[Verse 1]
Alright, let's map the abdomen, layer by layer we go
Two omenta hanging like curtains at a surgical show
The greater omentum drapes the bowel like an apron of fat
A mobile, vascular organ — remember exactly that
It migrates to infection, walls it off, seals the breach
A biological first responder, always within reach
The lesser omentum's thinner, spans from stomach to liver
Hepatoduodenal ligament — the portal triad's giver
Free edge contains the portal vein, hepatic artery too
Bile duct runs anterior — that triangle's your clue
Need a flap for reconstruction? Harvest that greater sheet
Omental transposition, covering wounds that need heat
[Chorus]
Le grand épiploon, il garde le ventre
The lesser holds the triad at its centre
Identify the ureter, don't divide it wrong
Les structures sont reliées — learn the song
Omentum, spleen, ureter, pelvic floor
Quatre structures — maintenant, you know the score
[Verse 2]
The spleen sits tucked in the left hypochondrium snug
Splenocolic ligament — you cut that with a tug
Gastrosplenic carries short gastrics, handle with care
Divide them close to stomach, leave the splenic vessels there
Mobilise the splenic flexure — colon hangs by three
Phrenicocolic, splenocolic, gastrocolic — set it free
Take down that flexure lateral to medial, feel the plane
Retroperitoneal space opens, bloodless if you train
Splenorenal ligament last — deliver the pole down low
Beware the tail of pancreas follows where you go
Flexure mobilisation feeds your left-sided anastomosis length
The spleen and flexure move together — anatomy gives strength
[Chorus]
Le grand épiploon, il garde le ventre
The lesser holds the triad at its centre
Identify the ureter, don't divide it wrong
Les structures sont reliées — learn the song
Omentum, spleen, ureter, pelvic floor
Quatre structures — maintenant, you know the score
[Verse 3]
Now ureters — bilateral, retroperitoneal pipes
Crossing iliac vessels at the pelvic brim — those are the types
At the bifurcation of common iliacs, ureter dives
That crossing point is where your dissection comes alive
Peristalsis under a probe confirms what you have found
Medial to medial — don't chase if it's unbound
In females, the ureter tunnels under uterine artery wide
"Water under the bridge" — that phrase keeps surgeons sane inside
Anterior fixation near the bladder, trigone entry spot
Ureteric injury hides until the patient's plot
Stent them preoperatively when adhesions cloud the view
Bright light, slow hands — the ureter always comes through