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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 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 transversalis fascia (or transverse fascia) is the fascial lining of the anterolateral abdominal wall [1] [2] situated between the inner surface of the transverse abdominal muscle, and the preperitoneal fascia.
The conjoint tendon (previously known as the inguinal aponeurotic falx) is a sheath of connective tissue formed from the lower part of the common aponeurosis of the abdominal internal oblique muscle and the transversus abdominis muscle, joining the muscle to the pelvis. It forms the medial part of the posterior wall of the inguinal canal.
It is defined by the following structures: Medial border: Lateral margin of the rectus sheath. [1] [2]Superolateral border: Inferior epigastric vessels. [1] [2]Inferior border: Inguinal ligament.
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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).
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