Abdominal fascia

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Abdominal fascia
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Details
Identifiers
Latin fascia abdominis
TA A04.5.02.001
FMA 19841
Anatomical terminology

Abdominal fascia refers to the various types of fascia found in the abdominal region. Fascia is a sheet of connective tissue that is found beneath the skin that attaches, stabilizes, encloses, and separates muscles and other internal organs. Everyone has fascia, as it is part of how the human body is composed. Fascia is organized by layer, and can also be classified by location or function in the body. While abdominal fascia is quite a simple part of how the human body is made up, there are other implications and involvements that abdominal fascia is a part of.

Contents

Research

In a 2016 study, abdominal superficial fascia was collected from both male and female cadavers. [1] The elastic, collagen, and hydroxyproline components were sampled and then studied. It was found that the elastic, collagen, and hydroxyproline components were higher in upper abdomen regions compared to lower abdomen regions. [1] This could be a reason as to why bulging of the abdomen and skin sagging occurs more in the lower regions of people, compared to the upper regions. This study that was conducted could lead to further discussions and studies in finding ways to manage obesity.

In a study from January 2011, Mechanical properties of abdominal human fascia were studied according to the direction of loading and localization. [2] Human umbilical (UF) and transversalis fascia (FT) have been studied to understand the differences in mechanical properties of the human body. [2] The differences between the mechanical properties of both UF and FT were not significant according to localization; therefore, the mechanical properties of human abdominal fascia are not controlled by the localization. [2]

Another study from 2018, showed differences in mechanical and structural properties of human fascia and their gender differences. [3] While the study was done on fascia from the thighs, the results which were comparing the differences between males and females, can also be applied to understanding the abdominal area of males and females. [3] Ultimately, it was found that the fascia lata at the lateral site was thicker and longitudinally directed fibers had higher rates of distribution compared to other sites. [3]

Further Findings

It can be involved in certain forms of breast reconstruction. [4]

Related Research Articles

Collagen is the main structural protein in the extracellular matrix in the various connective tissues in the body. As the main component of connective tissue, it is the most abundant protein in mammals, making up from 25% to 35% of the whole-body protein content. Collagen consists of amino acids bound together to form a triple helix of elongated fibril known as a collagen helix. It is mostly found in fibrous tissues such as tendons, ligaments, and skin.

Vocal cords composed of twin infoldings of mucous membrane stretched horizontally, from back to front, across the larynx. They vibrate, modulating the flow of air being expelled from the lungs during phonation

The vocal cords, also known as vocal folds or voice reeds are folds of tissue in the throat that are key in creating sounds through vocalization. The size of vocal cords affects the pitch of voice. Open when breathing and vibrating for speech or singing, the folds are controlled via the recurrent laryngeal branch of the vagus nerve.

Abdominal obesity Excess fat around the stomach and abdomen

Abdominal obesity, also known as central obesity and truncal obesity, occurs when excessive abdominal fat around the stomach and abdomen has built up to the extent that it is likely to have a negative impact on health. Central obesity has been strongly linked to cardiovascular disease, Alzheimer's disease, and other metabolic and vascular diseases.

Hernia Abnormal exit of tissue or an organ through the wall of the cavity in which it normally resides

A hernia is the abnormal exit of tissue or an organ, such as the bowel, through the wall of the cavity in which it normally resides. Hernias come in a number of types. Most commonly they involve the abdomen, specifically the groin. Groin hernias are most commonly of the inguinal type but may also be femoral. Other hernias include hiatus, incisional, and umbilical hernias. Symptoms are present in about 66% of people with groin hernias. This may include pain or discomfort, especially with coughing, exercise or going to the bathroom. Often, it gets worse throughout the day and improves when lying down. A bulging area may appear that becomes larger when bearing down. Groin hernias occur more often on the right than left side. The main concern is strangulation, where the blood supply to part of the bowel is blocked. This usually produces severe pain and tenderness in the area. Hiatus, or hiatal, hernias often result in heartburn but may also cause chest pain or pain with eating.

Tendon type of tissue that connects muscle to bone

A tendon or sinew is a tough band of fibrous connective tissue that connects muscle to bone and is capable of withstanding tension.

Cartilage resilient and smooth elastic tissue, rubber-like padding that covers and protects the ends of long bones at the joints

Cartilage is a resilient and smooth elastic tissue, a rubber-like padding that covers and protects the ends of long bones at the joints, and is a structural component of the rib cage, the ear, the nose, the bronchial tubes, the intervertebral discs, and many other body components. It is not as hard and rigid as bone, but it is much stiffer and much less flexible than muscle. The matrix of cartilage is made up of glycosaminoglycans, proteoglycans, collagen fibers and, sometimes, elastin.

Abdominoplasty surgical procedure to make the abdomen thinner and firmer

Abdominoplasty or "tummy tuck" is a cosmetic surgery procedure used to make the abdomen thinner and more firm. The surgery involves the removal of excess skin and fat from the middle and lower abdomen in order to tighten the muscle and fascia of the abdominal wall. This type of surgery is usually sought by patients with loose or sagging tissues after pregnancy or major weight loss.

In biology, adipose tissue, body fat, or simply fat is a loose connective tissue composed mostly of adipocytes. In addition to adipocytes, adipose tissue contains the stromal vascular fraction (SVF) of cells including preadipocytes, fibroblasts, vascular endothelial cells and a variety of immune cells such as adipose tissue macrophages. Adipose tissue is derived from preadipocytes. Its main role is to store energy in the form of lipids, although it also cushions and insulates the body. Far from being hormonally inert, adipose tissue has, in recent years, been recognized as a major endocrine organ, as it produces hormones such as leptin, estrogen, resistin, and cytokine. The two types of adipose tissue are white adipose tissue (WAT), which stores energy, and brown adipose tissue (BAT), which generates body heat. The formation of adipose tissue appears to be controlled in part by the adipose gene. Adipose tissue – more specifically brown adipose tissue – was first identified by the Swiss naturalist Conrad Gessner in 1551.

Inguinal canal

The inguinal canals are the two passages in the anterior abdominal wall which in males convey the spermatic cords and in females the round ligament of the uterus. The inguinal canals are larger and more prominent in males. There is one inguinal canal on each side of the midline.

Fascia layer of fibrous connective tissue that surrounds muscles, blood vessels and nerves

A fascia is a band or sheet of connective tissue, primarily collagen, beneath the skin that attaches, stabilizes, encloses, and separates muscles and other internal organs. Fascia is classified by layer, as superficial fascia, deep fascia, and visceral or parietal fascia, or by its function and anatomical location.

Plantar fascia Anatomical structure

The plantar fascia is the thick connective tissue (aponeurosis) which supports the arch on the bottom of the foot. It runs from the tuberosity of the calcaneus forward to the heads of the metatarsal bones.

Inguinal hernia intestinal disease characterized by a protrusion of abdominal cavity contests through the inguinal canal

An inguinal hernia is a protrusion of abdominal-cavity contents through the inguinal canal. Symptoms are present in about 66% of affected people. This may include pain or discomfort especially with coughing, exercise, or bowel movements. Often it gets worse throughout the day and improves when lying down. A bulging area may occur that becomes larger when bearing down. Inguinal hernias occur more often on the right than left side. The main concern is strangulation, where the blood supply to part of the intestine is blocked. This usually produces severe pain and tenderness of the area.

Stretch marks form of scarring on the skin

Stretch marks, also known as striae, are a form of scarring on the skin with an off-color hue. Over time they may diminish, but will not disappear completely. Stretch marks form during rapid growth of the body, such as during puberty or pregnancy. In pregnancy they usually form during the last trimester, and usually on the belly, but also commonly occur on the breasts, thighs, hips, lower back and buttocks. These are known as striae gravidarum.

Waist–hip ratio dimensionless ratio of the circumference of the waist to that of the hips

The waist-hip ratio or waist-to-hip ratio (WHR) is the dimensionless ratio of the circumference of the waist to that of the hips. This is calculated as waist measurement divided by hip measurement. For example, a person with a 30″ (76 cm) waist and 38″ (97 cm) hips has a waist-hip ratio of about 0.78.

Fascia of Scarpa

The fascia of Scarpa is the deep membranous layer (stratum membranosum), of the superficial fascia of the abdomen. It is a layer of the anterior abdominal wall. It is found deep to the Fascia of Camper and superficial to the external oblique muscle.

Fascia of Camper

The fascia of Camper is a thick superficial layer of the anterior abdominal wall.

Procollagen-proline dioxygenase class of enzymes

Procollagen-proline dioxygenase, commonly known as prolyl hydroxylase, is a member of the class of enzymes known as alpha-ketoglutarate-dependent hydroxylases. These enzymes catalyze the incorporation of oxygen into organic substrates through a mechanism that requires alpha-Ketoglutaric acid, Fe2+, and ascorbate. This particular enzyme catalyzes the formation of (2S, 4R)-4-hydroxyproline, a compound that represents the most prevalent post-translational modification in the human proteome.

Android fat distribution distribution of human adipose tissue

Android fat distribution describes the distribution of human adipose tissue mainly around the trunk and upper body, in areas such as the abdomen, chest, shoulder and nape of the neck. This pattern may lead to an "apple-shaped" body or central obesity, and is more common in males than in females. Thus, the android fat distribution of men is about 48.6%, which is 10.3% higher than that of premenopausal women. In other cases, an ovoid shape forms which does not differentiate between men and women. Generally during early adulthood, females tend to have a more peripheral fat distribution such that their fat is evenly distributed over their body. However, it has been found that as females age, bear children and approach menopause, this distribution shifts towards the android pattern of fat distribution resulting in a 42.1% increase in android body fat distribution in postmenstrual women. This could potentially provide evolutionary advantages such as lowering a woman's center of gravity making her more stable when carrying offspring.

Vaginal support structures structures of the pelvic floor that maintain the position of the vagina within the pelvic cavity

The vaginal support structures are those muscles, bones, ligaments, tendons, membranes and fascia, of the pelvic floor that maintain the position of the vagina within the pelvic cavity and allow the normal functioning of the vagina and other reproductive structures in the female. Defects or injuries to these support structures in the pelvic floor leads to pelvic organ prolapse. Anatomical and congenital variations of vaginal support structures can predispose a woman to further dysfunction and prolapse later in life. The urethra is part of the anterior wall of the vagina and damage to the support structures there can lead to incontinence and urinary retention.

Artificial cartilage is a synthetic material made of hydrogels or polymers that aims to mimic the functional properties of natural cartilage in the human body. Tissue engineering principles are used in order to create a non-degradable and biocompatible material that can replace cartilage. While creating a useful synthetic cartilage material, certain challenges need to be overcome. First, cartilage is an avascular structure in the body and therefore does not repair itself. This creates issues in regeneration of the tissue. Synthetic cartilage also needs to be stably attached to its underlying surface, bone. Lastly, in the case of creating synthetic cartilage to be used in joint spaces, high mechanical strength under compression needs to be an intrinsic property of the material.

References

  1. 1 2 Pandey, Arvind; Kumar, Pramod; Aithal, Srinivas; Kotian, Sushma; Thittamaranahalli, Honnegowda; Bangera, Hemalatha; Prasad, Keerthana; Souza, Anne (29 September 2016). "Histological and biochemical study of the superficial abdominal fascia and its implication in obesity". Anatomy and Cell Biology. 49 (3): 184–188. doi:10.5115/acb.2016.49.3.184. PMC   5052227 . PMID   27722011.
  2. 1 2 3 Kirilova; Stoytchev; Pashkouleva; Kavardzhikoz (January 2011). "Experimental study of the mechanical properties of human abdominal fascia". Medical Engineering & Physics. 33 (1): 1–6. doi:10.1016/j.medengphy.2010.07.017. PMID   21095153.
  3. 1 2 3 Otsuka, Shun; Yakura, Tomiko; Ohmichi, Yusuke; Naito, Munekazu; Nakano, Takashi; Kawakami, Yasuo (2018). "Site specificity of mechanical and structural properties of human fascialata and their gender differences: A cadaveric study". Journal of Biomechanics. 77: 69–75. doi:10.1016/j.jbiomech.2018.06.018. PMID   29970229.
  4. Boehmler, J. H.; Butler, C. E.; Ensor, J.; Kronowitz, S. J. (2009). "Outcomes of Various Techniques of Abdominal Fascia Closure after TRAM Flap Breast Reconstruction". Plastic and Reconstructive Surgery. 123 (3): 773–781. doi:10.1097/PRS.0b013e318199ef4f. PMID   19319039.