Kidneys

00:00 If you turn the patient, well, turn Johnny around, you'll see the lower border of L1 vertebra.

00:11 What happens in adults? Spinal cord ends? Okay, so the start of your conus medullaris in adults.

00:22 Because your right kidney is lower than the left, the upper pole of the right kidney is in transpyloric plane.

00:28 Here is the hilum, so the left hilum and the upper pole of the right kidney.

00:38 Okay, these are all in the transpyloric plane.

00:40 Coming to the kidneys since we are there, What's the vertebral, what's the approximate height of the kidneys in terms of centimeters? 10 yes, 10 we would accept.

00:51 It's about three vertebral spaces, three vertebrae at level, so about 10 centimeters The width is approximately 5 to 7 centimeters, Over 5 centimeters kidneys at the back.

01:04 Blood supply to the kidneys, where does it come from? Blood supply, renal arteries, fine.

01:11 Just turn around please.

01:13 That way. Thank you.

01:14 So, those are things in the transpyloric plane.

01:18 While we are there, we'll just go to the next part which will be the layers you go through when you make a surgical incision.

01:29 So, midline laparotomy incision, tell me the layers you go through.

01:35 Skin, yes.

01:41 Not in the midline.

01:45 Not really, okay.

01:53 Well, pretty much in the linea alba.

02:00 You have the transversalis fascia, transversalis fascia as well, then the preperitoneal fat and then the peritoneum.

02:08 So here, only if you go slightly laterally, you will come across the Camper's fascia and the Scarpa's fascia in the midline.

02:14 If you make the same incision, let's say it's a paramedian incision, say if you come over on here then you'll go through skin, Camper's fascia, Scarpa's fascia.

02:25 Now, you understand that the abdomen does not have a deep fascia.

02:29 Abdomen has a superficial fascia which has got two layers, Superficial, deep, superficial and deep.

02:36 But that is not the traditional deep fascia you've got in the leg.

02:40 Okay, but we call it Campers and Scarpas.

02:43 Then what are these you have here?