00:01
Now let's turn our attention to the
boundaries of the inguinal canal.
00:05
Previously,
we spoke briefly about its contents
and how the deep and superficial
inguinal rings are formed.
00:11
Now let's look at its boundaries
where there is an anterior
and posterior wall.
00:15
There's also a floor and a roof.
Let's start with the anterior wall.
00:20
And as we can see here
highlighted in green,
this lateral section
is formed by both
the external and
internal oblique muscles.
00:28
More medially we have the
external oblique aponeurosis.
00:32
And remember,
this is where the spermatic cord
or the round ligament of the uterus
passed through forming the
superficial inguinal ring.
00:39
And then parts of that
are forming the
lateral and medial crura, around it.
00:44
Let's have a look at
the posterior wall.
00:46
And with the
posterior wall as the testes
have penetrated through this layer,
we have transversalis fascia,
and that's forming the
most posterior boundary.
00:55
Moving more medially,
we can see how the aponeurosis
of transversus abdominis
and the aponeurosis of internal
oblique from the conjoint tendon.
01:06
So here, if remember the anatomy
around the rectus sheath,
both these two layers now form
anteriorly to the rectus sheath.
01:16
And as they form anteriorly
to the rectus sheath
immediately behind the
superficial inguinal ring,
they unite together, and we
call this the conjoint tendon.
01:27
The superficial inguinal ring
as we'll come to see later on
is a potential area of weakness
associated with inguinal hernias.
01:35
And this conjoint tendon, the
union of the transverse abdominis
and the internal oblique
aponeurosis forms this tendon,
a thickening band that
helps to reinforce
the area immediately posterior
to the superficial inguinal ring.
01:49
It forms the posterior wall.
01:52
The final aspect we want
to look at is the floor
and really the floor was formed
by the inguinal ligament.
01:57
This is the under curving of
the external oblique aponeurosis
as it runs from the anterior
superior iliac spine,
all the way down through
to the pubic tubercle.
02:08
So that are the boundaries
of the inguinal canal.