Ref: Inguinal Canal
- Surface marking
- Boundaries
- Contents
- Hasselbach's triangle
- Internal/superficial ring: 2 sentimeters superior to senter
of ASIS and symphisis [ie above the midinguinal point].
- External/deep ring: superior and medial to pubic tubercle. Alternatively,
1.5cm superior to femoral pulse.
- MALT: 2M 2A, 2L, 2T:
- Superior wall [roof]: 2 Muscles:
• Internal oblique Muscle
• Transverse abdominus Muscle
- Anterior wall: 2 Aponeuroses:
• Aponeurosis of external oblique
• Aponeurosis of internal oblique
- Lower wall [floor]: 2 Ligaments:
• Inguinal Ligament
• Lacunar Ligament
- Posterior wall: 2Ts:
• Transversalis fascia [laterally]
• Conjoint Tendon [medially]
- Ilioinguinal nerve.
- Spermatic cord, which contains:
3 arteries:
• Testicular a.
• Ductus deferens a.
• Cremasteric a.
3 nerves:
• Cremasteric n.
• Genital branch of the genitofemoral n.
• Autonomics
3 other things:
• Ductus deferens
• Pampiniform plexus
• Lymphatics
- Medial side: lateral edge of rectus sheath.
- Superior side: inferior epigastric artery.
- Lateral side: inguinal ligament.