Surgical Anatomy and Walkthrough of Common Surgical Procedures
Summary
This on-demand teaching session is designed to provide medical professionals with an in-depth look at surgical anatomy and common surgical procedures. Led by Sarah NoheliaThoukididou, topics covered include the arteries of the abdomen, appendicectomy, open hernia repair, colectomies, and Inguinal Hernia anatomy and surgery. Through a series of videos and detailed instruction, professionals will gain an enhanced understanding of surgical procedures that will enable them to provide patients with quality care.
Learning objectives
• AFEM Education Project • Linksawshospital
Learning Objectives:
- Understand the anatomy and function of various abdominal arteries.
- Explain the process of appendicectomy in detail.
- Demonstrate the procedure of open hernia repair.
- Describe the process of colectomies with superior and inferior mesenteric arteries.
- Differentiate between direct and indirect inguinal hernia surgery.
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SURGICAL ANATOMY AND WALKTHROUGH OF COMMON SURGICAL PROCEDURES Sarah NoheliaThoukididou CONTENTS • Arteries of the abdomen • Appendicectomy • Open hernia repair • ColectomiesTHE AORTATHE AORTA • Ascending aorta • Aortic arch • Thoracic aorta (descending) • Abdominal aortaABDOMINAL AORTA ABDOMINAL AORTA Begins at T12 and ends at L4 T12 - inferior phrenic T12 - Coeliac L1 – SMA L1-L2 – renals L2 – gonadals L3 – IMA COELIAC ARTERY • Has 3 major branches: • Left gastric • Splenic • Common hepatic SUPERIOR MESENTERIC ARTERY • Branches: • Inferior pancreaticoduodenal • Jejunal and ileal arteries • Middle Colic • Right Colic • Ileocolic (gives rise to the appendiceal artery) INFERIOR MESENTERIC ARTERY • Retroperitoneal structure • Branches: • Left colic • Sigmoid • Superior rectal APPENDIX • The appendix is a blind ending tube attached to the caecum • Derived from the embryonic midgut • Mesoappendix (fold of mesentery) contains the appendiceal arteryAPPENDIX VARIATIONS APPENDICECTOMY • https://www.youtube.com/watch?v=M8RhIDOz-5U INGUINAL HERNIA ANATOMY • Inguinal canal boundaries • Floor:inguinal ligament • Anterior:external oblique • Roof:transversalis and internal oblique • Posterior:tranversalis Contents: • Spermatic cord/round ligament • Ilioinguinal nerve • Genital branch of the genitofemoral nerve A hernia is defined as the protrusion of an organ or fascia through the wall of a cavity that normally contains it. DIRECT VS INDIRECT • Indirect – where the peritoneal sac enters the inguinal canal through the deep inguinal ring. • Direct – where the peritoneal sac enters the inguinal canal though the posterior wall of the inguinal canal (medial to the inferior epigastric vessels). HERNIA SURGERY • https://www.youtube.com/watch?v=hKMDUzrWDe8COLECTOMY REFERENCES • Teachmeanatomy!