Abdominal Wall: The outer margins of the ABDOMEN, extending from the osteocartilaginous thoracic cage to the PELVIS. Though its major part is muscular, the abdominal wall consists of at least seven layers: the SKIN, subcutaneous fat, deep FASCIA; ABDOMINAL MUSCLES, transversalis fascia, extraperitoneal fat, and the parietal PERITONEUM.Abdominal Muscles: Muscles forming the ABDOMINAL WALL including RECTUS ABDOMINIS, external and internal oblique muscles, transversus abdominis, and quadratus abdominis. (from Stedman, 25th ed)Hernia, Abdominal: A protrusion of abdominal structures through the retaining ABDOMINAL WALL. It involves two parts: an opening in the abdominal wall, and a hernia sac consisting of PERITONEUM and abdominal contents. Abdominal hernias include groin hernia (HERNIA, FEMORAL; HERNIA, INGUINAL) and VENTRAL HERNIA.Hernia, Umbilical: A HERNIA due to an imperfect closure or weakness of the umbilical ring. It appears as a skin-covered protrusion at the UMBILICUS during crying, coughing, or straining. The hernia generally consists of OMENTUM or SMALL INTESTINE. The vast majority of umbilical hernias are congenital but can be acquired due to severe abdominal distention.Hernia, Ventral: A hernia caused by weakness of the anterior ABDOMINAL WALL due to midline defects, previous incisions, or increased intra-abdominal pressure. Ventral hernias include UMBILICAL HERNIA, incisional, epigastric, and spigelian hernias.Surgical Mesh: Any woven or knit material of open texture used in surgery for the repair, reconstruction, or substitution of tissue. The mesh is usually a synthetic fabric made of various polymers. It is occasionally made of metal.Cell Wall: The outermost layer of a cell in most PLANTS; BACTERIA; FUNGI; and ALGAE. The cell wall is usually a rigid structure that lies external to the CELL MEMBRANE, and provides a protective barrier against physical or chemical agents.Gastroschisis: A congenital defect with major fissure in the ABDOMINAL WALL lateral to, but not at, the UMBILICUS. This results in the extrusion of VISCERA. Unlike OMPHALOCELE, herniated structures in gastroschisis are not covered by a sac or PERITONEUM.Polypropylenes: Propylene or propene polymers. Thermoplastics that can be extruded into fibers, films or solid forms. They are used as a copolymer in plastics, especially polyethylene. The fibers are used for fabrics, filters and surgical sutures.Abdominal NeoplasmsFascia Lata: CONNECTIVE TISSUE of the anterior compartment of the THIGH that has its origins on the anterior aspect of the iliac crest and anterior superior iliac spine, and its insertion point on the iliotibial tract. It plays a role in medial rotation of the THIGH, steadying the trunk, and in KNEE extension.Rectus Abdominis: A long flat muscle that extends along the whole length of both sides of the abdomen. It flexes the vertebral column, particularly the lumbar portion; it also tenses the anterior abdominal wall and assists in compressing the abdominal contents. It is frequently the site of hematomas. In reconstructive surgery it is often used for the creation of myocutaneous flaps. (From Gray's Anatomy, 30th American ed, p491)Abdominal Wound Closure Techniques: Methods to repair breaks in abdominal tissues caused by trauma or to close surgical incisions during abdominal surgery.Laparotomy: Incision into the side of the abdomen between the ribs and pelvis.Umbilicus: The pit in the center of the ABDOMINAL WALL marking the point where the UMBILICAL CORD entered in the FETUS.Abdominal Injuries: General or unspecified injuries involving organs in the abdominal cavity.Herniorrhaphy: Surgical procedures undertaken to repair abnormal openings through which tissue or parts of organs can protrude or are already protruding.Surgical Wound Dehiscence: Pathologic process consisting of a partial or complete disruption of the layers of a surgical wound.Reconstructive Surgical Procedures: Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.Sutures: Materials used in closing a surgical or traumatic wound. (From Dorland, 28th ed)Abdominoplasty: Surgical removal of excess abdominal skin and fat and tightening of the ABDOMINAL WALL. Abdominoplasty may include LIPECTOMY of INTRA-ABDOMINAL FAT, tightening of the ABDOMINAL MUSCLES, and re-creation of the UMBILICUS.Tissue Adhesions: Pathological processes consisting of the union of the opposing surfaces of a wound.Epigastric Arteries: Inferior and external epigastric arteries arise from external iliac; superficial from femoral; superior from internal thoracic. They supply the abdominal muscles, diaphragm, iliac region, and groin. The inferior epigastric artery is used in coronary artery bypass grafting and myocardial revascularization.Surgical Flaps: Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.Pneumoperitoneum, Artificial: Deliberate introduction of air into the peritoneal cavity.Fibromatosis, Aggressive: A childhood counterpart of abdominal or extra-abdominal desmoid tumors, characterized by firm subcutaneous nodules that grow rapidly in any part of the body but do not metastasize. The adult form of abdominal fibromatosis is FIBROMATOSIS, ABDOMINAL. (Stedman, 25th ed)Polyglactin 910: A polyester used for absorbable sutures & surgical mesh, especially in ophthalmic surgery. 2-Hydroxy-propanoic acid polymer with polymerized hydroxyacetic acid, which forms 3,6-dimethyl-1,4-dioxane-dione polymer with 1,4-dioxane-2,5-dione copolymer of molecular weight about 80,000 daltons.Fascia: Layers of connective tissue of variable thickness. The superficial fascia is found immediately below the skin; the deep fascia invests MUSCLES, nerves, and other organs.Hernia: Protrusion of tissue, structure, or part of an organ through the bone, muscular tissue, or the membrane by which it is normally contained. Hernia may involve tissues such as the ABDOMINAL WALL or the respiratory DIAPHRAGM. Hernias may be internal, external, congenital, or acquired.Tensile Strength: The maximum stress a material subjected to a stretching load can withstand without tearing. (McGraw-Hill Dictionary of Scientific and Technical Terms, 5th ed, p2001)Suture Techniques: Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES).Peritoneal Diseases: Pathological processes involving the PERITONEUM.Fasciitis: Inflammation of the fascia. There are three major types: 1, Eosinophilic fasciitis, an inflammatory reaction with eosinophilia, producing hard thickened skin with an orange-peel configuration suggestive of scleroderma and considered by some a variant of scleroderma; 2, Necrotizing fasciitis (FASCIITIS, NECROTIZING), a serious fulminating infection (usually by a beta hemolytic streptococcus) causing extensive necrosis of superficial fascia; 3, Nodular/Pseudosarcomatous /Proliferative fasciitis, characterized by a rapid growth of fibroblasts with mononuclear inflammatory cells and proliferating capillaries in soft tissue, often the forearm; it is not malignant but is sometimes mistaken for fibrosarcoma.Laparoscopy: A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.Groin: The external junctural region between the lower part of the abdomen and the thigh.Abdomen: That portion of the body that lies between the THORAX and the PELVIS.Intestinal Fistula: An abnormal anatomical passage between the INTESTINE, and another segment of the intestine or other organs. External intestinal fistula is connected to the SKIN (enterocutaneous fistula). Internal intestinal fistula can be connected to a number of organs, such as STOMACH (gastrocolic fistula), the BILIARY TRACT (cholecystoduodenal fistula), or the URINARY BLADDER of the URINARY TRACT (colovesical fistula). Risk factors include inflammatory processes, cancer, radiation treatment, and surgical misadventures (MEDICAL ERRORS).Biocompatible Materials: Synthetic or natural materials, other than DRUGS, that are used to replace or repair any body TISSUES or bodily function.Cicatrix: The fibrous tissue that replaces normal tissue during the process of WOUND HEALING.Wound Healing: Restoration of integrity to traumatized tissue.Hernia, Inguinal: An abdominal hernia with an external bulge in the GROIN region. It can be classified by the location of herniation. Indirect inguinal hernias occur through the internal inguinal ring. Direct inguinal hernias occur through defects in the ABDOMINAL WALL (transversalis fascia) in Hesselbach's triangle. The former type is commonly seen in children and young adults; the latter in adults.Thoracic Wall: The outer margins of the thorax containing SKIN, deep FASCIA; THORACIC VERTEBRAE; RIBS; STERNUM; and MUSCLES.Cutaneous Fistula: An abnormal passage or communication leading from an internal organ to the surface of the body.Surgical Wound Infection: Infection occurring at the site of a surgical incision.Peritoneum: A membrane of squamous EPITHELIAL CELLS, the mesothelial cells, covered by apical MICROVILLI that allow rapid absorption of fluid and particles in the PERITONEAL CAVITY. The peritoneum is divided into parietal and visceral components. The parietal peritoneum covers the inside of the ABDOMINAL WALL. The visceral peritoneum covers the intraperitoneal organs. The double-layered peritoneum forms the MESENTERY that suspends these organs from the abdominal wall.Abdominal Pain: Sensation of discomfort, distress, or agony in the abdominal region.Neoplasm Seeding: The local implantation of tumor cells by contamination of instruments and surgical equipment during and after surgical resection, resulting in local growth of the cells and tumor formation.Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.Polydioxanone: An absorbable suture material used also as ligating clips, as pins for internal fixation of broken bones, and as ligament reinforcement for surgically managed ligament injuries. Its promising characteristics are elasticity, complete biodegradability, and lack of side effects such as infections.Abdominal Abscess: An abscess located in the abdominal cavity, i.e., the cavity between the diaphragm above and the pelvis below. (From Dorland, 27th ed)Bladder Exstrophy: A birth defect in which the URINARY BLADDER is malformed and exposed, inside out, and protruded through the ABDOMINAL WALL. It is caused by closure defects involving the top front surface of the bladder, as well as the lower abdominal wall; SKIN; MUSCLES; and the pubic bone.Tissue Expansion: A procedure whereby the body is stimulated to generate extra soft tissue by the application of stretching forces that stimulate new growth of tissue which, over a period of time, results in a 2-dimensional expansion of the tissue. The procedure is used in reconstructive surgery for injuries caused by trauma, burns, or ablative surgery. Various types of TISSUE EXPANSION DEVICES have been developed that exert stretching forces.Epispadias: A birth defect due to malformation of the URETHRA in which the urethral opening is above its normal location. In the male, the malformed urethra generally opens on the top or the side of the PENIS, but the urethra can also be open the entire length of the penis. In the female, the malformed urethral opening is often between the CLITORIS and the labia, or in the ABDOMEN.Polytetrafluoroethylene: Homopolymer of tetrafluoroethylene. Nonflammable, tough, inert plastic tubing or sheeting; used to line vessels, insulate, protect or lubricate apparatus; also as filter, coating for surgical implants or as prosthetic material. Synonyms: Fluoroflex; Fluoroplast; Ftoroplast; Halon; Polyfene; PTFE; Tetron.Endometriosis: A condition in which functional endometrial tissue is present outside the UTERUS. It is often confined to the PELVIS involving the OVARY, the ligaments, cul-de-sac, and the uterovesical peritoneum.Laparoscopes: ENDOSCOPES for examining the abdominal and pelvic organs in the peritoneal cavity.Wounds, Nonpenetrating: Injuries caused by impact with a blunt object where there is no penetration of the skin.Compartment Syndromes: Conditions in which increased pressure within a limited space compromises the BLOOD CIRCULATION and function of tissue within that space. Some of the causes of increased pressure are TRAUMA, tight dressings, HEMORRHAGE, and exercise. Sequelae include nerve compression (NERVE COMPRESSION SYNDROMES); PARALYSIS; and ISCHEMIC CONTRACTURE.Flank Pain: Pain emanating from below the RIBS and above the ILIUM.

Expiratory flow limitation during exercise in COPD: detection by manual compression of the abdominal wall. (1/300)

Manual compression of the abdomen (MCA) during spontaneous expiration is a simple method for the detection of flow limitation in the chronic obstructive pulmonary disease (COPD) patients during resting breathing, based on comparison of flow/volume curves obtained during MCA with that of the preceding control breath. It was assessed whether this nonstandardized technique is also feasible during exercise. MCA was performed during resting breathing and constant-exercise work at one- and two-thirds maximal mechanical power output (W'max) in six normal subjects and 12 COPD patients. Changes in end-expiratory lung volume (EELV) were also studied. With the aid of inspection, abdominal palpation and lung auscultation, MCA could always be applied during expiration. Flow limitation was never detected in the six normal subjects, whereas four of the COPD patients were flow limited at rest, seven during exercise at one-third W'max and nine during exercise at two-thirds W'max. Expiratory flow limitation detected by MCA was always associated with an increase in EELV during exercise, indicating dynamic hyperinflation occurrence or increase. It is concluded that manual compression of the abdomen is a very simple and reliable method for the detection of flow limitation during exercise.  (+info)

How should an infected perinephric haematoma be drained in a tetraplegic patient with baclofen pump implanted in the abdominal wall? - A case report. (2/300)

BACKGROUND: We present a case to illustrate controversies in percutaneous drainage of infected, perinephric haematoma in a tetraplegic patient, who had implantation of baclofen pump in anterior abdominal wall on the same side as perinephric haematoma. CASE PRESENTATION: A 56-year-old male with C-4 tetraplegia had undergone implantation of programmable pump in the anterior abdominal wall for intrathecal infusion of baclofen to control spasticity. He developed perinephric haematoma while he was taking warfarin as prophylactic for deep vein thrombosis. Perinephric haematoma became infected with a resistant strain of Pseudomonas aeruginosa, and required percutaneous drainage. Positioning this patient on his abdomen without anaesthesia, for insertion of a catheter from behind, was not a realistic option. Administration of general anaesthesia in this patient in the radiology department would have been hazardous. RESULTS AND CONCLUSION: Percutaneous drainage was carried out by anterior approach under propofol sedation. The site of entry of percutaneous catheter was close to cephalic end of baclofen pump. By carrying out drainage from anterior approach, and by keeping this catheter for ten weeks, we took a risk of causing infection of the baclofen pump site, and baclofen pump with a resistant strain of Pseudomonas aeruginosa. The alternative method would have been to anaesthetise the patient and position him prone for percutaneous drainage of perinephric collection from behind. This would have ensured that the drainage track was far away from the baclofen pump with minimal risk of infection of baclofen pump, but at the cost of incurring respiratory complications in a tetraplegic subject.  (+info)

Presence of Chlamydia pneumoniae in abdominal aortic aneurysms is not associated with increased activity of matrix metalloproteinases. (3/300)

OBJECTIVE: to test the hypothesis that the presence of Chlamydia pneumoniae (C. pneumoniae) in the wall of abdominal aortic aneurysms (AAA) is associated with increased activity of matrix metalloproteinase (MMP)-2 and/or MMP-9. DESIGN: case-control study. MATERIAL AND METHODS: in a series of 40 patients with AAA > or =5cm in maximal cross-sectional diameter, C. pneumoniae-DNA was identified in the aneurysm wall by nested PCR in 14 (35%) patients. Another 14 C. pneumoniae-DNA-negative AAA patients from the same series, matched for gender and aneurysm diameter, were used as controls. In each group there were 7 asymptomatic (aAAA) and 7 ruptured (rAAA) aneurysms. MMP-2 and -9 activity was estimated in AAA wall biopsies by gelatin zymography. RESULTS: patients with a C. pneumoniae-DNA-positive aneurysm wall specimen showed an over-all lower activity of MMP-2 and MMP-9 (pro- and active enzyme) compared to the C. pneumoniae-DNA negative patients. However, there were no statistically significant differences in MMP activity between the two groups of patients with aAAA. Among patients with rAAA both pro-MMP-9 (p=0,026) and active-MMP-9 (p=0.007) were significantly lower in C. pneumoniae-DNA-positive patients compared to C. pneumoniae-DNA-negative patients, whereas there were no significant differences in pro-MMP-2 or active-MMP-2. CONCLUSION: this preliminary study does not support the hypothesis that the presence of C. pneumoniae in the AAA wall is associated with increased activity of MMP-2 and MMP-9.  (+info)

Involvement of the mural thrombus as a site of protease release and activation in human aortic aneurysms. (4/300)

Acquired abdominal aortic aneurysms are usually associated with a mural thrombus through which blood continues to flow. Some early data suggest that aneurysmal evolution correlates with the biological activity of the thrombus. Our hypothesis was therefore that the thrombus could adsorb blood components and store, release, and participate in the activation of proteases involved in aneurysmal evolution. For this purpose, we have explored both the metalloproteinase and fibrinolytic systems in the thrombus and the wall of human aneurysms. We have first investigated blood clot formation and lysis in vitro. Spontaneous clotting induces a release of promatrix metalloproteinase (pro-MMP)-9 into the serum that was fourfold higher than in paired control plasma (P < 0.001). Fibrinolysis progressively released more MMP-9 in a time-dependent manner (P < 0.01). After selective isolation, we demonstrated that polymorphonuclear leukocytes are the main source of MMP-9 release during clot formation. Protease content was then analyzed in 35 mural thrombi and walls of human abdominal aortic aneurysms sampled during surgical repair. In 15 aneurysms, the liquid phase at the interface between the thrombus and the wall was sampled separately. Both thrombus and wall contained MMP-2 and MMP-9 but the ratio MMP-9/MMP-2 was higher in the thrombus than in the wall. The liquid interface also contained active MMP-9. Immunohistochemistry of the thrombus confirmed these findings, showing the presence of polymorphonuclear leukocytes at the luminal pole of the thrombus, co-localizing with MMP-9 storage. In contrast, MMP-3 and MMP-7 were only present in the aneurysmal wall. Plasminogen was present in the mural thrombus but plasmin activity was present in both thrombus and wall. In the liquid interface, plasmin-alpha(2)-anti-plasmin complexes were detected demonstrating in vivo the activation of plasminogen. In contrast, u-PA and t-PA were detectable only in the wall, suggesting that plasminogen present in the thrombus could be activated by factors secreted by the arterial wall. This was demonstrated in vitro, in which co-incubation of thrombus and wall extracts generated plasmin in the presence of a fibrin matrix and activated MMPs. In conclusion, our study strongly suggests that the mural thrombus, by trapping polymorphonuclear leukocytes and adsorbing plasma components could act as a source of proteases in aneurysms that may play a critical role in enlargement and rupture.  (+info)

The tetrapeptide AcSDKP, an inhibitor of primitive hematopoietic cell proliferation, induces angiogenesis in vitro and in vivo. (5/300)

The tetrapeptide acetyl-Ser-Asp-Lys-Pro (AcSDKP), purified from bone marrow and constitutively synthesized in vivo, belongs to the family of negative regulators of hematopoiesis. It protects the stem cell compartment from the toxicity of anticancer drugs and irradiation and consequently contributes to a reduction in marrow failure. This current work provides experimental evidence for another novel biologic function of AcSDKP. We report that AcSDKP is a mediator of angiogenesis, as measured by its ability to modulate endothelial cell function in vitro and angiogenesis in vivo. AcSDKP at nanomolar concentrations stimulates in vitro endothelial cell migration and differentiation into capillary-like structures on Matrigel as well as enhances the secretion of an active form of matrix metalloproteinase-1 (MMP-1). In vivo, AcSDKP promotes a significant angiogenic response in the chicken embryo chorioallantoic membrane (CAM) and in the abdominal muscle of the rat. Moreover, it induces the formation of blood vessels in Matrigel plugs implanted subcutaneously in the rat. This is the first report demonstrating the ability of AcSDKP to interact directly with endothelial cells and to elicit an angiogenic response in vitro and in vivo.  (+info)

The ultrasonic trocar provides an easy, sharp, bloodless, and repeatable approach to the abdominal cavity. (6/300)

Reusable trocars have the advantage of being more cost-effective than disposable trocars. However, the reusable trocar does lose its sharpness on insertion with repetitive insertion. Nonreusable trocars are expensive, but the sharpness of the knife facilitates insertion. Nonreusable trocars have a safety shield system designed to decrease abdominal organ injury, though the potential problem of bleeding from the abdominal wall port site has yet to be resolved. We therefore developed a novel ultrasonic vibrating trocar that does not lose its sharpness even with repetitive insertion. This trocar prevents bleeding by means of an ultrasonic cavitation effect. The ultrasonic vibrating trocar has the advantage of ease of insertion, and the force required for new reusable trocar insertion was only 34% of the force required for insertion of commercially available nonreusable trocars. The force required for multiply used conventional reusable ultrasonic vibrating trocar insertion, ie, 900 insertions, was maintained at less than 46% of the force required by the corresponding nonreusable trocars. Bleeding from the abdominal wall was prevented by an ultrasonic cavitation effect.  (+info)

The abdominal compartment syndrome following aortic surgery. (7/300)

BACKGROUND: multi-organ failure is a leading cause of death following aneurysm surgery, especially in the emergency setting. Intra-abdominal hypertension is an important factor in the development of multi-organ failure. Prevention, early recognition and prompt treatment of abdominal hypertension and the abdominal compartment syndrome may reduce mortality following aneurysm surgery. METHODS: a descriptive review of the literature from a Medline search. RESULTS AND CONCLUSIONS: the abdominal compartment syndrome is the result of diverse physiological effects caused by increased intra-abdominal pressure. The syndrome has been most widely described in trauma victims, but occurs in patients following aortic surgery, particularly following ruptured aneurysm repair. Preventative therapy should be instituted to minimise its development in patients at risk, and monitoring of intra-abdominal pressure may allow prompt treatment of this condition.  (+info)

Definitive surgical treatment of infected or exposed ventral hernia mesh. (8/300)

OBJECTIVE: To discuss the difficulties in dealing with infected or exposed ventral hernia mesh, and to illustrate one solution using an autogenous abdominal wall reconstruction technique. SUMMARY BACKGROUND DATA: The definitive treatment for any infected prosthetic material in the body is removal and substitution. When ventral hernia mesh becomes exposed or infected, its removal requires a solution to prevent a subsequent hernia or evisceration. METHODS: Eleven patients with ventral hernia mesh that was exposed, nonincorporated, with chronic drainage, or associated with a spontaneous enterocutaneous fistula were referred by their initial surgeons after failed local wound care for definitive management. The patients were treated with radical en bloc excision of mesh and scarred fascia followed by immediate abdominal wall reconstruction using bilateral sliding rectus abdominis myofascial advancement flaps. RESULTS: Four of the 11 patients treated for infected mesh additionally required a bowel resection. Transverse defect size ranged from 8 to 18 cm (average 13 cm). Average procedure duration was 3 hours without bowel repair and 5 hours with bowel repair. Postoperative length of stay was 5 to 7 days without bowel repair and 7 to 9 days with bowel repair. Complications included hernia recurrence in one case and stitch abscesses in two cases. Follow-up ranges from 6 to 54 months (average 24 months). CONCLUSIONS: Removal of infected mesh and autogenous flap reconstruction is a safe, reliable, and one-step surgical solution to the problem of infected abdominal wall mesh.  (+info)

This practical, go-to reference by Drs. Losken and Janis will provide you with the tools you need when addressing a host of abdominal wall problems, ranging from simple to complex hernia repair and abdominal wall reconstruction. It provides information on the latest developments in mesh and biologic materials and their applications for abdominal hernia repair as well as step-by-step surgical technique for ensuring successful outcomes in all types of abdominal wall reconstruction. Advances in Abdominal Wall Reconstruction presents the range of current options available for surgical repair in a systematic fashion. Treatment options and algorithms provide readers with insights into choices for approaching different problems. Strategies for minimizing morbidity and for avoiding recurrences are also discussed in detail as are helpful tips and tricks and safe and reliable options for dealing with complex problems. New techniques are described along with the evidence-based data on outcomes and numerous ...
Laparoscopic surgery requires inflation of the abdominal cavity and this offers a unique opportunity to measure the mechanical properties of the living abdominal wall. We used a motion analysis system to study the abdominal wall motion of 18 patients undergoing laparoscopic surgery, and found that the mean Youngs modulus was 27.7+/-4.5 and 21.0+/-3.7 kPa for male and female, respectively. During inflation, the abdominal wall changed from a cylinder to a dome shape. The average expansion in the abdominal wall surface was 20%, and a working space of 1.27 x 10(-3)m(3) was created by expansion, reshaping of the abdominal wall and diaphragmatic movement. For the first time, the elasticity of human abdominal wall was obtained from the patients undergoing laparoscopic surgery, and a 3D simulation model of human abdominal wall has been developed to analyse the motion pattern in laparoscopic surgery. Based on this study, a mechanical abdominal wall lift and a surgical simulator for safe/ergonomic port
Case: 41 year old woman with a history of an abdominal myomectomy followed by a pregnancy, ending in cesarean delivery. Over time a firm mass could be felt in the abdominal wall which was swollen with her menses. She had been seen by several physicians who were unable to clearly diagnose the mass. She…
Abdominal wall surgery - MedHelps Abdominal wall surgery Center for Information, Symptoms, Resources, Treatments and Tools for Abdominal wall surgery. Find Abdominal wall surgery information, treatments for Abdominal wall surgery and Abdominal wall surgery symptoms.
Also known as hernia repair surgery, abdominal wall reconstruction involves repairing and strengthening damaged abdominal walls. Learn about the functional and cosmetic benefits of abdominal wall reconstruction by clicking this link, or call 888.745.3227 to schedule your free virtual consultation.
Endometriosis, a common gynecological condition, is defined as the presence of functioning endometrial tissue outside the uterine cavity. It often presents as a cyclic, hormonally stimulated pain in women during their reproductive years. While endometriosis is usually located within the pelvis, it may also occur at intraperitoneal, intestinal, perineal, and distant ectopic sites. Although often diffuse, a localized, focal mass of endometrial tissue is termed as an endometrioma. In rare occurrences, an endometrioma will present superficially to the peritoneum within the abdominal wall following gynecologic or obstetric surgery. The presence of an abdominal wall endometrioma within a cesarean section scar may pose a diagnostic dilemma, which is often misdiagnosed, and results in surgery referrals for treatment. The clinical symptoms and sonographic appearance of abdominal wall endometriomas occurring at cesarean section scars are highlighted in this case series.
Our surgeons are highly skilled in complex abdominal wall reconstruction and utilize highly advanced procedures such as component separation and preoperative progressive pneumoperitoneum. Patient outcomes for hernia surgery at UCSF are notably better than the the national average with a recurrence rate for ventral hernias of only 18% compared with a national rate of 30 to 40%, this despite the large number of technically challenging - so-called high acuity - hernia cases referred to UCSF by other institutions as a last resort ...
Los Angeles, CA, USA. Dr. Talar Tejirian is a board-certified general surgeon practicing in Los Angeles. She received her medical degree from the University of San Francisco, California (UCSF) and currently practices at the Kaiser Permanente Los Angeles Medical Center, a tertiary care center for 4 million Southern California members. Her special areas of interest include abdominal wall reconstruction and hernia repair. Dr. Tejirian has authored publications on topics such as outcomes after inguinal hernia repair, body mass index and hernias, and biologic mesh. She has also given invited lectures on various hernia related topics such as Botulinum Toxin A use for hernia repair and social media as related to hernia surgery. She is very excited about bringing The International Hernia Collaboration Comprehensive Hernia and Abdominal Wall Reconstruction Course to Armenia. ...
Figure 1- Photograph showing gravid uterus lying in the incisional hernia sac The overlying skin was necrosed with evidence of ulceration and the presence of engorged veins. The fetus was lying in the herniated gravid uterus outside the abdominal cavity. Routine investigations were within normal limits. Ultrasound examination showed the uterus herniated in the incisional hernia of the anterior abdominal wall with the live fetus in cephalic presentation without any gross congenital malformation. The placenta was located in the upper uterine segment. She was kept in the hospital for bed rest with abdominal support. Emollients & antiseptic skin ointment were applied over the skin of the anterior abdominal wall. An elective caesarean section was planned for 37 weeks but she went into labour at 36 weeks. The abdomen was opened by elliptical incision. The uterus was visualized just beneath the skin and there was no evidence of the rectus sheath in the vicinity of the incision. A uterineincision was ...
Advances in surgical intensive care have improved survival in patients with major traumatic or infectious intra-abdominal insults. Patients who recover are often left with massive abdominal wall defects. Sufficient autogenous tissue may not be available for reconstruction and synthetic mesh followed by skin grafting can lead to unaesthetic results or complications. We report on four patients with abdominal wall defects and their reconstruction after intra-abdominal injury. Treatment involved local wound care to stimulate granulation tissue, which is eventually skin grafted to close the wound. Patients are then allowed to make a full recovery. Soft-tissue expanding prostheses are placed during a second operation and inflated over subsequent weeks. Finally, the skin graft is excised, a polytetrafluoroethylene patch is placed into the fascial defect, and the expanded skin is used to achieve wound closure.
Abdominal Wall Contusion, Hematoma of the Abdominal Wall vs. Rupture of the Spleen. Abdominal Wall Contusion, Hematoma of the Abdominal Wall vs. Rupture of the Spleen Left picture: In spite of the local findings no indications of a lesion of a parenchymatous organ of the abdomen have been found, neither in the ultrasound and CT, nor in the blood and urine; no lesion of spleen, kidney, pancreas or diaphragm is present. But, an abdominal wall contusion with hematoma of the rectus muscle was finally diagnosed. Notice the swelling of the left abdominal rectus muscle in the picture in addition to the abrasion. Right picture: Here, a spleen rupture was found with interruption of the continuity of the involved organ in the middle of the ultrasound picture at the top, the extension and type of which can be better seen in the CT with contrast application than in the ultrasound. The picture in the middle of the right side shows a continuous rupture of the spleen, a huge perisplenic hematoma at the lateral ...
Definition of abdominal wall in the Legal Dictionary - by Free online English dictionary and encyclopedia. What is abdominal wall? Meaning of abdominal wall as a legal term. What does abdominal wall mean in law?
Endometriosis in the anterior abdominal wall, following C-section at the scar site, so called scar endometriosis and is one of the most common forms of endometriosis.
Fingerprint Dive into the research topics of Invasive group A Streptococcus resulting in sepsis and abdominal wall abscess after adenotonsillectomy. Together they form a unique fingerprint. ...
1Division of Plastic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, 2Department of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, 3Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX Purpose: Complex abdominal wall reconstruction (AWR) often requires component separation to achieve fascial approximation. These reconstructions can be associated severe postoperative respiratory events. There is a significant need to quantify these occurrences and identify patients at risk for post-operative respiratory failure (PRF), so that proactive strategies can be employed to reduce pulmonary morbidity following AWR. In this current study, we aim to characterize factors associated with PRF and derive a model to predict PRF following AWR using the ACS-NSQIP database. Methods: We reviewed the ACS-NSQIP databases (2005-2010) and identified encounters for CPT codes including both hernia repair (49560, 49561, 49565, 49566, ...
Carter T Smith, MD, Micah G Katz, Janet M Bellingham, MD, Bridget Welch, Glen E Leverson, PhD, Luke Funk, MD, MPH, Jacob A Greenberg, MD, EdM. University of Wisconsin Hospital and Clinics. INTRODUCTION: The purpose of this study is to estimate the incidence of and risk factors for incisional hernia formation following primary abdominal solid organ transplantation. Hernia formation is common following abdominal operations and transplant patients are at increased risk due to their need for long-term immunosuppression. METHODS AND PROCEDURES: We performed a single institution retrospective review of a prospectively collected database to evaluate all patients who underwent primary liver, kidney, or pancreas transplant over a ten year period. 3460 transplants were performed in the study period: 2247 kidney only, 718 liver only, and 495 pancreas or simultaneous pancreas and kidney (pancreas group). Patients who developed an incisional hernia at their transplant incision were identified. Univariate and ...
TY - JOUR. T1 - Discussion. T2 - Concomitant Panniculectomy Affects Wound Morbidity but Not Hernia Recurrence Rates in Abdominal Wall Reconstruction: A Propensity Score Analysis. AU - Dumanian, Gregory A.. PY - 2017/12/1. Y1 - 2017/12/1. UR - http://www.scopus.com/inward/record.url?scp=85037130426&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=85037130426&partnerID=8YFLogxK. U2 - 10.1097/PRS.0000000000003893. DO - 10.1097/PRS.0000000000003893. M3 - Article. C2 - 29176418. AN - SCOPUS:85037130426. VL - 140. SP - 1274. EP - 1276. JO - Plastic and Reconstructive Surgery. JF - Plastic and Reconstructive Surgery. SN - 0032-1052. IS - 6. ER - ...
Abdominal Wall Reconstruction Europe 2021 is a three day conference which attracts an international faculty of the worlds leading general, plastic and hernia surgeons
Large or complicated abdominal wall defects caused by recurrent incisional hernias, infections or tumor resections often require the use of prosthetic mesh, local tissue transposition or even distant muscle flaps for proper reconstruction. Due to the sometimes discouraging results of meshes muscle flaps are an appreciated alternative. We followed up a series of cases to assess the value of the pedicled rectus femoris muscle flap ...
...EDISON N.J. Nov. 16 2010 /- The largest natural allogr...These two new sizes are the largest allografts available offering sur...All of MTFs tissue including FlexHD has passed rigorous safety test...Many patients who require complex abdominal wall reconstruction are ob...,Largest,Acellular,Dermal,Allografts,for,Abdominal,Wall,Repair,Now,Available,From,MTF,medicine,advanced medical technology,medical laboratory technology,medical device technology,latest medical technology,Health
Surgery Research and Practice is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of surgery.
Endometriosis can present itself in many places including within the pelvic organs, the more common manifestation, and outside of the pelvic organs, often referred…
List of causes of Abdominal wall blister and Abdominal wall numbness and Cracked skin and Skin inflammation and Skin texture changes and Upper abdominal rash, alternative diagnoses, rare causes, misdiagnoses, patient stories, and much more.
Abstract:. The deposition of amyloid as a distinct, clinically apparent mass is uncommon particularly in the soft tissues. There have been no previously published case reports of abdominal wall involvement; thereby we are describing a case of AA amyloidoma which presented as an abdominal wall abscess without any evidence of systemic disease. The clinical and radiological findings suggested soft tissue abscess likely cysticercosis or a neoplastic process. This case demonstrates the importance of considering the possibility of amyloidoma in the differential diagnosis of soft tissue lesions.. ...
Repair of other hernia of anterior abdominal wall with graft or prosthesis information including symptoms, causes, diseases, symptoms, treatments, and other medical and health issues.
Figure 3. Photomicrograph revealed caseating granuloma with central necrosis, lymphocytes, and giant cells, consistent with tuberculosis.. Discussion TB of the anterior abdominal wall is a rare entity and only isolated cases are reported in the literature. Possible explanation for the rarity of muscle involvement in TB includes high lactic acid content, lack of reticulo-endothelial tissue in muscle, lack of lymphatic tissue, the abundant blood supply, and the highly-differentiated state of muscle tissue.4 Although none of them seems to be an adequate explanation, all theories (except the first one) have been criticized.2. Two forms of skeletal muscle involvement are recognized.5 In the first type the tuberculous process spreads into the muscle through direct extension from a neighbouring structure e.g. bone, joint, tendon, or lymph node. In the second type the spread is haematogenous. Our patient is of interest because she seems to have a primary tubercular anterior abdominal muscular lesion ...
Study Flashcards On Anterior Abdominal Wall and Inguinal Canal Lane Block II Unit II at Cram.com. Quickly memorize the terms, phrases and much more. Cram.com makes it easy to get the grade you want!
While researching for the Fifth edition of my book Surgical Anatomy and Technique to be published by Springer and which I hope will be out this fall I came across this paper on stem cell therapy for abdominal wall reconstruction. Further review of the literature was scant regarding this particular application for stem cells. The orthopedists have seen good anecdotal results using the patients own stem cells. Further review of some of the literature shows that there is decreased ruptured of tendons and ligaments that had been treated with stem cells and repaired. What is out there does suggest that using the patients own stem cells may help decrease recurrences for large complex abdominal wall hernias. This treatment is not for everyone. It is intended for larger recurrent hernias requiring abdominal wall reconstruction.. ...
Abdominal wall tear symptoms - Is loosing weight initially associated with early symptom of ingenuial hernia? When abdominal wall weakens does blood test show anything? Hernias. Hernias can protrude with weight loss. The fat that was plugging the opening may shrink and allow fat or abdominal organs to protrude. You should start with a physical exam to see if your hernia can be felt. A general surgeon or general internist can examine you. If it is small, an ultrasound or ct scan can image the hernia. Blood tests will not help.
Carnetts sign (described by British surgeon J.B. Carnett in 1926) is a physical exam finding that helps differentiate abdominal wall from intra-abdominal sources of pain. The test is considered positive when, upon locating the tender abdominal spot, the patients pain worsens on tensing of the abdominal wall muscles by lifting the head and shoulders from the bed or by raising…
Pitfall: Endometriosis in the abdominal wall with irregular margins that could be mistaken for a malignancy or inflammation. ...
SAGES Members click here to complete a paper registration form. Join your fellow world-class experts July 11-13, 2019 at the 2019 Natural Orifice Surgery Consortium for Assessment and Research (NOSCAR) Summit. If you are an innovator in the field of advanced endoscopy or want to become one, attending NOSCAR is a must. Why You Need […] ...
Provides clear guidance on technique and materials Tissue transfer techniques are described in detail Written by practicing experts in their respective
Results: Both groups were comparable in terms of age and gender. There was no difference in the average surgical time (80 vs 84 min, respectively, p › 0.05), nor in total complications (20 vs 32%, p › 0.05); neither in wound dehiscence, surgical site infection, fistula or intestinal occlusion between both groups (p › 0.05). Seromas were more frequent in the group of patients with IPOM technique using Proceed® mesh, with a relative risk of 1.59 (p = 0.06). The CI (1.08-2.35) revealed an association between seroma formation and use of the Proceed® mesh. The size of the abdominal wall defect was significantly greater in the group of patients included in the IPOM group with Proceed® mesh than in the group of ONLAY plasty using polypropylene mesh (12 vs 6 cm, p ‹ 0.05). Linear regression revealed that there is a relation between the size of the defect and seroma occurrence in the group of patients with IPOM technique using Proceed® mesh (regression coefficient 0.26, p ‹ 0.05). ...
Wound complications that occur after closure of laparotomy remain challenging. Early wound complications included subcutaneous wound infection, deep wound infection, dehiscence, fistula, and suture...
Dr Jacob Langer discusses abdominal wall defects with Dr. Todd Ponsky.Edited by Ian C. Glenn, MD and Sophia Abdulhai, MDAn interactive discussion about...
listLocation":"abdomen-and-retroperitoneum","icon":"001-abdomen-white.svg","header":"Abdomen and retroperitoneum","id":63},{"listLocation":"urinary-tract-and-male-reproductive-system","icon":"002-urinary-tract-white.svg","header":"Urinary Tract and male reproductive system","id":64},{"listLocation":"gynaecology","icon":"003-gynaecology-white.svg","header":"Gynaecology","id":65},{"listLocation":"head-and-neck","icon":"004-head-neck-white.svg","header":"Head and Neck","id":66},{"listLocation":"breast-and-axilla","icon":"005-breast-white.svg","header":"Breast and Axilla","id":67},{"listLocation":"musculo-skeletal-joints-and-tendons","icon":"006-msk-joints-white.svg","header":"Musculoskeletal Joints and Tendons","id":68},{"listLocation":"musculo-skeletal-bone-muscle-nerves-and-other-soft-tissues","icon":"007-msk-bones-white.svg","header":"Musculoskeletal, bone, muscle, nerves and other soft ...
Dr. Martin Morse is a plastic and hand surgeon in Great Falls, VA, offering cosmetic surgery, pediatric surgery, reconstructive surgery and many kinds of hand surgery.
If download scholars in analysis, we can keep this using for first. For the lens of a amino, we can have that pathway biblical profiles. When I advised this, kinds did me functional.
In this discussion, reoperative surgery of the abdomen will refer to re-entry of the abdominal cavity prior to completion of the wound healing process from a prior abdominal procedure. Reoperation in this situation usually requires access to the abdominal cavity through the acute or subacute surgical wounds from the prior procedure. Repeated operation through this incompletely or minimally healed wound portends major complications in the abdominal wall (1).
Virtually every abdominal surgeon has faced the problem of closing a contaminated abdominal defect in which the fascia cannot be easily brought together primarily. Infected fascia may be inadequately...
Sigma-Aldrich offers abstracts and full-text articles by [Zhengni Liu, Zhi Yang, Zhiyuan Zhou, Zhicheng Song, Huichun Wang, JianJun Yang, Rui Tang, Qiang Tan, Yan Gu].
S31.120 is a non-billable code, consider using a code with a higher level of specificity for a diagnosis of laceration of abdominal wall with foreign body, right upper quadrant without penetration into peritoneal cavity.
Today I went in for a Laproscopy. This was my third, but unlike before, they found no endometriosis. Instead they found my uterus had adhered to my abdominal wall. Because of this, he was unable to ...
Semantic Scholar extracted view of Diagnosis and surgical correction of combined congenital defects of supra-umbilical abdominal wall, lower sternum, and diaphragm. by Janice A Haller et al.
AbeBooks.com: 002: Rob & Smiths Operative Surgery: Alimentary Tract and Abdominal Wall (9780407006546) and a great selection of similar New, Used and Collectible Books available now at great prices.
Cancer that spreads to the lining of the abdominal wall is typically lethal within six months. However many patients with this diagnosis are living longer with advanced treatments available at NYP/Columbia - one of the few programs in the nation to perform complex, extensive cytoreduction operations paired with hyperthermic intraperitoneal chemotherapy (HIPEC).
List of 65 causes for Abdominal wall numbness and Intermittent psoriasis-like arm rash and Itchy head in children and Skin inflammation and Stomach numb, alternative diagnoses, rare causes, misdiagnoses, patient stories, and much more.
Internists can diagnose chronic abdominal wall pain with a simple physical exam and some savvy history taking, experts said, and reassure patients that their condition is not serious and may respond to treatment.
Lernen Sie flexibel mit dem Video-Kurs Posterior Abdominal Wall (Texas A&M MGA Week 7). Den Kurs können Sie am PC ✓, Tablet ✓ und auf dem Smartphone ✓ nutzen. Mit Offline-Funktion und interaktiven Quizfragen. So erreichen Sie Ihre Ziele noch schneller. Jetzt gratis testen!
Abdominal wall. Anterior/. lateral. Muscle. *Abdominal external oblique. *Transverse abdominal *Conjoint tendon ...
The quadratus lumborum is a muscle of the posterior abdominal wall. It is the deepest abdominal muscle and commonly referred to ... Atlas image: abdo_wall70 at the University of Michigan Health System - "Posterior Abdominal Wall, Dissection, Anterior View" ... Cross-section of the posterior abdominal wall, showing the position of the quadratus lumborum and other muscles. ... Muscles of the posterior abdominal wall (Quadratus lumborum visible at bottom left.) ...
Abdominal wall. Anterior/. lateral. Muscle. *Abdominal external oblique. *Transverse abdominal *Conjoint tendon ... The iliococcygeus portion of the levator ani attaches to the lateral walls of the pelvis via the obturator fascia through the ...
Nduka, C. C.; Monson, J. R. T.; Menzies-Gow, N.; Darzi, A. (1994). "Abdominal wall metastases following laparoscopy". British ...
Congenital diaphragm and abdominal wall defects}}. Medicine. Congenital diaphragm and abdominal wall defects, abdominopelvic ... Eponymous medical signs for digestive system and general abdominal signs}}. (none). Eponymous medical signs for digestive ...
... abdominal cavity; j, pubis; k, esophagus; l, trachea; m, cervical limiting membrane of abdominal cavity; n, dorsal wall of body ... the superior epigastric branch of the internal thoracic artery and some lymphatics from the abdominal wall and convex surface ... As a dome, the diaphragm has peripheral attachments to structures that make up the abdominal and chest walls. The muscle fibres ... It helps to expel vomit, feces, and urine from the body by increasing intra-abdominal pressure, aids in childbirth,[7] and ...
The navel (specifically abdominal wall) would be considered an umbilical hernia if the protrusion was 5 centimeters or more. ... ISBN 1-4051-3804-1. [page needed] O'Rahilly, Ronan; Müller, Fabiola; Carpenter, Stanley; Swenson, Rand (2004). "Abdominal walls ... Abdominal thrusts is a first aid method of dislodging an object stuck in the throat, and is performed just above the navel. The ... MedlinePlus Encyclopedia Abdominal thrusts "New code may reveal navel". Mohave Daily Miner. 24 March 1985. Retrieved 20 April ...
Essentials of Abdominal Wall Hernias. I. K. International Pvt Ltd. 2009: 6. ISBN 9788189866938.. ...
... is an operation to repair a weakness in the abdominal wall that abnormally allows abdominal contents to ... Once exposed, the hernia sac is returned to the abdominal cavity or excised and the abdominal wall is very often reinforced ... The UK reports around 70,000 cases performed every year.[5] Groin hernias account for almost 75% of all abdominal wall hernias ... Most indirect inguinal hernias in the abdominal wall are not preventable. Direct inguinal hernias may be able to be prevented ...
An abdominal muscle strain, also called a pulled abdominal muscle, is an injury to one of the muscles of the abdominal wall. A ... Anterior abdominal wall. Deep dissection. Anterior view. Example of a man with a visible rectus abdominis Divarication of ... "Anterior Abdominal Wall: The Rectus Abdominis Muscle" Cross section image: pembody/body12a-Plastination Laboratory at the ... "Thoracic Wall: The Anterior Thoracic Wall" Anatomy figure: 35:06-07 at Human Anatomy Online, SUNY Downstate Medical Center - " ...
Dwivedi AJ, Agrawal SN, Silva YJ (February 2002). "Abdominal wall endometriomas". Digestive Diseases and Sciences. 47 (2): 456- ... Endometriosis may spread to the cervix and vagina or to sites of a surgical abdominal incision, known as "scar endometriosis." ... Some within the pelvis walls may not be visible, as normal-appearing peritoneum of infertile women reveals endometriosis on ... Early endometriosis typically occurs on the surfaces of organs in the pelvic and intra-abdominal areas. Health care providers ...
The weakened tissue of the abdominal wall is re-incised and a repair is reinforced using a prosthetic mesh. Complications, ... Lyons, M; Mohan, H; Winter, DC; Simms, CK (2015). "Biomechanical abdominal wall model applied to hernia repair". Br J Surg. 102 ... Park, E; Roth, JS (2006). "Abdominal Wall Hernia". Curr Prob Surg. 43 (5): 326-75. doi:10.1067/j.cpsurg.2006.02.004. PMID ... Regenerative technique used to regenerate the abdominal wall aponeurosis using adult autologous tissue stem cells (B G ...
Anterior abdominal wall. Superficial dissection. Anterior view. Anterior abdominal wall. Intermediate dissection. Anterior view ...
Anterior abdominal wall. Intermediate dissection. Anterior view. Suspensory ligament of penis. Suspensory ligament of clitoris ...
It later affects the proximal leg and abdominal wall muscles. The stiffness leads to a change in posture, and patients develop ... Initially, stiffness occurs in the thoracolumbar paraspinal and abdominal muscles. ... which become rigid and stiff because the lumbar and abdominal muscles engage in constant contractions. ...
lapar- : related to the abdominal cavity *Etymology actually refers to soft, fleshy part of abdominal wall. The term celio- is ... Abdominal surgery · Inguinal hernia surgery · Biopsy · Brostrom prodedure · Cauterization · Grafting · Hypnosurgery · ...
"The Posterior Abdominal Wall". Archived from the original on 2007-10-11. Retrieved 2007-10-22. Physiology: 6/6ch2/s6ch2_30 - ...
Matapurkar BG, Bhargave A, Dawson L, Sonal B (May 1999). "Regeneration of abdominal wall aponeurosis: new dimension in Marlex ... Matapurkar BG, Bhargave A, Dawson L, Sonal B. Regeneration of abdominal wall aponeurosis: new dimension in Marlex peritoneal ... World J Surg 1999; 23: 446- - McGrawhill- Access SURGERY Skandalakis' Surgical Anatomy > Chapter 9. Abdominal Wall and Hernias ... One of the technique for Repair of large Incisional hernia has been published in the R. Maingot's Text book of Abdominal ...
A hernia that exits the abdominal cavity directly through the deep layers of the abdominal wall, thereby bypassing the inguinal ... ", "inferior wall ("floor")", "superior wall ("roof")", and "posterior wall".[2] These consist of the following: superior wall ... The inguinal canals are the two passages in the anterior abdominal wall which in males convey the spermatic cords and in ... Musculoaponeurotic arches of internal oblique and transverse abdominal. Transversalis fascia anterior wall:. aponeurosis of ...
The skin is detached from the abdominal wall to reveal the muscles and fascia to be tightened. The muscle fascia wall is ... Sometimes the belly button stalk is divided from the muscle below and the belly button slid down lower on the abdominal wall. ... Sometimes a portion of the abdominal muscle fascia wall is tightened. Liposuction is often used to contour the transition zone ... of excess skin and fat from the middle and lower abdomen in order to tighten the muscle and fascia of the abdominal wall. This ...
Anterior abdominal wall, intermediate dissection. This article incorporates text in the public domain from the 20th edition of ...
MDCT also offers clear detail of the abdominal wall allowing wall hernias to be identified accurately. Complications may arise ... when a weakness in the abdominal wall evolves into a localized hole, or "defect", through which adipose tissue, or abdominal ... Abdominal wall hernia may occur due to trauma. If this type of hernia is due to blunt trauma it is an emergency condition and ... Hernias are caused by a disruption or opening in the fascia, or fibrous tissue, which forms the abdominal wall. It is possible ...
As an embryo develops, the various abdominal organs grow into the abdominal cavity from structures in the abdominal wall. In ... Posterior abdominal wall. Middle colic. Sigmoid mesocolon. Sigmoid colon. Pelvic wall. Sigmoid arteries and superior rectal ... The outer layer, the parietal peritoneum, is attached to the abdominal wall and the pelvic walls.[1] The tunica vaginalis, the ... The mesentery is the part of the peritoneum through which most abdominal organs are attached to the abdominal wall and supplied ...
Unal B, Kara S, Bilgili Y, Basar H, Yilmaz E, Batislam E (2005). "Giant abdominal wall abscess dissecting into thorax as a ...
Intrinsic and extrinsic foot muscles, quadriceps, iliopsoas, piriformis, abdominal wall, and diaphragm. ...
"Wall Street Journal. Retrieved 2018-11-08.. *^ a b Hilts PJ. "With Record Speed, F.D.A. Approves a New AIDS Drug". Retrieved ... Gastrointestinal disturbances (abdominal pain, diarrhea, nausea, vomiting)[4]. *General malaise and fatigue[4] ...
We herein report a case in which the patients own tissue expander capsule was used to repair an abdominal wall defect after ... Reinforcement of the abdominal wall following breast reconstruction with abdominal flaps: a comparison of synthetic and ... Abdominal wall following free TRAM or DIEP flap reconstruction: a meta-analysis and critical review.. *Li-Xing Man, Jesse C ... The use of epidurals in abdominal wall reconstruction: an analysis of outcomes and cost.. *John P Fischer, Jonas A Nelson, +5 ...
The abdominal content may protrude outside the abdominal cavity through the defect in the abdominal wall at the site of ... Umbilical and other abdominal wall hernias. Ashcrafts pediatric surgeries, 5th Ed., Philadelphia, Saunders, 2010 Editors- ... Umbilical hernia is one of the commonest abdominal wall defects occurring in the young children. Umbilical hernia is detected ... Abdominal wall problems 1113- 1122. In Averys diseases of the nerborn. 8th edition Editors Taeusch HW, Ballard RA, Gleason CA ...
... medlineplus.gov/genetics/condition/abdominal-wall-defect/ Abdominal wall defect. ... An abdominal wall defect is an opening in the abdomen through which various abdominal organs can protrude. This opening varies ... Most cases of abdominal wall defect are sporadic, which means they occur in people with no history of the disorder in their ... When an abdominal wall defect, most often omphalocele, is a feature of a genetic condition, it is inherited in the pattern of ...
... stretched-out abdominal (belly) muscles and skin. It is also called a tummy tuck. It can range from a simple mini-tummy tuck ... Abdominal wall surgery is a procedure that improves the appearance of flabby, ... Abdominal wall surgery is not the same as liposuction, which is another way to remove fat. But, abdominal wall surgery is ... Abdominal wall surgery is a procedure that improves the appearance of flabby, stretched-out abdominal (belly) muscles and skin ...
aponeuroses) & posterior wall (transversalis fascia and aponeuroses), roof (transversalis fascia and aponeuroses), and floor ( ...
Omenta are folds of peritoneum which bind viscera to other viscera, or to the abdominal wall. The omenta are derived from the ... A peritoneal fold is a reflection of parietal peritoneum on an abdominal wall, causing a visible, raised structure. These are ... A peritoneal ligament is a double layer of peritoneum, connecting viscera with another viscera or viscera to an abdominal wall ... The transverse mesocolon is a double layer of peritoneum connecting the transverse colon to the posterior abdominal wall. ...
Anterolateral abdominal wall. Muscles(figs. 25-3, 25-4, 25-5, 25-6 and 25-7) The anterior part of the abdominal wall contains ... Posterior abdominal wall (see figs. 15-6, 25-6, 25-13, and 29-5) The posterior abdominal wall is formed by the bodies and ... some constituents of the cord are recognizable on the inner aspect of the abdominal wall. All layers of the abdominal wall are ... The abdominal wall is supplied by intercostal nerves 7 to 11 (the thoraco-abdominal nerves) and by the subcostal, ...
Complex abdominal wall hernias and complex abdominal wall defects, including stomas or the complications associated with any of ... It covers the surgical anatomy of the abdominal wall, pathology of abdominal wall defects, such as hernias, enterocutaneous or ... reconstruct the abdominal wall. In addition, through a number of illustrations, the placement of mesh in the abdominal wall ... Surgery of Complex Abdominal Wall Defects. Editors. * Rifat Latifi Copyright. 2013. Publisher. Springer-Verlag New York. ...
Alkhafaji B. (2020) Abdominal Wall Hernia Classification. In: Chowbey P., Lomanto D. (eds) Techniques of Abdominal Wall Hernia ... Hernia Inguinal Femoral Groin Abdominal wall hernia Classification Incisional Ventral Umbilical Epigastric Parastomal ... Classification of primary and incisional abdominal wall hernia. Hernia. 2009;13(4):407-14.CrossRefGoogle Scholar ... Hernias and surgery of the abdominal wall. 2nd ed. Berlin: Springer; 1998. p. 175-8.Google Scholar ...
... Thouraya Achach,1 Soumaya Rammeh,1 Amel Trabelsi,1 Rached ... Xiaoyan Li, Jiaxin Yang, Dongyan Cao, Jinghe Lang, Jie Chen, and Keng Shen, "Clear-Cell Carcinoma of the Abdominal Wall After ... Lara Taburiaux, Nicola Pluchino, Patrick Petignat, and Jean-Marie Wenger, "Endometriosis-Associated Abdominal Wall Cancer," ... "Clear cell adenocarcinoma arising from abdominal wall endometriosis," Cirugía y Cirujanos (English Edition), 2016. View at ...
This is done to ensure that intra-abdominal viscera cannot slip between the mesh and the abdominal wall in the gaps between ... An adhesiolysis is performed to free the bowel from the anterior abdominal wall. External manual palpation of the abdominal ... Subject: abdominal wall reconstruction for ventral hernia Category: Health Asked by: calbear304-ga List Price: $9.00. Posted: ... Subject: Re: abdominal wall reconstruction for ventral hernia From: doctorwrite-ga on 20 Apr 2005 04:14 PDT. ...
This birth defect requires surgery to return the abdominal organs into the babys body and repair the abdominal wall. Even ... Cases of a serious birth defect of the abdominal wall called gastroschisis continues to increase over time, according to a ... Babies with gastroschisis are born with their intestines extruding from their body through an opening in the abdominal wall. ... Continued increase in birth defect of abdominal wall. Largest increase among young black mothers ...
Repeated operation through this incompletely or minimally healed wound portends major complications in the abdominal wall (1). ... Reoperation in this situation usually requires access to the abdominal cavity through the acute or subacute surgical wounds ... abdomen will refer to re-entry of the abdominal cavity prior to completion of the wound healing process from a prior abdominal ... Complications at the abdominal wall surgical site may include wound infection, necrotizing fasciitis, dehiscence, and/or ...
Differential diagnosis of abdominal wall defects - omphalocele versus gastroschisis.. Ionescu S, Mocanu M, Andrei B, Bunea B, ... A newborn with abdominal wall defect is one of the most dramatic cases in neonatology, but also a challenge for pediatric ... Although these birth defects of the abdominal wall are always grouped together, they are two separate and distinct entities, ... This article describes the fundamental concepts of two major abdominal wall defects - gastroschisis and omphalocele - including ...
... had been tested for the repair of abdominal wall defect.. The repair of abdominal wall defects by biological biomaterials has ... Many abdominal wall defects can be repaired by primary closure; however, if the defect is large and there is a tension on the ... Prosthetics and Techniques in Repair of Animals Abdominal Wall. Gamal Karrouf,1,2 Adel Zaghloul,2 Mohamed Abou-Alsaud,3 Elie ... C. F. Bellows, D. Albo, D. H. Berger, and S. S. Awad, "Abdominal wall repair using human acellular dermis," American Journal of ...
Attenetion was then turned to the anterior abdominal. the skin was excoriated as well as at the medial enterocutaneous fis ... anterior abdominal wall was passed off the field as a specimen...... any help is greatly appreciated ... Anterior Abdominal Wall Soft Tissue Seroma. By [email protected] in forum General Surgery ... Desmoid Tumor resection abdominal wall - HELP!. By wtirre in forum General Surgery ...
Abdominal Wall Reconstructive Surgery Sometimes a patient can have a loss of their abdominal wall due to surgical complications ... Component separation - This is a surgery during which the various layers of the abdominal wall muscles and fascia are divided ... but they can experience a great deal of abdominal pain from the bulge of their abdominal organs through this defect. ... Abdominal tissue expanders - This is a two step procedure. *In the first step, tissue expanders are placed under the skin and ...
Instead they found my uterus had adhered to my abdominal wall. Because of this, he was unable to ... ... my uterus adhered severely to my abdominal wall and one of my ovaries almost completely encapsulated to the abdominal wall with ... my uterus adhered severely to my abdominal wall and one of my ovaries almost completely encapsulated to the abdominal wall with ... Uterus adhered to abdominal wall - ab, pelvic pain. Today I went in for a Laproscopy. This was my third, but unlike before, ...
Ventral body wall defects comprise a group of congenital malformations that includes gastroschisis and omphalocele, which are ... Pediatric omphalocele and gastroschisis (abdominal wall defects). Note the laxity of the abdominal wall in this infant with ... Pediatric omphalocele and gastroschisis (abdominal wall defects). The sac is removed, and the abdominal wall defect is closed ... Abdominal Wall Defects)) and Pediatric Omphalocele and Gastroschisis (Abdominal Wall Defects) What to Read Next on Medscape. ...
... and abdominal wall hernia repair. The program includes didactics, video case review, and interactive group discussions, led by ...
Can you name the Structures of the Diaphragm and Posterior Abdominal Wall? Test your knowledge on this science quiz and compare ... Science Quiz / Diaphragm and Posterior Abdominal Wall. Random Science Quiz Can you name the Structures of the Diaphragm and ... the posterior abdominal wall is covered with ______ fasica.. the pericardiacophrenic and musculophrenic veins drain into what? ... dome shaped, musculotendinous partition separating the thoracic and abdominal cavities. thickening of fascia over the quadratus ...
... pathological findings of the abdominal wall and inguinal region are easily accessible due to their superficial location. In ... Abdominal Wall Inguinal Hernia Incisional Hernia Rectus Sheath Femoral Hernia These keywords were added by machine and not by ... Hernias and surgery of the abdominal wall. Springer, Berlin Heidelberg New York, 1997: p 118.Google Scholar ... Patients with pain and complaints located within the abdominal wall or the inguinal region but without any causative clinical ...
Intra-abdominal pressure measurements help prevent intra-abdominal compartment syndrome. Excessively high pressures mandate ... Why are intra-abdominal pressure measurements important in neonates with abdominal wall hernias?) and Why are intra-abdominal ... Why are intra-abdominal pressure measurements important in neonates with abdominal wall hernias?. Updated: Jul 23, 2019 ... Incidence of abdominal wall defects is related to surface water atrazine and nitrate levels. J Pediatr Surg. 2007 Jun. 42(6): ...
Child with abdominal distention and thickening of bladder wall. geocup My 7 year old son recently (2 months ago) was stepped on ... Create an account to receive updates on: Child with abdominal distention and thickening of bladder wall. ... The abdominal migraines (self diagnosed at this point) are being treated with childrens ibuprofen or 1 cyprohepadine 4mg ... The ultrasound did show that there was thickening of the bladder wall, but with no bacteria present in his urine the doctors ...
Case Summary An 8-year-old boy presented to the emergency department with right upper-quadrant abdominal pain and a laceration ... Traumatic abdominal wall hernia. Discussion. Traumatic abdominal wall hernias are uncommon. They were first described by Selby ... Traumatic abdominal wall hernia. By Shamima Ahmed, MD; Richard B. Towbin, MD; and Alexander J. Towbin, MD ... While traumatic abdominal wall hernias can be diagnosed clinically, typically the diagnosis is made via CT. CT helps the ...
  • Discussion: Fascia lata allografts as biological mesh in abdominal wall repair: preliminary outcomes from a retrospective case series. (semanticscholar.org)
  • An abdominal wall defect is an opening in the abdomen through which various abdominal organs can protrude. (medlineplus.gov)
  • Omphalocele is an opening in the center of the abdominal wall where the umbilical cord meets the abdomen. (medlineplus.gov)
  • A contrast-enhanced CT scan of the abdomen and pelvis demonstrated a right abdominal-wall defect with air tracking from the skin surface into the subcutaneous fat deep to the level of the rectus musculature. (appliedradiology.com)
  • Specifically the stomach, intestines, or other organs begin to develop outside the fetus' abdomen through the abnormal hole in the abdomen and, as development progresses, the abdominal wall eventually encloses these organs. (wikipedia.org)
  • Subsequent noncontrast computed tomography (CT) of the abdomen and pelvis showed likely hemoperitoneum localized to the mid-lower abdominal wall (Figure 2). (thefreedictionary.com)
  • In the ensuing days, at the bedside, the surgeon reduces the bowel into the abdomen as abdominal capacity gradually increases. (chop.edu)
  • Where possible nurse the neonate on its right side so that the eviscerated bowel is supported and does not flop over the side of the abdomen potentially occluding the blood supply by kinking where the bowel exits the defect in the abdominal wall. (starship.org.nz)
  • In contrast, patients with intra-abdominal pain may localize the pain with one hand or by rubbing a large portion of his or her abdomen, he said. (acpinternist.org)
  • Chest X‑ray, Plain computed tomography of the chest and abdomen showed right pleural effusion, several nodules in right lower lung and a mass in the right upper abdominal wall. (spandidos-publications.com)
  • Siemens, Munich, Germany) of the chest and abdomen showed right pleural effusion, several nodules in right lower lung and a mass located in right upper abdominal wall ( Fig. 1 ). (spandidos-publications.com)
  • Abdominal radiography revealed a large fat-dense mass in the mid to caudal abdomen, displacing the intestines cranially and dorsally. (vin.com)
  • and C-reactive protein, 256.43 mg/L (normal, 0-3 mg/L). Computed tomography scans of the chest and abdomen revealed soft tissue edema and stranding with gas in the chest and abdominal wall (Figure 1 ). (biomedcentral.com)
  • If the abdominal wall is involved, clinical presentation may resemble an acute abdomen. (ovid.com)
  • Abdominal wall muscle injury resulting in rhabdomyolysis can imitate an acute abdomen in a healthy woman presenting with abdominal pain and swelling. (ovid.com)
  • Approximately 75% of all abdominal wall hernias occur in the groin area and are called inguinal hernias (Figure 1, D-F). The navel is the second most common location and these are called umbilical hernias (Figure 1, C). The next most common hernia develops where the abdomen has been weakened by a previous surgical procedure (Figure 1, B). These are called incisional or ventral hernias. (gustrength.com)
  • The umbilicus (navel or belly button area) is another naturally weak part of the abdominal wall because this is the site of the fetal blood vessels which come from inside the abdomen to connect a developing baby to the mother's circulation. (gustrength.com)
  • Although traumatic abdominal hernias are uncommon, they should be suspected in the correct clinical context. (appliedradiology.com)
  • The clinical symptoms and sonographic appearance of abdominal wall endometriomas occurring at cesarean section scars are highlighted in this case series. (scirp.org)
  • In conjunction with a clinical history, diagnosis of an abdominal wall endometrioma may be aided by utilization of diagnostic imaging modalities, including sonography, computed tomography (CT), and magnetic resonance imaging (MRI). (scirp.org)
  • We have published hundreds of Synthetic Mesh Contaminated Infected Abdominal Wall Repairs Challenging news stories on BioPortfolio along with dozens of Synthetic Mesh Contaminated Infected Abdominal Wall Repairs Challenging Clinical Trials and PubMed Articles about Synthetic Mesh Contaminated Infected Abdominal Wall Repairs Challenging for you to read. (bioportfolio.com)
  • In addition to the medical data, news and clinical trials, BioPortfolio also has a large collection of Synthetic Mesh Contaminated Infected Abdominal Wall Repairs Challenging Companies in our database. (bioportfolio.com)
  • The use of synthetic mesh in contaminated and infected abdominal wall repairs: challenging the dogma-A long-term prospective clinical trial. (bioportfolio.com)
  • Bellon JM, Contreras LA, Bujan J. Ultrastructural alterations of polytetrafluoroethylene prostheses implanted in abdominal wall provoked by infection: Clinical and experimental study. (springer.com)
  • Dr. Kluger reports: "We recently initiated a clinical trial treating abdominal spread of adrenal cortical carcinoma, a rare and rapidly fatal cancer, with cytoreduction and HIPEC. (columbiasurgery.org)
  • On clinical examination the dog appeared bright, alert and a large, non-painful caudal abdominal mass was palpated. (vin.com)
  • The diagnosis of an abdominal hernia is clinical. (merckmanuals.com)
  • Therefore, we designed a multicenter, international, double-blinded, randomized trial to analyze the influence of stitch length, using an elastic, extra-long term absorbable monofilament suture, on the long term clinical outcome of abdominal wall closure. (uni-muenchen.de)
  • Background: Patients with severe obesity and complex abdominal wall hernias (CAWH) present a challenging clinical dilemma. (elsevier.com)
  • Abdominal tissue expanders - This is a two step procedure. (denverhealth.org)
  • XenMatriX(R) is designed for use in the treatment of abdominal wall(hernia) repair where the connective tissue has ruptured. (medindia.net)
  • biopsy is the removal of a small part of the abdominal wall fat pad for laboratory study of the tissue. (floridahealthfinder.gov)
  • CST is based on the concept of re-establishing a functional abdominal wall with autologous tissue repair" ( 1 ). (frontiersin.org)
  • For example, detailed data regarding the organization of strong bundles of collagen might be critical to predict the onset of tissue failure, as it is clinically motivated by a rupture risk assessment of Abdominal Aortic Aneurysm (AAA). (diva-portal.org)
  • Host tissue integration process in abdominal wall defect repair: a comparison of two porcine-derived grafts in a long-term study. (sigmaaldrich.com)
  • The aim of this study was to compare the host tissue integration process and biomechanical behaviour after implantation of porcine small intestine submucosa (PSIS) and porcine acellular dermal matrix (PADM) grafts in a rat abdominal wall defect model during a long-term follow-up of 360 days. (sigmaaldrich.com)
  • Limitations of synthetic biomaterials for abdominal wall repair have led investigators to seek naturally derived matrices, such as human acellular dermis, because of their excellent biocompatibility and their ability to naturally interface with host tissues with minimal tissue response. (uzh.ch)
  • Repeated operation through this incompletely or minimally healed wound portends major complications in the abdominal wall ( 1 ). (nih.gov)
  • Women are exposed to earlier complications because of the nature of the thin vaginal wall allowing earlier erosions, breakthrough, recurrent infections, bleeding and pain. (nzma.org.nz)
  • This can further reduce the strain on the abdominal wall, which could lead to further complications. (facebody.net)
  • TY - JOUR T1 - Age-related increase in wall stress of the human abdominal aorta: an in vivo study. (unboundmedicine.com)
  • In vivo wall shear stress measured by magnetic resonance velocity mapping in the normal human abdominal aorta. (biomedsearch.com)
  • OBJECTIVE: To apply a new non-invasive method for quantification of in vivo wall shear stress (WSS) by magnetic resonance (MR) FAcE velocity mapping and measure WSS in the human abdominal aorta. (biomedsearch.com)
  • The regulation of wall stress in the abdominal aorta (AA) of humans might be of specific interest, because the AA is the most common site for aneurysm formation in which wall stress seems to be an important pathophysiological factor. (unboundmedicine.com)
  • See detailed information below for a list of 11 causes of Abdominal wall burning sensation , Symptom Checker , including diseases and drug side effect causes. (rightdiagnosis.com)
  • The following medical conditions are some of the possible causes of Abdominal wall burning sensation. (rightdiagnosis.com)
  • Adhesion of liver and abdominal wall (symptom description): Adhesion of liver and abdominal wall is listed as a type of or related-symptom for symptom Liver mass . (rightdiagnosis.com)
  • However, note that other causes of the symptom 'Adhesion of liver and abdominal wall' may be possible. (rightdiagnosis.com)
  • In general, pathological findings of the abdominal wall and inguinal region are easily accessible due to their superficial location. (springer.com)
  • When such findings are absent, consideration should be given to the abdominal wall as the source of pain. (aafp.org)
  • In chronic abdominal pain, the abdominal wall often can be implicated based on the findings of the history and physical examination. (aafp.org)
  • The initial findings are reported from seven abdominal wall reconstructions in which botulinum toxin was used. (sages.org)
  • Based on these findings, the patient was initially diagnosed with lung or pleural carcinoma with abdominal wall metastasis. (spandidos-publications.com)
  • We present the cytologic findings observed in a fine needle aspiration biopsy specimen of a rare myxoid variant of leiomyosarcoma with epithelioid features and the tumor had metastasized to the abdominal wall. (koreamed.org)