
Abdominal Wall — seven-layer anatomical structure that surgeons penetrate in every abdominal approach.
| Tissue | Layer/Position | Key Properties |
|---|---|---|
| Skin | Superficial. Outermost | Epidermis and dermis. First tactile resistance |
| Subcutaneous fat | Deep to skin | Variable with BMI. Compressible layer |
| Scarpa's fascia | Deep to subcutaneous fat | First distinct "pop" on incision. Membranous layer |
| Rectus sheath anterior layer | Deep to Scarpa's | Aponeurotic. Holds sutures |
| Rectus abdominis muscle | Deep to anterior rectus sheath | Compressible. Variable thickness |
| Transversalis fascia | Deep to muscle | Final distinct "pop". Critical landmark |
| Peritoneum | Deepest. Visceral boundary | Translucent. Final layer before peritoneal cavity |
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Abdominal wall simulation is incorporated in: