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Medial Umbilical Ligament
The medial umbilical ligament, cord of umbilical artery, or obliterated umbilical artery is a paired structure found in human anatomy. It is on the deep surface of the anterior abdominal wall, and is covered by the medial umbilical folds (''plicae umbilicales mediales''). It is different from the median umbilical ligament, a structure that represents the remnant of the embryonic urachus. Origins It represents the remnant of the umbilical arteries, which serves no purpose in humans after birth, except for the initial part that becomes the adult superior vesical artery. The occluded part of umbilical artery becomes the medial umbilical ligament postnatal. The medial umbilical ligament arises from the anterior division of the internal iliac artery. Functions It may be used as a landmark for surgeons performing laparoscopic procedures to help identify and avoid damaging the inferior epigastric arteries during port placement. Other than this, it has no purpose in an adult and it ma ...
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Superior Vesical Artery
The superior vesical artery supplies numerous branches to the upper part of the bladder. This artery often also gives branches to the vas deferens and can provide minor collateral circulation for the testicles. Structure The superior vesical artery, a vital component of the pelvic vascular system, stems from the umbilical artery, which serves as a conduit for oxygenated blood during fetal development. Emerging typically as a single vessel, the superior vesical artery exhibits consistent anatomical features across individuals. Its trajectory leads it towards the superior aspect of the bladder, where it branches intricately to supply blood to this organ and surrounding structures. In males, a noteworthy branch arising from the superior vesical artery is the vesiculo-prostatic artery. This branch extends its reach to the prostate gland, contributing to its vascularization. The consistent presence of this arterial branch underscores its significance in male pelvic anatomy and physi ...
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Laparoscopy
Laparoscopy () is an operation performed in the abdomen or pelvis using small incisions (usually 0.5–1.5 cm) with the aid of a camera. The laparoscope aids diagnosis or therapeutic interventions with a few small cuts in the abdomen.MedlinePlus > Laparoscopy Update Date: 21 August 2009. Updated by: James Lee, MD // No longer valid Laparoscopic surgery, also called minimally invasive procedure, bandaid surgery, or keyhole surgery, is a modern surgical technique. There are a number of advantages to the patient with laparoscopic surgery versus an exploratory laparotomy. These include reduced pain due to smaller incisions, reduced hemorrhaging, and shorter recovery time. The key element is the use of a laparoscope, a long fiber optic cable system that allows viewing of the affected area by snaking the cable from a more distant, but more easily accessible location. Laparoscopic surgery includes operations within the abdominal or pelvic cavities, whereas keyhole surgery per ...
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Umbilical Fascia
The umbilical fascia (or umbilicovesical fasciamedilexicon.com > umbilicovesical fasciaCiting: Stedman's Medical Dictionary. Copyright 2006) is a thin fascial layer that extends between the medial umbilical ligamentsmondofacto.com > umbilicovesical fascia05 Mar 2000 from the umbilicus, and extends inferiorly, becoming continuous with the visceral fascia enclosing the urinary bladder The bladder () is a hollow organ in humans and other vertebrates that stores urine from the Kidney (vertebrates), kidneys. In placental mammals, urine enters the bladder via the ureters and exits via the urethra during urination. In humans, the .... References Fascia Musculoskeletal system Abdomen {{musculoskeletal-stub ...
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Lateral Umbilical Ligament
The lateral umbilical fold is an elevation (on either side of the body) of the peritoneum lining the inner/posterior surface of the lower anterior abdominal wall formed by the underlying inferior epigastric artery and inferior epigastric vein which the peritoneum covers. Superiorly, the lateral umbilical fold ends where the vessels reach and enter the rectus sheath at the arcuate line of rectus sheath; in spite of the name, the lateral umbilical folds do not extend as far superiorly as the umbilicus. Inferiorly, it extends to just medial to the deep inguinal ring. Each lateral umbilical fold is situated lateral to the ipsilateral medial umbilical fold. Unlike the median and medial umbilical folds, the contents of the lateral umbilical fold remain functional after birth. Clinical significance The lateral umbilical fold is an important reference site with regards to hernia classification. A direct hernia occurs medial to the lateral umbilical fold, whereas an indirect hernia orig ...
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Direct Inguinal Hernia
An inguinal hernia or groin hernia is a hernia (protrusion) of abdominal cavity contents through the inguinal canal. Symptoms, which may include pain or discomfort especially with or following coughing, exercise, or bowel movements, are absent in about a third of patients. Symptoms often get worse throughout the day and improve when lying down. A bulging area may occur that becomes larger when bearing down. Inguinal hernias occur more often on the right than the left side. The main concern is strangulation, where the blood supply to part of the intestine is blocked. This usually produces severe pain and tenderness of the area. Risk factors for the development of a hernia include: smoking, chronic obstructive pulmonary disease, obesity, pregnancy, peritoneal dialysis, collagen vascular disease, and previous open appendectomy, among others. Predisposition to hernias is genetic and they occur more often in certain families. Deleterious mutations causing predisposition to ...
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Medial Inguinal Fossa
The medial inguinal fossa is a depression located within the inguinal triangle on the peritoneal surface of the anterior abdominal wall between the ridges formed by the lateral umbilical fold The lateral umbilical fold is an elevation (on either side of the body) of the peritoneum lining the inner/posterior surface of the lower anterior abdominal wall formed by the underlying inferior epigastric artery and inferior epigastric vein whic ... and the medial umbilical ligament, corresponding to the superficial inguinal ring. Clinical significance It is associated with direct inguinal hernias. See also * Lateral inguinal fossa Abdomen {{anatomy-stub ...
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Supravesical Fossa
The supravesical fossa is a depression upon the inner (i.e. peritoneal) surface of the anterior abdominal wall superior to the bladder formed by a reflection of the peritoneum onto the superior surface of the bladder. It is bounded by the medial umbilical fold and median umbilical fold. The level of the supravesicular fossa varies according to the fullness of the bladder as the peritoneum is not firmly attached to the upper surface of the bladder (the only region where this is the case). References External links * - "Internal surface of the anterior abdominal wall In anatomy, the abdominal wall represents the boundaries of the abdominal cavity. The abdominal wall is split into the anterolateral and posterior walls. There is a common set of layers covering and forming all the walls: the deepest being the vi ...." Abdomen {{Anatomy-stub ...
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Inferior Epigastric Artery
In human anatomy, the inferior epigastric artery is an artery that arises from the external iliac artery. It is accompanied by the inferior epigastric vein; inferiorly, these two inferior epigastric vessels together travel within the lateral umbilical fold (which represents the lateral border of Hesselbach's triangle, the area through which direct inguinal hernias protrude.) The inferior epigastric artery then traverses the arcuate line of rectus sheath to enter the rectus sheath, then anastomoses with the superior epigastric artery within the rectus sheath. Structure Origin The inferior epigastric artery arises from the external iliac artery, immediately superior to the inguinal ligament. Course and relations It curves forward in the subperitoneal tissue, and then ascends obliquely along the medial margin of the abdominal inguinal ring; continuing its course upward, it pierces the transversalis fascia, and, passing in front of the linea semicircularis, ascends betw ...
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Internal Iliac Artery
The internal iliac artery (formerly known as the hypogastric artery) is the main artery of the pelvis. Structure The internal iliac artery supplies the walls and viscera of the pelvis, the buttock, the reproductive organs, and the medial compartment of the thigh. The vesicular branches of the internal iliac arteries supply the bladder. It is a short, thick vessel, smaller than the external iliac artery, and about 3 to 4 cm in length. Course The internal iliac artery arises at the bifurcation of the common iliac artery, opposite the lumbosacral articulation, and, passing downward to the upper margin of the greater sciatic foramen, divides into two large trunks, an anterior and a posterior. It is posterior to the ureter, anterior to the internal iliac vein, anterior to the lumbosacral trunk, and anterior to the piriformis muscle. Near its origin, it is medial to the external iliac vein, which lies between it and the psoas major muscle. It is above the obturator ...
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Artery To The Ductus Deferens
The artery to the ductus deferens (deferential artery) is an artery in males that provides blood to the ductus deferens. Anatomy Origin The artery arises from the superior vesical artery (usually), or from the inferior vesical artery. Course, anastomoses, and distribution It accompanies the ductus deferens into the testis, where it anastomoses with the testicular artery; in this way it also supplies blood to the testis and epididymis. A small branch also supplies the ureter. See also * Spermatic cord The spermatic cord is the cord-like structure in males formed by the vas deferens (''ductus deferens'') and surrounding tissue that runs from the deep inguinal ring down to each testicle. Its serosal covering, the tunica vaginalis, is an exten ... Additional images File:Slide12Khi.JPG, Artery to the ductus deferens. Deep dissection. Lateral view. References External links * - "Inguinal Region, Scrotum and Testes: Layers of the Spermatic Cord" {{Authority contro ...
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Umbilical Arteries
The umbilical artery is a paired artery (with one for each half of the body) that is found in the abdominal and pelvic regions. In the fetus, it extends into the umbilical cord. Structure Development The umbilical arteries supply systemic arterial blood from the fetus to the placenta. Although this blood is sometimes referred to as deoxygenated blood it is not, and has the same oxygen saturation and nutrients as blood distributed to the other fetal tissues. There are usually two umbilical arteries present together with one umbilical vein in the umbilical cord. The umbilical arteries surround the urinary bladder and then carry all the deoxygenated blood out of the fetus through the umbilical cord. Inside the placenta, the umbilical arteries connect with each other at a distance of approximately 5 mm from the cord insertion in what is called the ''Hyrtl anastomosis''. Subsequently, they branch into chorionic arteries or ''intraplacental fetal arteries''. The umbilical art ...
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Urachus
The urachus forms from the distal end of the allantois in the embryo, and develops into a closed cord between the base of the bladder, and the navel. It drains the bladder of the fetus that joins and runs within the umbilical cord. The fibrous remnant lies in the space of Retzius, between the transverse fascia anteriorly and the peritoneum posteriorly. At birth, the urachus develops into the median umbilical ligament. Development The part of the urogenital sinus related to the bladder and urethra absorbs the ends of the Wolffian ducts and the associated ends of the renal diverticula. This gives rise to the trigone of the bladder and part of the prostatic urethra. The remainder of this part of the urogenital sinus forms the body of the bladder and part of the prostatic urethra. The apex of the bladder stretches and is connected to the umbilicus as a narrow canal. This canal is initially open, but later closes as the urachus goes on to definitively form the median umbilical li ...
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