Inguinal Canal

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Anatomy of

Inguinal Canal
• It is an oblique passage through the lower part of the
anterior abdominal wall
• Present in both sexes
• It allows structures to pass to and from the testis to the
abdomen in males
• In females it permits the passage of the round ligament
of the uterus from the uterus to the labium majus
• Transmits ilioinguinal nerve in both sexes
• It is about 1 ½ inches or 4cm long in the adults
• Extends from the deep inguinal ring downward and
medially to the superficial inguinal ring
• Lies parallel to and immediately above the inguinal
ligament
• In the newborn child, the deep ring lies almost directly
posterior to the superficial ring
Deep Inguinal Ring
• Is an oval opening in the fascia
transversalis
• Lies about ½ inch (1.3cm) above the
inguinal ligament midway between the
anterosuperior iliac spine and the
symphysis pubis
• Margins of the ring give attachment to the
internal spermatic fascia
Superficial Inguinal Ring
• Triangular in shape
• Defect in the aponeurosis of the external
oblique muscle
• Lies immediately above and medial to the
pubic tubercle
• Its margins some times called crura(Med
lat crus), give attachment to the external
spermatic fascia
Anterior Wall of Inguinal
Canal
• It is formed along its entire length by
aponeurosis of the external oblique
muscle
• It is reinforced in its lateral third by the
origin of the internal oblique from the
inguinal ligament
• This wall is strongest where it lies
opposite the weakest part of posterior
wall, that is deep inguinal ring
Posterior Wall of Inguinal
Canal
• It is formed along its entire length by the
fascia transversalis

• It is reinforced in its medial third by


conjoint tendon, the common tendon of
insertion of internal oblique and
transversus, attached to the pubic crest
and pectineal line

• This wall is strongest where it lies


opposite the weakest part of the anterior
wall, that is superficial inguinal ring
Inferior Wall of Inguinal
Canal = Roof
• It is formed by the rolled-under inferior edge of the aponeurosis
of the external oblique muscle called inguinal ligament and at its
medial end, the lacunar ligament

• Superior Wall of Inguinal Canal Roof

• It is formed by the arching lowest fibers of the internal oblique


and transversus abdominis muscles
Function Of Inguinal Canal

• It allows structures of spermatic cord to pass to and from the testis to


the abdomen in male

• Permits the passage of round ligament of uterus from the uterus to


the labium majus in female
Contents of Inguinal Canal

• Spermatic cord its contents in male


• Round ligament in female
• Genital branch of genitofemoral nerve
• Ilioinguinal nerve Enter the canal through
the posterior wall
Inguinal Triangles
- Region of abdominal wall

Borders
• Medial border:- Lateral margin
of the rectus sheath, also called
linea semilunaris
• Superolateral border:- Inferior
epigastric vessels
• Inferior border:- Inguinal
ligament
Spermatic Cord
• It is a collection of structures that pass through the
inguinal canal to and from the testis

• It is covered with three concentric layers of fascia derived


from the layers of anterior abdominal wall

• It begins at the deep inguinal ring lateral to the inferior


epigastric artery and ends at the testis
Covering of the Spermatic Cord -
• The covering of the spermatic cord are three concentric layers of fascia derived from the layers
of the anterior abdominal wall

• Each covering is acquired as the processus vaginalis descends into the scrotum through the
layers of the abdominal wall

• External Spermatic fascia Is derived from the external oblique aponeurosis and attached to the
margins of the superficial inguinal ring

• Cremasteric Fascia Is derived from the internal oblique muscle

• Internal Spermatic Fascia Is derived from the fascia transversalis and attached to the margins
of deep inguinal ring
Thank
You!

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