and its posterior sheath and supplies the muscle by perforating vessels . (gynecoloncol.com)
  • These two muscle are sandwiched in a sheath called rectus sheath. (surgicaloasis.com)
  • The four layers in the wall of the ureter include the inner transitional cell epithelium, lamina propria, smooth muscle and outer adventitia. (your-doctor.net)
  • The internal abdominal oblique muscle is the intermediate layer of the 3 paired, flat abdominal muscles. (medscape.com)
  • The muscle fibers of the internal abdominal oblique course upward in a superomedial orientation, perpendicular to the muscle fibers of the external abdominal oblique. (medscape.com)
Epigastric1
  • Rectus sheath hematomas (RSHs) are generally caused either by rupture of one of the epigastric arteries or by a muscular tear with shearing of a small vessel. (medscape.com)
Aponeurotic1
  • The posterior wall of the rectus sheath was aponeurotic in 71 (88.5%) cases, the rest were musculoaponeurotic and only seen in males. (scielo.cl)
Lateral abdominal wall1
  • At the level of the midaxillary line, the ventral rami give out the perforating lateral cutaneous branches, which innervate the lateral abdominal wall. (mhmedical.com)
Intercostal5
  • The transverse abdominal is innervated by the lower intercostal nerves (thoracoabdominal, nerve roots T7-T11), as well as the iliohypogastric nerve and the ilioinguinal nerve. (wikipedia.org)
  • Purpose: In a descriptive, inventorial anatomical study we mapped the course of the 10th and 11th intercostal nerves, and the subcostal nerve in the abdominal wall to determine a safe zone for lumbotomy. (eur.nl)
  • The 10th and 11th intercostal nerves, and the subcostal nerve were dissected from the intercostal space to the rectus sheath. (eur.nl)
  • Direct identification of the intercostal nerves is not required in order to complete a successful rectus sheath block. (aneskey.com)
  • Here, the intercostal nerves give out the perforating anterior cutaneous branches that provide innervation of the anteromedial abdominal wall ( Figure 38-1 ). (mhmedical.com)
Large abdominal1
  • Here we report the unusual case of a patient with gastric cancer presenting a large abdominal extramural growth together with a gastrocutaneous fistula. (biomedcentral.com)
Pubic1
  • On abdominal ex- for conservation of fertility would be gynaecological outpatient department amination she had 2 abdominal scars: made if possible since the patient was of Shifa Foundation community health 1 transverse supra-pubic and another childless and wanted to conceive again. (who.int)
Surgery7
  • 34 patients (27.2%) had already undergone a previous abdominal wall surgery. (nih.gov)
  • Due to increased complex abdominal wall surgery, pre-operative CT planning with abdominal wall mapping has gained increasing attention. (radiologyassistant.nl)
  • Massive weight loss, whether from dieting or after a gastric bypass surgery, also plays a role in excess skin and laxity of the abdominal wall. (medscape.com)
  • History of prior abdominal surgery, regardless of how many, is not a contraindication to laparoscopic PD catheter insertion. (guidelinecentral.com)
  • Regional anesthesia for surgery of the thorax and abdominal wall. (ijrajournal.com)
  • Abdominal wall blocks for intra-abdominal surgery. (ijrajournal.com)
  • Robotic surgery allow Dr, Iraniha to repair the diastasis of rectus muscles with or without mesh which offers the patients less pain, faster recovery and return to work. (surgicaloasis.com)
Transverse abdominal2
  • The transverse abdominal also helps a pregnant woman to deliver her child. (wikipedia.org)
  • Recently, the transverse abdominal has become the subject of debate between biokineticists, kinesiologists, strength trainers, and physical therapists. (wikipedia.org)
Peritoneal1
  • Peritoneal dialysis may be initiated in patients with intraabdominal foreign bodies such as after open abdominal aortic aneurysm graft repair, but a four month waiting period is recommended. (guidelinecentral.com)
Organs3
  • Important muscular structures that surround the abdominal organs are shown in this figure. (radiologyassistant.nl)
  • The abdominal wall serves to protect the abdominal organs, maintain upright posture and support the spine, and assist in bodily functions that require generation of Valsalva, such as coughing, urination, or defecation. (medscape.com)
  • A complete and thorough examination of all abdominal organs is indicated. (dvm360.com)
Mesh3
  • Introduction of Robots facilitates avoidance of transfascial sutures by allowing difficult suturing of mesh to inner layers of abdominal wall. (sages.org)
  • Usually I can get healthy strong tissue for an excellent repair and if that tissue is not available, use a piece of mesh placed behind the abdominal wall therefore avoiding the location of the major sensory nerves. (richardriccamd.com)
  • This physiologically makes more sense than placing the mesh on the outside of the abdominal wall. (richardriccamd.com)
Hematomas4
  • Mild trauma may produce hematomas of the rectus sheath. (mhmedical.com)
  • The diagnosis is difficult by physical exam since most hematomas are in the posterior rectus sheath and are not palpable or visible. (mhmedical.com)
  • Assuming that there is no underlying blood dyscrasia or coagulopathy, hematomas of the rectus sheath usually resolve in 1 to 2 weeks. (mhmedical.com)
  • Expanding abdominal wall hematomas with active extravasation of blood may require embolization by interventional radiology. (mhmedical.com)
Thorax1
Protrusion1
Ilioinguinal1
  • The abdominal wall is innervated by the thoracoabdominal nerves (T6-T12) and the ilioinguinal/iliohypogastric nerves (L1). (mhmedical.com)