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Anatomy: Groin and Inguinal
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=== Vasculature === *'''<span style="color:#ff0000">Posterior to fascia lata</span>''' *'''<span style="color:#ff0000">Superficial vessels</span>''' **'''Supply the skin and subcutaneous tissue''' **'''Branches of the femoral artery (3)''' **#'''Superficial circumflex iliac artery''' **#*Smallest of the branches **#*Pierces through the fascia lata **#*'''Origin is usually lateral to the saphenous opening''' **#*Travels superolaterally, in the direction of the anterior superior iliac spine **#*Supplies **#**Region of the skin over the lateral third of the inguinal ligament and the iliac crest **#**Superficial fascia and superficial inguinal nodes along its course **#*Anastomoses with branches of the deep circumflex iliac, superior gluteal, and lateral circumflex femoral artery **#'''Superficial epigastric artery''' **#*Medial to the superficial circumflex iliac artery **#*Following a more vertical course; ascends anterior to the inguinal ligament up to the region just below the umbilicus **#*'''Typically originates from the anterior aspect of the femoral artery about 2–5 cm distal to the inguinal ligament, just inferior to the saphenofemoral venous junction''' **#**Often originates from a trunk that is shared with the superficial circumflex iliac artery **#*Supplies the skin, superficial fascia, and inguinal nodes in midinguinal area **#*Branches anastomose with those of the contralateral artery and with the inferior epigastric artery **#'''Superficial external pudendal artery''' **#*'''Medial origin on the femoral artery''' **#**Rarely it may originate from the profunda femoris artery **#*'''Medial route,''' coursing in the direction of the pubic symphysis where it traverses the spermatic cord in males and the round ligament in females **#*Supplies cutaneous blood flow to the inferior abdomen, the penis, and the scrotum in males and the labia majora in females **#*Anastomoses with branches of the internal pudendal artery **Anastomoses exist between the superficial and deep vessels *'''<span style="color:#ff0000">Deep vessels</span>''' **Supplies the muscles and fascia **'''Deep circumflex iliac''' ***Branches off of the lateral aspect of the external iliac artery ***Supplies the deep lateral groin **'''Inferior epigastric''' ***Branch of the external iliac artery ***Origin just medial to that of the deep circumflex iliac artery ***Gives off two branches: the pubic and the external spermatic (or cremasteric) ***Forms the lateral border of the inguinal (Hesselbach’s) triangle
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