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An epigastric hernia is a type of hernia that causes fat to push through a weakened area in the walls of the abdomen. It may develop in the epigastrium (upper, central part of the abdomen ). Epigastric hernias are more common in adults and usually appear above the umbilical region of the abdomen.
A direct hernia occurs medial to the lateral umbilical fold, whereas an indirect hernia originates lateral to the fold. This latter case is due to the placement of the opening of the deep inguinal ring in the space lateral to the lateral umbilical fold, which allows the passage of the ductus deferens , testicular artery , and other components ...
The lower horizontal line is the extoturbular line connecting the tubercles of the pelvis. [ 3 ] [ 4 ] The three main centrally positioned regions are the epigastric region , the umbilical region , and the hypogastric region also known as the pubic region.
In human anatomy, the inferior epigastric artery is an artery that arises from the external iliac artery. [1]: 225 It is accompanied by the inferior epigastric vein; inferiorly, these two inferior epigastric vessels together travel within the lateral umbilical fold (which represents the lateral border of Hesselbach's triangle, the area through which direct inguinal hernias protrude. [2])
one median umbilical fold on the median umbilical ligament (which in turn, contains the urachus) two medial umbilical folds on the occluded umbilical artery two lateral umbilical folds on the inferior epigastric vessels
The linea alba (Latin for: white line) is a strong fibrous midline structure [1] of the anterior abdominal wall [2] situated between the two recti abdominis muscles (one on either side). The umbilicus (navel) is a defect in the linea alba through which foetal umbilical vessels pass before birth. [ 1 ]
During breathing, the diaphragm contracts and flattens, displacing the viscera and producing an outward movement of the upper abdominal wall (epigastric region). It is a convergence of the diaphragm and the abdominals, so that "when both sets of muscles (diaphragm and abdominals) tense, the epigastrium pushes forward". [ 1 ]
The median umbilical ligament may be used as a landmark for surgeons who are performing laparoscopy, such as laparoscopic inguinal hernia repair. Other than this, it has no function in a born human and may be cut or removed with impunity. It contains the urachus, which is the obliterated form of the allantois.