[해부학] 복벽(abdominal wall)의 구조 및 대장의 혈액 공급(blood supply to large intestine)

소개

abdominal wall의 해부학 중 특히 anterolateral wall의 내용입니다.

외과학의 바이블이 sabiston 최신판 기준으로 작성된 것입니다.

대장의 혈액공급중 주로 동맥혈관 위주이며 정맥또한 포함되어있습니다.

역시 사비스톤 기준입니다.

목차

1. Anterolateral abdominal wall
1) subcutaneous tissue
2) external oblique muscle
3) internal oblique muscle
4) tansversus abdominis muscle
5) transversalis fascia
6) Preperitoneal space

2. Blood supply to large intestine
1) Aterial supply
(1) Marginal artery
(2) Right colic a.
(3) Middle colic a.
(4) The arc of Riolan
2) Venous drainage of the colon

3. Argon Beam Coagulator

본문내용

skin
subcutaneous tissue
superficial fascia
external oblique muscle
internal oblique muscle
transversus abdominis muscle
endoabdominal or transversalis fascia
extraperitoneal or preperitoneal adipose and areolar tissue
peritoneum
subcutaneous tissue
Camper’s fascia
Superficial layer
bulk of the subcutaneous fat
Scarpa’s fascia
Deep(membranous) layer
Inferior part of the abdominal layer
contiguous with the fascia lata of the thigh
denser layer of fibrous connective tissue
external oblique muscle
The largest and the thickest of the flat abdominal wall muscles
Superolateral to inferomedial direction
Strong aponeurosis
-> ant. rectus sheath
-> linea alba
internal oblique muscle
Inferolateral to superomedial direction
Aponeurosis at the semilunar line
-> divided into anterior and posterior lamellae
-> anterior & posteiror rectus sheath
(Below the semicircular line, anterior recturs sheath)
transversus abdominis muscle
The smallest of the muscles of the anterolateral abdominal wall
Flat aponeurotic sheet
Above the semicircular line : post. Rectus sheath
Below the semicircular line : ant. Rectus sheath
The inferiormost fibers
important anatomic landmark in the repair of inguinal hernias
transversalis fascia
Complete fascial envelope around the abdominal cavity
Structural integrity of the abdominal wall
Reinforces weak areas

참고자료

· sabiston`s textbook of surgery 17th edition