Academic literature on the topic 'Extremities (anatomy), surgery'

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Journal articles on the topic "Extremities (anatomy), surgery"

1

Hammond, Jacob B., Chad M. Teven, Jonathan A. Flug, Clint E. Jokerst, Ashley L. Howarth, Max A. Shrout, Marko A. Laitinen, et al. "The Chimeric Gracilis and Profunda Artery Perforator Flap: Characterizing This Novel Flap Configuration with Angiography and a Cadaveric Model." Journal of Reconstructive Microsurgery 37, no. 07 (February 16, 2021): 617–21. http://dx.doi.org/10.1055/s-0041-1723824.

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Abstract Background A chimerically configured gracilis and profunda artery perforator (PAP) flap is highly prevalent based on recent computed tomography (CT)-imaging data. The purpose of this study is to further characterize the vascular anatomy of this novel flap configuration and determine the feasibility of flap dissection. Methods To characterize flap arterial anatomy, lower extremity CT angiograms performed from 2011 to 2018 were retrospectively reviewed. To characterize venous anatomy and determine the feasibility of flap harvest, the lower extremities of cadavers were evaluated. Results A total of 974 lower extremity CT angiograms and 32 cadavers were included for the assessment. Of the 974 CT angiograms, majority (966, 99%) were bilateral studies, yielding a total of 1,940 lower extremities (right-lower-extremity = 970 and left-lower-extremity = 970) for radiographic evaluation. On CT angiography, a chimerically configured gracilis and PAP flap was found in 51% of patients (n = 494/974). By laterality, chimeric anatomy was present in 26% of right lower extremities (n = 254/970) and 25% of left lower extremities (n = 240/970); bilateral chimeric anatomy was found in 12% (n = 112/966) of patients. Average length of the common arterial pedicle feeding both gracilis and PAP flap perforasomes was 31.1 ± 16.5 mm (range = 2.0–95.0 mm) with an average diameter of 2.8 ± 0.7 mm (range = 1.3–8.8 mm).A total of 15 cadavers exhibited chimeric anatomy with intact, conjoined arteries and veins allowing for anatomical tracing from the profunda femoris to the distal branches within the tissues of the medial thigh. Dissection and isolation of the common pedicle and distal vessels was feasible with minimal disruption of adjacent tissues. Chimeric flap venous anatomy was favorable, with vena commitante adjacent to the common pedicle in all specimens. Conclusion Dissection of a chimeric medial thigh flap consisting of both gracilis and PAP flap tissues is feasible in a cadaveric model. The vascular anatomy of this potential flap appears suitable for future utilization in a clinical setting.
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2

Scaglioni, Mario, and Hiroo Suami. "Anatomy of the Lymphatic System and the Lymphosome Concept with Reference to Lymphedema." Seminars in Plastic Surgery 32, no. 01 (February 2018): 005–11. http://dx.doi.org/10.1055/s-0038-1635118.

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AbstractPrecise knowledge of the lymphatic system normal anatomy is essential for understanding what structural changes occur in patients with lymphedema. In this article, the authors first review previous anatomical studies and summarize the general anatomy of the lymphatic system and lymphatic pathways in the upper and lower extremities. Second, they introduce their new anatomical concept, the “lymphosome,” which describes how the lymphatic vessels in a particular region connect to the same subgroup of regional lymph nodes. In addition, they describe the anatomical relationship between the perforating lymphatic vessels and arteries. In the last section, they explain the anatomical changes in the lymphatics after lymph node dissection, with reference to secondary lymphedema.
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3

Ramírez, Esmitt, and Ernesto Coto. "Implant Deformation on Digital Preoperative Planning of Lower Extremities Fractures." International Journal of Creative Interfaces and Computer Graphics 3, no. 1 (January 2012): 1–15. http://dx.doi.org/10.4018/jcicg.2012010101.

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Preoperative planning is an essential step before performing any surgical procedure. Computer Aided Orthopedic Surgery (CAOS) systems are extensively used for the planning of surgeries for fractures of lower extremities. These systems are input an X-Ray image of the fracture and the planning can be digitally overlaid onto the image. In many cases, when an implant is added to the planning, it does not fit perfectly in the patient’s anatomy and therefore it is bended to be adjusted to the bone. This paper presents a new method for the deformation of implants in CAOS systems, based on the Moving Least Squares (MLS) method. Several improvements over the original MLS are introduced to achieve results visually similar to the real procedure and make the deformation process easier and simpler for the surgeon. Over 100 clinical surgeries have been already planned successfully using a CAOS system that employs the proposed technique.
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4

Machen, S. Karen, Kirk A. Easley, and John R. Goldblum. "Synovial Sarcoma of the Extremities." American Journal of Surgical Pathology 23, no. 3 (March 1999): 268–75. http://dx.doi.org/10.1097/00000478-199903000-00004.

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Leibaschoff, Gustavo, Julio Ferreira, and Jose Luis Ciucci. "Anatomic-Radiologic Comparison of the Effects of Liposculpture on the Lymphatic System of the Lower Extremities." American Journal of Cosmetic Surgery 12, no. 4 (December 1995): 287–92. http://dx.doi.org/10.1177/074880689501200402.

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A study of the lymphatic anatomy of the leg was performed using lymphography. Methods of visualization of the lymphatic anatomy are discussed and include radiographic visualization during surgery and direct examination of tissues after injection of vital dyes. Using these methods, the effect of liposuction on the lymphatics of the leg was studied in a single patient. Results of this preliminary study indicate that liposuction of the lower extremity does not cause disruption of the lymphatic system of the leg.
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Campisi, Corrado, Francesco Boccardo, Rosalia Lavagno, Lorenz Larcher, Corradino A. Campisi, and Miguel Amore. "Lymphatic drainage of mammary gland and upper extremities: From anatomy to surgery to microsurgery." Journal of the American College of Surgeons 215, no. 3 (September 2012): S124—S125. http://dx.doi.org/10.1016/j.jamcollsurg.2012.06.324.

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7

Goldschmidt, Ezequiel, Amir H. Faraji, Brian T. Jankowitz, Paul Gardner, and Robert M. Friedlander. "Use of a near-infrared vein finder to define cortical veins and dural sinuses prior to dural opening." Journal of Neurosurgery 133, no. 4 (October 2020): 1202–9. http://dx.doi.org/10.3171/2019.5.jns19297.

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Near-infrared (NIR) light is commonly used to map venous anatomy in the upper extremities to gain intravenous access for line placement. In this report, the authors describe the use of a common and commercially available NIR vein finder to delineate the cortical venous anatomy prior to dural opening.During a variety of cranial approaches, the dura was directly visualized using an NIR vein finder. The NIR light source allowed for recognition of the underlying cortical venous anatomy, dural sinuses, and underlying pathology before the dura was opened. This information was considered when tailoring the dural opening. When the dura was illuminated with the NIR vein finder, the underlying cortical and sinus venous anatomy was evident and correlated with the observed cortical anatomy. The vein finder was also accurate in locating superficial lesions and pathological dural veins. A complete accordance in the findings on the pre– and post–dural opening images was observed in all cases.This simple, inexpensive procedure is readily compatible with operative room workflow, necessitates no head fixation, and offers a real-time image independent of brain shift.
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8

Heckman, James D. "Operating Room Guide to Cross Sectional Anatomy of the Extremities and Pelvis." Journal of Bone & Joint Surgery 72, no. 4 (April 1990): 638. http://dx.doi.org/10.2106/00004623-199072040-00034.

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9

Fanous, Andrew A., and William T. Couldwell. "Transnasal excerebration surgery in ancient Egypt." Journal of Neurosurgery 116, no. 4 (April 2012): 743–48. http://dx.doi.org/10.3171/2011.12.jns11417.

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Ancient Egyptians were pioneers in many fields, including medicine and surgery. Our modern knowledge of anatomy, pathology, and surgical techniques stems from discoveries and observations made by Egyptian physicians and embalmers. In the realm of neurosurgery, ancient Egyptians were the first to elucidate cerebral and cranial anatomy, the first to describe evidence for the role of the spinal cord in the transmission of information from the brain to the extremities, and the first to invent surgical techniques such as trepanning and stitching. In addition, the transnasal approach to skull base and intracranial structures was first devised by Egyptian embalmers to excerebrate the cranial vault during mummification. In this historical vignette, the authors examine paleoradiological and other evidence from ancient Egyptian skulls and mummies of all periods, from the Old Kingdom to Greco-Roman Egypt, to shed light on the development of transnasal surgery in this ancient civilization. The authors confirm earlier observations concerning the laterality of this technique, suggesting that ancient Egyptian excerebration techniques penetrated the skull base mostly on the left side. They also suggest that the original technique used to access the skull base in ancient Egypt was a transethmoidal one, which later evolved to follow a transsphenoidal route similar to the one used today to gain access to pituitary lesions.
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10

Smith, Tamara A., Kirk A. Easley, and John R. Goldblum. "Myxoid/Round Cell Liposarcoma of the Extremities." American Journal of Surgical Pathology 20, no. 2 (February 1996): 171–80. http://dx.doi.org/10.1097/00000478-199602000-00005.

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Books on the topic "Extremities (anatomy), surgery"

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A, Greatorex Robert, and Broughton Nigel S, eds. Colour atlas of surgical exposures of the limbs. London: Edward Arnold, 1985.

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2

Rushton, Neil. Colour atlas of surgical exposures of the limbs. Baltimore: University Park Press, 1985.

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Rushton, Neil. Colour atlas of surgical exposures of the limbs. London: Gower Medical, 1985.

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4

K, Ensley Philip, and Haynes Carol J, eds. Avian surgical anatomy: Thoracic and pelvic limbs. Philadelphia: W.B. Saunders, 1992.

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5

Stepanov, Georgiĭ. Na aukt︠s︡ione zhizni i smerti: Ispovedʹ mikrokhirurga. Moskva: Rossii︠a︡ molodai︠a︡, 2004.

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6

Extensile exposure. 3rd ed. Edinburgh: Churchill Livingstone, 1995.

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7

Masquelet, Alain C. An atlas of flaps in limb reconstruction. London: M. Dunitz, 1995.

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8

1912-, Laufman Harold, ed. An atlas of surgical exposures of the extremities. 2nd ed. Philadelphia: Saunders, 1987.

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9

H, Pho Robert W., ed. Microsurgical technique in orthopaedics. London: Butterworths, 1988.

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10

Gordon, Leonard. Microsurgical reconstruction of the extremities: Indications, technique, and postoperative care. New York: Springer-Verlag, 1988.

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