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会计学Withthecadaverinthesupineposition,incisetheskininthemidlinefromthexiphisternaljointtothepubicsymphysis,cuttingaroundtheumbilicus.Thenincisetheskin1inchabovethepubissymphysislaterallyovertoandalittleabovetheiliaccresttothemidaxillarylineonbothsides.Reflecttheskinfromthemidlineanteriorllytothemidaxillaryline,leavingthesuperficialfasciaontheanteriorabdominalwall.Identifythefattylayerofthesuperficialfascia(Camper'sfascia)andnotethatitiscontinuousbelowwiththefattysuperficialfasciaofthethighandabovewiththesuperficialfasciaofthethorax.Notethatthefatisgreatestinamountovertheinferiorhalfoftheabdomen.Notealsotheterminalportionofthesuperficialarteriesandcutaneousnervesinthislayer;alsoobservethesuperficialveins./IdentifytheMembranousLayeroftheSuperficialFascia(Scarpa'sFascia).NoteThatItLiesDeeptotheFattyLayerandImmediatelySuperficialtotheaponeurosisoftheExternalObliqueMuscle.InsertaFingerBetweentheMembranousLayerandtheaponeurosisoftheExternalObliqueandSeparateThemInferiorly.NoteThattheFingerCanBePassedDownMedialtothePubicTubercleAlongtheSpermaticCordandAnteriortotheBodyofthePubisIntothePerineum.LateraltothePubicTubercletheFingerCannotEntertheThigh,However,sincetheMembranousLayerIsAttachedtotheDeepFasciaoftheThighJustBelowtheInguinalLigament./IdentifytheSuperficialInguinalRingAbovethePubicTuberclebutDoNotDisturbItatThisStage.TheRingIsaTriangularOpeningintheaponeurosisoftheExternalObliqueMuscle.Makeaverticalincisingthroughthefullthichnessofthesuperficialfasciafromthexiphoidprocesstothesymphysispubis.Withtheaidofascalpelhandle,carefullyreflecttheflapsoffascialaterally,separatingthefasciafromtheaponeurosisoftheexternalobliquemuscle.Identifyexamplesofanteriorandlateralcutaneousnerves.Removealltheflapsofsuperficialfasciabymakingaverticalincisionthroughthefasciainthemidaxillaryline.Externalobliquemuscle.Cleanthesurfaceoftheexternalobliquemuscleanditsaponeurosis.Notetheattachmentofthefleshyoriginfromeachofthelowereightribs.Hereitinterdigitateswiththeoriginoftheserratusanteriorandthe
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