by Stuart Enoch, PhD

My Notes
  • Required.
Save Cancel
    Report mistake

    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?

    About the Lecture

    The lecture Kidneys by Stuart Enoch, PhD is from the course Upper Part of the Body Anatomy.

    Author of lecture Kidneys

     Stuart Enoch, PhD

    Stuart Enoch, PhD

    Customer reviews

    5,0 of 5 stars
    5 Stars
    4 Stars
    3 Stars
    2 Stars
    1  Star