The inguinal ligament is formed by what?
Free lower border of external oblique
What are the attachment points of the inguinal ligament?
ASIS
Pubic tubercle
What are the 4 main contents of the inguinal canal?
Ilioinguinal nerve
Genital branch of the genitofemoral nerve
Spermatic cord (males)
Round ligament of the uterus (females)
What are the 3 main contents of the spermatic cord?
Vas deferens
Testicular artery
Pampiniform plexus of veins
A direct inguinal hernia protrudes through which structure?
Hesselbach’s triangle
An indirect inguinal hernia protrudes through which structure?
Deep inguinal ring
Where does a direct inguinal hernia lie in relation to the inferior epigastric artery?
Medial
Where does an indirect inguinal hernia lie in relation to the inferior epigastric artery?
Lateral
What are the borders of Hesselbach’s triangle?
Rectus abdominis
Inferior epigastric vessels
Inguinal ligament
What are the layers of the testes?
Skin
Colles’ fascia + dartos muscle
External spermatic fascia
Cremasteric fascia
Internal spermatic fascia
Tunica vaginalis
Cancer of the scrotum will metastasize to which nodes?
Superficial inguinal
Testicular cancer will metastasize to which nodes?
Para-aortic
Which nerve is involved in the afferent limb of the cremasteric reflex?
Ilioinguinal nerve
Which nerve is involved in the efferent limb of the cremasteric reflex?
Genital branch of the genitofemoral nerve
Which structure fails to close in a hydrocele?
Processus vaginalis
An absent cremasteric reflex is associated with which pathology?
Testicular torsion