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The linea alba is formed by the union of aponeuroses (of the muscles of the anterior abdominal wall [2]) that collectively make up the rectus sheath. The linea alba attaches to the xiphoid process superiorly, and to the pubic symphysis inferiorly. It is narrow inferiorly where the two recti abdominis muscles are in contact with each other ...
In anatomy, the abdominal wall represents the boundaries of the abdominal cavity.The abdominal wall is split into the anterolateral and posterior walls. [1]There is a common set of layers covering and forming all the walls: the deepest being the visceral peritoneum, which covers many of the abdominal organs (most of the large and small intestines, for example), and the parietal peritoneum ...
The most common incision for laparotomy is a vertical incision in the middle of the abdomen which follows the linea alba. [citation needed] The upper midline incision usually extends from the xiphoid process to the umbilicus. A typical lower midline incision is limited by the umbilicus superiorly and by the pubic symphysis inferiorly.
The arcuate line of rectus sheath (the arcuate line or the semicircular line of Douglas) is a line of demarcation [1] corresponding to the free inferior margin of the posterior layer of the rectus sheath [2] inferior to which only the anterior layer of the rectus sheath is present [3] and the rectus abdominis muscle is therefore in direct contact with the transversalis fascia. [1]
The lateral border of the rectus sheath is part of the recently described EIT ambivium to more precisely describe this important part of the anterior abdominal wall. [1] The EIT ambivium is formed by the Musculus Obliquus Externus (MO E ), the Musculus Obliquus Internus (MO I ) and the Musculus Transversus Abdominis ( T A).
The rectus sheath (also called the rectus fascia [1]) is a tough fibrous compartment formed by the aponeuroses of the transverse abdominal muscle, and the internal and external oblique muscles. It contains the rectus abdominis and pyramidalis muscles, as well as vessels and nerves.
The various layers of the abdominal wall are opened. To preserve the integrity of abdominal wall, the external oblique aponeurosis is split along the line of its fibers, as is the internal oblique muscle. As the two run at right angles to each other, this reduces the risk of later incisional hernia. [9]
[journal 8] An incisional hernia occurs when a surgical incision does not heal well; the muscles of the abdomen separate and allow protrusion of a sac-like membrane, which may contain bowel or other abdominal contents, and which can be painful and unsightly. The risk of abdominal-wall hernia is markedly decreased in laparoscopic surgery.