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Атлас.ppt

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Abdominal muscles – anterior view 1. External oblique aponeurosis 2. Semilunar line 3. Rectus Abdominal muscles – anterior view 1. External oblique aponeurosis 2. Semilunar line 3. Rectus abdominis muscle 4. Linea alba 5. External oblique musle 6. Serratus anterior muscle 7. Inguinal ligament 8. Internal oblique muscle 9. Transversalis fascia 10. Arcuate line 11. Rectus sheath – posterior lamina 12. Tendinous intersection

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Abdominal muscles – lateral viev 1. Transversus abdominis muscle 2. Internal oblique muscle 3. Abdominal muscles – lateral viev 1. Transversus abdominis muscle 2. Internal oblique muscle 3. External oblique – deep lamina 4. External oblique – superficial lamina 5. External intercostal muscle 6. 9 th rib 7. Transversus abdominis aponeurosis 8. Rectus abdominis muscle 9. Linea alba 10. Tendinous intersections 11. Internal intercostal muscle 12. Costal cartilage

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Anterior abdominal wall 1. Inguinal ligament 2. External oblique aponeurosis 3. Semilunar line 4. Anterior abdominal wall 1. Inguinal ligament 2. External oblique aponeurosis 3. Semilunar line 4. Rectus abdominis muscle 5. External oblique muscle 6. Pectoralis major – abdominal ship 7. Serratus anterior muscle 8. Transversalis fascia 9. Spermatic cord 10. Deep inguinal ring 11. Inferior epigastric artery 12. Linea alba 13. Transversus abdominis muscle 14. Internal oblique muscle 15. Intercostal nerves 16. Rectus sheath – posterior lamina 17. Superior epigastric artery 18. Tendinous intersections

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Lateral abdominal wall 1. 2. 3. 4. 5. 6. 7. 8. 9. Linea alba Lateral abdominal wall 1. 2. 3. 4. 5. 6. 7. 8. 9. Linea alba Rectus abdominis muscle (reflected) Transversus abdominis aponeurosis Intercostal nerves Transversus abdominis muscle Inferior epigastric artery Tributary to deep cicumflex iliac vein Internal oblique muscle External oblique muscle

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Abdominal muscle – anterior view 1. Inguinal ligament 2. Transversalis fascia 3. Arcuate line Abdominal muscle – anterior view 1. Inguinal ligament 2. Transversalis fascia 3. Arcuate line 4. External obliqye aponeurosis 5. Linea alba 6. Rectus abdominis muscle 7. Rectus sheath – posterior lamina 8. Semilunar line 9. Internal oblique muscle 10. Tendinous intersections 11. External oblique muscle

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Abdominal cavity 1. Rectus sheath 2. Rectus abdominis muscle 3. Greter omentum 4. Hepatic Abdominal cavity 1. Rectus sheath 2. Rectus abdominis muscle 3. Greter omentum 4. Hepatic flexure 5. Gall bladder 6. Right lobe of liver 7. Falciform ligament 8. Diaphragm 9. Lung 10. Right atrium 11. Superior vena cava 12. Heart 13. Pericardial sac (cut) 14. Internal intercostal muscle 15. External intercostal muscle 16. Costodiaphragmatic recess 17. Serratus anterior muscle 18. Central tendon of the diaphragm 19. Left lobe of liver 20. Stomach 21. Transversus abdominis muscle 22. Internal oblique muscle 23. External oblique muscle

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Abdominal cavity – omentum reflected 1. Rectus sheath 2. Linea alba 3. Rectus abdominis Abdominal cavity – omentum reflected 1. Rectus sheath 2. Linea alba 3. Rectus abdominis muscle 4. Caecum 5. Ascending colon 6. Jejunum and ileum 7. Fatty appendage 8. Taeniae coli 9. Greater omentum 10. Serratus anterior muscle 11. Transverse colon 12. Mesentery 13. Descending colon 14. Internal oblique muscle 15. External oblique muscle 16. Transversus abdominis muscle 17. Sigmoid colon

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Deep abdominal dissection 1. Capsule of kidney 2. Duodenum 3. Cystic duct 4. Gall Deep abdominal dissection 1. Capsule of kidney 2. Duodenum 3. Cystic duct 4. Gall bladder 5. Hepatic duct 6. Caudate lobe of liver 7. Right lobe of liver 8. Left lobe of liver 9. Diaphragm 10. Pancreas 11. Pancreatic duct 12. Common bile duct 13. Duodenal papilla 14. Parietal peritoneum 15. Descending colon 16. Sigmoid colon (cut) 17. Rectum (cut)

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Duodenum and pancreas in situ 1. Capsule of kidney 2. Circular folds 3. Duodenum Duodenum and pancreas in situ 1. Capsule of kidney 2. Circular folds 3. Duodenum 4. Duodenal papilla 5. Common bile duct 6. Gall bladder 7. Right lobe of liver 8. Left lobe of liver 9. Diaphragm 10. Caudate lobe of liver 11. Pancreas 12. Hepatic duct 13. Pancreatic duct 14. Cystic duct 15. Parietal peritoneum

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Gut tube vessels 1. Common iliac artery 2. Inferior mesenteric artery 3. Abdominal aorta Gut tube vessels 1. Common iliac artery 2. Inferior mesenteric artery 3. Abdominal aorta 4. Superior mesenteric vein 5. Mesentery 6. Common hepatic artery 7. Liver 8. Left gastric artery 9. Inferior mesenteric vein 10. Splenic artery 11. Splenic vein 12. Superior mesenteric artery 13. Genitofemoral nerve 14. Psoas major muscle

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Posterior abdominal wall 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Posterior abdominal wall 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. Common iliac vein Common iliac arteries Testicular vein Iliohypogastric nerve Quadratus lumborum muscle Inferior vena cava Costodaphragmatic recess Kidney Diaphragm Renal vein Hepatic veins Common hepatic artery Esophageal hiatus Right crus of the diaphragm Left gastric artery Splenic artery Suprarenal gland Celiac trunk Suprarenal vein Abdominal aorta Suprior mesenteric artery Psoas minor muscle Renal arteries Transversus abdominis muscle Ureter Inferior mesenteric artery Psoas major muscle Iliacus muscle Internal iliac artery Rectum (cut) Biadder External iliac vein External iliac artery Ductus deferens Inguinal ligament

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Posterior abdominal wall 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Posterior abdominal wall 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. Common iliac vein Common iliac arteries Inferior mesenteric artery Quadratus lumborum muscle Abdominal aorta Inferior vena cava Costodiaphragmatic recess Diaphragm Hepatic veins Common hepatic artery Superior mesenteric artery Celiac trunk Esophageal hiatus Right crus of the diaphragm Left gastric artery Splenic artery Superenal vein Renal arteries Psoas minor muscle Transversus abdominis muscle Psoas major muscle Iliacus muscle Internal iliac artery External iliac vein External iliac artery Rectum (cut) Bladder Femoral vein Femoral artery Inguinal ligament

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Abdominal vessels in situ 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Abdominal vessels in situ 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. Superior mesentric artery Right gastro-omental artery Ascending colon Pancreas Gall bladder Right gastric artery Proper hepatic artery Right lobe of liver Hepatic veins Common hepatic artery Right inferior phrenic artery Caudate lobe of liver Azygous vein Aorta Inferior vena cava Esophagus Costal (parietal) pleura Diaphragm Esophageal artery Left gastric artery Spleen Stomach Left inferior phrenic artery Kidney Splenic artery Descending colon Fatty appendage Sigmoid colon Transverse colon Inferior mesenteric artery Aorta Arterial anastomoses Straight arteries Ileum

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Abdominal vessels, transverse colon reflected 1. 2. 3. 4. 5. 6. 7. 8. 9. Abdominal vessels, transverse colon reflected 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. Ileocolic artery Right colic vessels Duodenum Ascending colon Superior mesenteric vein Pancreas Gall bladder Right lobe of liver Straight artery Arterial anastomosis Transverse colon Inferior vena cava Azygous vein Aorta Costal (parietal) pleura Diaphragm Stomach Fatty appendage Spleen Middle colic artery Superior mesenteric artery Descending colon Kidney Left colic artery – ascending branch Intestinal arteries (cut) Psoas major muscle Sigmoid colon Left colic artery – descending branch Sigmoid artery Superior rectal artery Common iliac artery Ileum

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Abdominal vessels, stomach reflected 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Abdominal vessels, stomach reflected 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. Ascending colon Fatty appendage Gall bladder Hepatic flexure Pancreaticoduodenal artery Right gastro-omental artery Gasroduodenal artery Right lobe of liver Hepatic portal vein Common hepatic artery Right inferior phrenic artery Left gastric artery Azygous vein Aorta Stomach (reflected) Costal (parietal) pleura Diaphragm Left gastro-omental artery Left inferior phrenic artery Spleen Splenic vein Splenic flexure Splenic artery Descending colon Kiidney Sigmoid colon Inferior mesenteric vein Pancreas Superior mesenteric artery Transverse colon Inferior mesenteric artery Artery anastomosis Aorta Superior mesenteric vein Ileum

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Abdominal vessels, duodenum removed 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Abdominal vessels, duodenum removed 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. Superior mesenteric artery Middle colic artery Superior mesenteric vein Ascending colon Pancreas Gall bladder Fatty appendage Right lobe of liver Transverse colon Inferior vena cava Azygous vein Aorta Diaphragm Costal (parietal) pleura Stomach Spleen Renal vein Left colic artery – ascending branch Kidney Descending colon Testicular vein Left colic artery Inferior mesenteric vein Left colic artery – descending branch Psoas major muscle Sigmoid colon Sigmoid artery Superior rectal artery Common iliac artery Inferior mesenteric artery Aorts Ileum