The tunnel in the lower anterior ABDOMINAL WALL through which the SPERMATIC CORD, in the male; ROUND LIGAMENT, in the female; nerves; and vessels pass. Its internal end is at the deep inguinal ring and its external end is at the superficial inguinal ring.
Either of a pair of tubular structures formed by DUCTUS DEFERENS; ARTERIES; VEINS; LYMPHATIC VESSELS; and nerves. The spermatic cord extends from the deep inguinal ring through the INGUINAL CANAL to the TESTIS in the SCROTUM.
A developmental defect in which a TESTIS or both TESTES failed to descend from high in the ABDOMEN to the bottom of the SCROTUM. Testicular descent is essential to normal SPERMATOGENESIS which requires temperature lower than the BODY TEMPERATURE. Cryptorchidism can be subclassified by the location of the maldescended testis.
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.
A benign neoplasm of the ovary.
A fibromuscular band that attaches to the UTERUS and then passes along the BROAD LIGAMENT, out through the INGUINAL RING, and into the labium majus.
Three long canals (anterior, posterior, and lateral) of the bony labyrinth. They are set at right angles to each other and are situated posterosuperior to the vestibule of the bony labyrinth (VESTIBULAR LABYRINTH). The semicircular canals have five openings into the vestibule with one shared by the anterior and the posterior canals. Within the canals are the SEMICIRCULAR DUCTS.
The male gonad containing two functional parts: the SEMINIFEROUS TUBULES for the production and transport of male germ cells (SPERMATOGENESIS) and the interstitial compartment containing LEYDIG CELLS that produce ANDROGENS.
The narrow passage way that conducts the sound collected by the EAR AURICLE to the TYMPANIC MEMBRANE.
The cavity within the SPINAL COLUMN through which the SPINAL CORD passes.
Preparatory activities in ROOT CANAL THERAPY by partial or complete extirpation of diseased pulp, cleaning and sterilization of the empty canal, enlarging and shaping the canal to receive the sealing material. The cavity may be prepared by mechanical, sonic, chemical, or other means. (From Dorland, 28th ed, p1700)
Chemicals used mainly to disinfect root canals after pulpectomy and before obturation. The major ones are camphorated monochlorophenol, EDTA, formocresol, hydrogen peroxide, metacresylacetate, and sodium hypochlorite. Root canal irrigants include also rinsing solutions of distilled water, sodium chloride, etc.
The space in a tooth bounded by the dentin and containing the dental pulp. The portion of the cavity within the crown of the tooth is the pulp chamber; the portion within the root is the pulp canal or root canal.
Materials placed inside a root canal for the purpose of obturating or sealing it. The materials may be gutta-percha, silver cones, paste mixtures, or other substances. (Dorland, 28th ed, p631 & Boucher's Clinical Dental Terminology, 4th ed, p187)
The terminal segment of the LARGE INTESTINE, beginning from the ampulla of the RECTUM and ending at the anus.
The tip or terminal end of the root of a tooth. (Jablonski, Dictionary of Dentistry, 1992, p62)

Penetrating sledding injuries to the lower torso--2 case reports. (1/173)

Sledding accidents are frequent and vary in severity. Penetrating sledding injuries are uncommon but may be devastating. Snow-racers--sleds with both steering and braking devices--may be associated with an increased rate of injury. The authors present 2 cases of lower-torso penetrating trauma associated with the use of snow-racers. Both cases involved penetration--of the perineum in one case and the inguinal area in the other--by wooden sticks. Both patients recovered fully after prompt surgical intervention. The authors suggest that the absence of a protective panel at the front of the snow-racer may result in the sledder's lower torso being more exposed to objects encountered while sledding. The injuries reported raise concerns about the safety of modern sleds and the possibility that design changes are needed.  (+info)

Superficial femoral eversion endarterectomy combined with a vein segment as a composite artery-vein bypass graft for infrainguinal arterial reconstruction. (2/173)

OBJECTIVE: The purpose of this study was to determine the results of composite artery-vein bypass grafting for infrainguinal arterial reconstruction. METHODS: This study was designed as a retrospective case series in two tertiary referral centers. Forty-eight of 51 patients underwent the procedure of interest for the treatment of ischemic skin lesions (n = 42), rest pain (n = 3), disabling claudication (n = 1), and infected prosthesis (n = 2). The intervention used was infrainguinal composite artery-vein bypass grafting to popliteal (n = 18) and infrapopliteal (n = 30) arteries, with an occluded segment of the superficial femoral artery prepared with eversion endarterectomy and an autogenous vein conduit harvested from greater saphenous veins (n = 43), arm veins (n = 3), and lesser saphenous veins (n = 2). The main outcome measures, primary graft patency rates, foot salvage rates, and patient survival rates, were described by means of the life-table method for a mean follow-up time of 15.5 months. RESULTS: The cumulative loss during the follow-up period was 6% and 24% at 6 and 12 months, respectively. The primary graft patency rates, the foot salvage rates, and the patient survival rates for patients with popliteal grafts were 60.0% +/- 9.07%, 75.7% +/- 9.18%, and 93.5% +/- 6.03%, respectively, at 1 month; 53.7% +/- 11.85%, 68.9% +/- 12.47%, and 85. 0% +/- 9.92% at 1 year; and 46.7% +/- 18.19%, 68.9% +/- 20.54%, and 53.1% +/- 17.15% at 5 years. For infrapopliteal grafts, the corresponding estimates were 72.4% +/- 7.06%, 72.9% +/- 6.99%, and 92.7% +/- 4.79% at 1 month; 55.6% +/- 10.70%, 55.4% +/- 10.07%, and 77.9% +/- 9.02% at 1 year; and 33.6% +/- 22.36%, 55.4% +/- 30.20%, and 20.8% +/- 9.89% at 5 years. CONCLUSION: The composite artery-vein bypass graft is a useful autogenous alternative for infrainguinal arterial reconstruction when a vein of the required quality is not available or when the procedure needs to be confined to the affected limb.  (+info)

Access to occluded infrainguinal bypass grafts with a loopsnare. (3/173)

Thrombolysis for the treatment of occluded bypass grafts is used in selected clinical circumstances. Unfortunately, a minority of these procedures are technical failures because of the inability to access the occluded graft. We describe a technique that greatly increases the chances of technical success.  (+info)

Experimental study of lymph node auto-transplantation in rats. (4/173)

OBJECTIVE: To observe the restoration of structure and function of auto-transplanted lymph nodes. METHODS: Inguinal lymph nodes in Spregue-Dawley (SD) rats were auto-transplanted by free implantation, or with an intact vascular pedicle, or by free transplantation with microvascular anastomosis, to the popliteal fossa where lymph nodes were removed. The observation methods included emission computerized tomographic (ECT) scanning, staining of China ink and methylthionine chloride to observe the histological changes. RESULTS: After four weeks, these vascularized nodes showed normal histological appearances and spontaneously reestablished afferent and efferent lymphatic reconnection with the surrounding lymphatic vessels. ECT lymphoscintigraphy with 99mTc-Dx showed that vascularized lymph nodes had restored their normal function. CONCLUSION: Vascularized lymph node transplantation is a useful method for draining extremity lymph edema.  (+info)

The myth of the in situ graft: superiority in infrainguinal bypass surgery? (5/173)

OBJECTIVES: to compare the clinical outcome of in situ and reversed bypass grafting. DESIGN: multicentre, prospective, non-randomised study. PATIENTS AND METHODS: five-hundred patients with an in situ graft and 955 patients with a reversed graft were compared regarding graft occlusion, the need for graft revision, and limb salvage. RESULTS: two-year assisted primary patency of femoropopliteal bypass procedures was 82% for in situ and 82% for reversed grafts. The corresponding hazard ratio (HR) for occlusion was 1.27 (95% CI 0. 91-1.77). The 2-year assisted primary patency of femorocrural bypass procedures was 69% for in situ vs. 70% for reversed grafts. The corresponding HR was 1.13 (95% CI 0.73-1.75). Adjustment for relevant baseline variables did not change the results. More reinterventions were needed to maintain integrity and patency of the in situ graft especially in crural bypasses. No differences in limb salvage rates were seen. CONCLUSIONS: reversed and in situ vein grafts have similar patency and limb salvage rates for both femoropopliteal and femorocrural bypass procedures. The in situ graft needs more secondary interventions.  (+info)

A new method of intraoperative hydraulic impedance measurement provides valuable prognostic information about infrainguinal graft patency. (6/173)

PURPOSE: Prognostic information about graft outcome, obtained by using a new method for intraoperative measurement of vascular impedance, was evaluated. METHODS: Hydraulic impedance was measured in 136 infrainguinal bypass grafts that were entered into a multicenter trial. Seventy femoropopliteal and 66 femorocrural polytetrafluoroethylene (PTFE) grafts were used. The arterial impedance measurement involved a silicon bypass graft temporarily inserted between the proximal and distal anastomoses sites. A flowmeter probe and a pressure transducer were incorporated into the tube. The digitally stored waveforms were subjected to a fast Fourier transformation and both input (Z(x)) and characteristic (Z(0)) impedances, as well as phase relations, were computed and related to graft outcome after 3 years. RESULTS: Significant prognostic information for both popliteal and crural grafts was provided by means of the phase angle of the first harmonic. Primary and secondary patency rates for popliteal bypasses were 45% +/- 1% and 65% +/- 2% for phase angles greater than -40 degrees (n = 57) and 37% +/- 1% and 40% +/- 1% for phase angles less than -40 degrees (n = 13, p(prim ) = not significant, p(sec) < 0.01). For crural grafts, the secondary patency rates were 49% +/- 1% and 61% +/- 2% for phase angles greater than -40 degrees (n = 53) and 15% +/- 1% and 0% for phase angles less than -40 degrees (n = 13, P <.01). All crural bypass grafts with phase angles less than -40 degrees occluded within 16 months. Steady flow resistance, as well as Z(x) and Z(0), failed to indicate a significant relation to graft prognosis. CONCLUSION: This method provides reliable prognostic information regarding graft patency and opens hydraulic impedance measurement to clinical surgery. The phase lag between flow and pressure curves, as expressed by the phase angle of the first harmonic, provides significant prognostic information.  (+info)

Impact of race on the treatment for peripheral arterial occlusive disease. (7/173)

PURPOSE: The purpose of this study was to determine the impact of race on the treatment of peripheral artery occlusive disease (PAOD) and to examine the role of access to care and disease distribution on the observed racial disparity. METHODS: The study was performed as a retrospective analysis of hospital discharge abstracts from 1992 to 1995 in 202 non-federal, acute-care hospitals in the state of Florida. The subjects were patients older than 44 years of age who underwent major lower extremity amputation or revascularization (bypass grafting or angioplasty) for PAOD. The main outcome measures were incidence of intervention, incidence per demographic group, multivariate predictors of amputation versus revascularization, multivariate predictors of amputation versus revascularization among those patients with access to sophisticated care (hospital with arteriographic capabilities), and multivariate predictors of surgical bypass graft type (aortoiliac vs infrainguinal). RESULTS: A total of 51,819 procedures (9.1 per 10,000 population) were performed for PAOD during the study period and included 15,579 major lower extremity amputations (30.1%) and 36,240 revascularizations (69.9%). Although the incidence of a procedure for PAOD was comparable between African Americans and whites (9.0 vs 9.6 per 10, 000 demographic group), the incidence of amputation (5.0 vs 2.5 per 10,000 demographic group) was higher and the incidence of revascularization (4.0 vs 7.1 per 10,000 demographic group) was lower among African Americans. Furthermore, multivariate analysis results showed that African Americans (odds ratio, 3.79; 95% confidence interval [CI], 3.34 to 4.30) were significantly more likely than whites to undergo amputation as opposed to revascularization. The secondary multivariate analyses results revealed that African Americans (odds ratio, 2.29; 95% CI, 1.58 to 3. 33) were more likely to undergo amputation among those patients (n = 9193) who underwent arteriography during the procedural admission and to undergo infrainguinal bypass grafting (odds ratio, 2.00; 95% CI, 1.48 to 2.71) among those patients (n = 27,796) who underwent surgical bypass grafting. CONCLUSION: There is a marked racial disparity in the treatment of patients with PAOD that may be caused in part by differences in the severity of disease or disease distribution.  (+info)

Potential predictors of outcome in patients with tissue loss who undergo infrainguinal vein bypass grafting. (8/173)

PURPOSE: Aggressive attempts at limb salvage in patients with ischemic tissue loss are justified by favorable initial results in most patients. The identification of patients whose conditions will not benefit from attempted revascularization remains difficult. METHODS: This study was designed as a retrospective review of prospectively collected clinical data. The subjects were 210 consecutive patients who underwent infrainguinal vein bypass grafting for ischemic tissue loss in the setting of an academic medical center. Bypass grafting was to the popliteal artery in 56 patients, to the infrapopliteal arteries in 131 patients, and to the pedal arteries in 23 patients. The follow-up examination was complete in 209 of 210 patients. One hundred twenty-five patients underwent blinded review of duplex scan venous mapping and arteriography to determine simplified vein and run-off scores. The outcome measures were the influence of risk factors, venous conduit, and runoff on mortality, limb loss, and graft failure at the 6-month follow-up examination. RESULTS: One hundred seventy patients (81%) were alive and had limb salvage. Nineteen patients (9.1%) died, with need for a simultaneous inflow procedure and end-stage renal disease being most commonly associated with mortality. Thirty-three patients (15.8%) had undergone amputation: 18 after graft failure, and 15 for progressive tissue loss despite a patent graft. Amputation was significantly more common in patients with diabetes (P =.05) and with poor runoff scores (poor runoff, 44.4% vs good runoff, 7.4%; P <.01). Amputation despite a patent graft also correlated with runoff (poor runoff, 41.7% vs good runoff, 4.3%; P <.01). Twenty-five patients had graft failure without amputation, so that only 145 patients (69.4%) were alive, had limb salvage, and had a patent graft. Run-off score was the strongest predictor of outcome, with 70% of patients with poor run-off scores having death, amputation, or graft failure. CONCLUSION: Aggressive use of infrainguinal vein bypass grafting in patients with ischemic tissue loss results in a high rate of initial limb salvage but significant morbidity and mortality. Arteriographically determined runoff scores appear to potentially identify patients at high risk for a poor initial outcome and may provide a method of selecting patients for primary amputation.  (+info)

The inguinal canal is a narrow passage in the lower abdominal wall. In males, it allows for the spermatic cord and blood vessels to travel from the abdomen to the scrotum. In females, it provides a pathway for the round ligament of the uterus to pass through. The inguinal canal is located in the groin region, and an inguinal hernia occurs when a portion of the intestine protrudes through this canal.

The spermatic cord is a fibrous structure that contains the vas deferens, blood vessels, nerves, and lymphatics, which provide passage for these structures between the abdomen and the scrotum in males. It is covered by several layers of protective sheaths, including the internal spermatic fascia, cremasteric fascia, and external spermatic fascia. The spermatic cord allows the testicles to be located outside the body, which helps maintain a cooler temperature for optimal sperm production.

Cryptorchidism is a medical condition in which one or both of a male infant's testicles fail to descend from the abdomen into the scrotum before birth or within the first year of life. Normally, the testicles descend from the abdomen into the scrotum during fetal development in the second trimester. If the testicles do not descend on their own, medical intervention may be necessary to correct the condition.

Cryptorchidism is a common birth defect, affecting about 3-5% of full-term and 30% of preterm male infants. In most cases, the testicle will descend on its own within the first six months of life. If it does not, treatment may be necessary to prevent complications such as infertility, testicular cancer, and inguinal hernia.

Treatment for cryptorchidism typically involves surgery to bring the testicle down into the scrotum. This procedure is called orchiopexy and is usually performed before the age of 2. In some cases, hormonal therapy may be used as an alternative to surgery. However, this approach has limited success and is generally only recommended in certain situations.

Overall, cryptorchidism is a treatable condition that can help prevent future health problems if addressed early on. Regular check-ups with a pediatrician or healthcare provider can help ensure timely diagnosis and treatment of this condition.

Inguinal hernia, also known as an inguinal rupture or groin hernia, is a protrusion of abdominal-cavity contents through the inguinal canal. The inguinal canal is a passage in the lower abdominal wall that carries the spermatic cord in males and a round ligament in females. Inguinal hernias are more common in men than women.

There are two types of inguinal hernias: direct and indirect. Direct inguinal hernias occur when the abdominal lining and/or fat push through a weakened area in the lower abdominal wall, while indirect inguinal hernias result from a congenital condition where the abdominal lining and/or fat protrude through the internal inguinal ring, a normal opening in the abdominal wall.

Inguinal hernias can cause discomfort or pain, especially during physical activities, coughing, sneezing, or straining. In some cases, incarceration or strangulation of the hernia may occur, leading to serious complications such as bowel obstruction or tissue necrosis, which require immediate medical attention.

Surgical repair is the standard treatment for inguinal hernias, and it can be performed through open or laparoscopic techniques. The goal of surgery is to return the protruding tissues to their proper position and strengthen the weakened abdominal wall with sutures or mesh reinforcement.

Papillary cystadenoma is a type of benign (non-cancerous) tumor that arises from the glandular cells in various organs. It is characterized by the growth of finger-like projections (papillae) inside the cysts. These tumors can occur in different parts of the body, including the ovaries, pancreas, and the lining of the abdominal cavity (peritoneum).

In general, papillary cystadenomas are slow-growing and do not typically spread to other organs. However, they can cause symptoms such as pain or discomfort if they become large enough to press on surrounding tissues. Treatment usually involves surgical removal of the tumor. It is important to note that while papillary cystadenomas are generally benign, there is a small risk that they may undergo malignant transformation and develop into cancerous tumors over time. Regular follow-up with a healthcare provider is recommended to monitor for any changes in the tumor or the development of new symptoms.

The round ligament is a cord-like structure in the female pelvis that extends from the uterus to the labia majora. It is one of the major ligaments that support the uterus and helps to maintain its position within the pelvis. The round ligament is composed of fibrous tissue and smooth muscle, and it plays a role in maintaining the tone and shape of the uterus.

During pregnancy, the round ligament can become stretched and thickened as the uterus grows and expands. This can sometimes cause discomfort or pain, particularly on one side of the pelvis. In some cases, the round ligament may also contribute to the development of certain gynecological conditions, such as uterine prolapse or urinary incontinence.

It is important for healthcare providers to consider the round ligament when evaluating and treating female reproductive health issues, as it can have a significant impact on the function and positioning of the uterus and other pelvic organs.

The semicircular canals are part of the vestibular system in the inner ear that contributes to the sense of balance and spatial orientation. They are composed of three fluid-filled tubes, each located in a different plane (anterior, posterior, and horizontal) and arranged at approximately right angles to each other. The semicircular canals detect rotational movements of the head, enabling us to maintain our equilibrium during movement.

When the head moves, the fluid within the semicircular canals moves in response to that motion. At the end of each canal is a structure called the ampulla, which contains hair cells with hair-like projections (stereocilia) embedded in a gelatinous substance. As the fluid moves, it bends the stereocilia, stimulating the hair cells and sending signals to the brain via the vestibular nerve. The brain then interprets these signals to determine the direction and speed of head movement, allowing us to maintain our balance and orientation in space.

The testis, also known as the testicle, is a male reproductive organ that is part of the endocrine system. It is located in the scrotum, outside of the abdominal cavity. The main function of the testis is to produce sperm and testosterone, the primary male sex hormone.

The testis is composed of many tiny tubules called seminiferous tubules, where sperm are produced. These tubules are surrounded by a network of blood vessels, nerves, and supportive tissues. The sperm then travel through a series of ducts to the epididymis, where they mature and become capable of fertilization.

Testosterone is produced in the Leydig cells, which are located in the interstitial tissue between the seminiferous tubules. Testosterone plays a crucial role in the development and maintenance of male secondary sexual characteristics, such as facial hair, deep voice, and muscle mass. It also supports sperm production and sexual function.

Abnormalities in testicular function can lead to infertility, hormonal imbalances, and other health problems. Regular self-examinations and medical check-ups are recommended for early detection and treatment of any potential issues.

The ear canal, also known as the external auditory canal, is the tubular passage that extends from the outer ear (pinna) to the eardrum (tympanic membrane). It is lined with skin and tiny hairs, and is responsible for conducting sound waves from the outside environment to the middle and inner ear. The ear canal is typically about 2.5 cm long in adults and has a self-cleaning mechanism that helps to keep it free of debris and wax.

The spinal canal is the bony, protective channel within the vertebral column that contains and houses the spinal cord. It extends from the foramen magnum at the base of the skull to the sacrum, where the spinal cord ends and forms the cauda equina. The spinal canal is formed by a series of vertebral bodies stacked on top of each other, intervertebral discs in between them, and the laminae and spinous processes that form the posterior elements of the vertebrae. The spinal canal provides protection to the spinal cord from external trauma and contains cerebrospinal fluid (CSF) that circulates around the cord, providing nutrients and cushioning. Any narrowing or compression of the spinal canal, known as spinal stenosis, can cause various neurological symptoms due to pressure on the spinal cord or nerve roots.

Root canal preparation is a procedure in endodontics, which is the branch of dentistry dealing with the dental pulp and tissues surrounding the root of a tooth. The goal of root canal preparation is to thoroughly clean, shape, and disinfect the root canal system of an infected or damaged tooth, in order to prepare it for a filling material that will seal and protect the tooth from further infection or damage.

The procedure involves the use of specialized dental instruments, such as files and reamers, to remove the infected or necrotic pulp tissue and debris from within the root canal. The root canal is then shaped using progressively larger files to create a tapering preparation that facilitates the placement of the filling material. Irrigation solutions are used to help flush out any remaining debris and disinfect the canal.

The success of root canal preparation depends on several factors, including the thoroughness of cleaning and shaping, the effectiveness of disinfection, and the sealing ability of the filling material. Properly performed, root canal preparation can alleviate pain, save a tooth from extraction, and restore function and aesthetics to the mouth.

Root canal irrigants are substances used during root canal treatment to clean, disinfect and rinse the root canal system. The main goal is to remove tissue remnants, dentinal debris, and microorganisms from the root canal space, thus reducing the risk of reinfection and promoting healing. Commonly used irrigants include sodium hypochlorite (NaOCl), which is a potent antimicrobial agent, and ethylenediaminetetraacetic acid (EDTA), which is used to remove the smear layer and improve the penetration of other irrigants and root canal sealers. The choice of irrigant, concentration, and application technique may vary depending on the specific case and clinician's preference.

The dental pulp cavity, also known as the pulp chamber, is the innermost part of a tooth that contains the dental pulp. It is located in the crown portion of the tooth and is shaped like an upside-down pyramid with the narrow end point towards the root of the tooth.

The dental pulp is a soft tissue that contains nerves, blood vessels, and connective tissue. It plays an important role in the development and maintenance of the tooth, including providing nutrients to the dentin and producing reparative dentin.

The dental pulp cavity can become infected or inflamed due to tooth decay, trauma, or other factors, leading to symptoms such as pain, sensitivity, and swelling. In such cases, treatment options may include root canal therapy, which involves removing the infected or inflamed pulp tissue from the dental pulp cavity and sealing the space to prevent further infection.

Root canal filling materials are substances used to fill and seal the root canal system inside a tooth following root canal treatment. The main goal of using these materials is to prevent reinfection, provide structural support to the weakened tooth, and restore its functionality.

Commonly used root canal filling materials include:

1. Gutta-percha: A rubber-like material derived from the sap of the Palaquium gutta tree. It is widely used as the primary filling material due to its biocompatibility, malleability, and ability to be compacted into the root canal space. Gutta-percha points or cones are typically used in conjunction with a sealer for optimal adaptation and seal.

2. Sealers: These are adhesive materials that help bond gutta-percha to dentin walls and improve the seal between the filling material and root canal walls. Some commonly used sealers include zinc oxide eugenol, calcium hydroxide-based sealers, and resin-based sealers.

3. Silver points: These are silver cones with a sharp tip that can be inserted into the root canal space as an alternative to gutta-percha. However, their use has declined due to concerns about corrosion and potential tooth discoloration.

4. Mineral trioxide aggregate (MTA): A biocompatible cement composed primarily of Portland cement, bismuth oxide, and other additives. MTA is used for various applications in endodontics, including root-end filling, perforation repair, and apexification. It has excellent sealing ability, antibacterial properties, and promotes hard tissue formation.

5. Bioceramics: These are advanced materials with similar properties to MTA but with improved handling characteristics and setting times. They include materials like Bioaggregate, EndoSequence BC Sealer, and iRoot SP.

6. Thermoplasticized gutta-percha: This technique involves heating and softening gutta-percha using a specialized device called a thermomechanical compactor or an oven. The softened gutta-percha is then injected into the root canal space, providing better adaptation to the root canal walls and creating a more uniform seal.

The choice of materials depends on various factors, including the clinical situation, patient's needs, and practitioner's preference.

The anal canal is the terminal portion of the digestive tract, located between the rectum and the anus. It is a short tube-like structure that is about 1 to 1.5 inches long in adults. The main function of the anal canal is to provide a seal for the elimination of feces from the body while also preventing the leakage of intestinal contents.

The inner lining of the anal canal is called the mucosa, which is kept moist by the production of mucus. The walls of the anal canal contain specialized muscles that help control the passage of stool during bowel movements. These muscles include the internal and external sphincters, which work together to maintain continence and allow for the voluntary release of feces.

The anal canal is an important part of the digestive system and plays a critical role in maintaining bowel function and overall health.

The tooth apex is the tip or the narrowed end of the root of a tooth. It is the portion that is located deepest within the jawbone and it contains dental pulp tissue, which includes nerves and blood vessels. The apex plays an essential role in the development and maintenance of a tooth, as well as in the process of root canal treatment, where instruments and materials are introduced through it to clean and fill the root canals. It is also a crucial landmark in endodontic surgery and dental imaging.

Wikimedia Commons has media related to Inguinal canal. The spermatic cord in the inguinal canal Inguinal fossae The abdominal ... The inguinal canals are larger and more prominent in males. The inguinal canals are situated just above the medial half of the ... internal inguinal ring, annulus abdominalis) is the entrance to the inguinal canal. The surface marking of the deep inguinal ... Where these contents exit through the inguinal canal, having passed through the deep inguinal ring, the condition is known as ...
From there, the testicle is pulled into the field through the inguinal canal. The spermatic cord is clamped off in two places ... Inguinal orchiectomy (also named orchidectomy) is a specific method of orchiectomy whereby one or both testicles and the full ... Cutting the skin in the scrotum may disrupt this and cancer may spread to the inguinal lymph nodes, making surveillance and ... The inguinal orchiectomy is a necessary procedure if testicular cancer is suspected. While it is possible to remove a testicle ...
The deep inguinal ring, which is the beginning of the inguinal canal, remains as an opening in the fascia transversalis, which ... Illustration of an inguinal hernia. Different types of inguinal hernias. Inguinal fossae There are two types of inguinal hernia ... An inguinal hernia or groin hernia, is a hernia (protrusion) of abdominal cavity contents through the inguinal canal. Symptoms ... A femoral hernia is not via the inguinal canal, but via the femoral canal, which normally allows passage of the common femoral ...
It forms the base of the inguinal canal through which an indirect inguinal hernia may develop. The inguinal ligament runs from ... Inguinal ligament Inguinal ligament Wikimedia Commons has media related to Inguinal ligament. Pelvis Apollo's belt: surface ... "inguinal - WordReference.com Dictionary of English". www.wordreference.com. Acland RD (January 2008). "The inguinal ligament ... It demarcates the inferior border of the inguinal triangle. The midpoint of the inguinal ligament, halfway between the anterior ...
The spermatic cord in the inguinal canal. Front of abdomen, showing surface markings for arteries and inguinal canal. External ... This occurs about one third laterally from the insertion point of the inguinal ligament on the pubic tubercle. At this point ... External iliac artery is large artery at center, and inguinal ligament runs from upper right to lower left. When the artery ... The external iliac artery passes beneath the inguinal ligament in the lower part of the abdomen and becomes the femoral artery ...
Below the subcutaneous inguinal ring, they unite to form three or four veins, which pass along the inguinal canal, and, ... The spermatic cord in the inguinal canal. Testicular vein This article incorporates text in the public domain from page 678 of ... entering the abdomen through the abdominal inguinal ring, coalesce to form two veins, which ascend on the Psoas major, behind ...
The spermatic cord in the inguinal canal. External iliac vein. Deep dissection. Serial cross section. Sinnatamby, Chummy S. ( ... A continuation of the femoral vein, the external iliac vein starts at the level of the inguinal ligament. It runs beside its ... Their origin is at the inferior margin of the inguinal ligaments and they terminate when they join the internal iliac veins (to ...
The vas deferens is a partially coiled tube which exits the abdominal cavity through the inguinal canal. Vas deferens is Latin ... The spermatic cord in the inguinal canal. Fundus of the bladder with the vesiculae seminales. Vertical section of bladder, ... 1297 The vas deferens traverses the inguinal canal to reach the pelvic cavity; it enters the pelvic cavity lateral to the ... At the deep inguinal ring, the vas deferens diverges from the testicular vessels to pass medially to reach the base of the ...
The spermatic cord in the inguinal canal. Front of right thigh, showing surface markings for bones, femoral artery and femoral ... It enters and passes through the adductor canal, and becomes the popliteal artery as it passes through the adductor hiatus in ... The superficial epigastric artery is a small branch that crosses the inguinal ligament and runs to the region of the umbilicus ... 4 cm) below the inguinal ligament. It passes medially behind the femoral vessels and enters the medial fascial compartment of ...
The aponeurosis of the external oblique muscle forms the inguinal ligament. The muscle also contributes to the inguinal canal. ... The subcutaneous inguinal ring. Transverse section through the middle of the first lumbar vertebra, showing the relations of ...
... to the inguinal ring In the inguinal canal Ectopic, having "wandered" from the path of descent, usually outside the inguinal ... into the inguinal canal. A testis that can readily move or be moved between the scrotum and canal is referred to as retractile ... The associated passage back into the inguinal canal, an inguinal hernia, is closed to prevent reascent. In patients with intra- ... In 90% of cases, an undescended testis can be felt in the inguinal canal. In a small minority of cases, missing testes may be ...
Cunt may also refer to either inguinal canal.) Terms used for the penis include junk, strapoff, strapless, clit, and hen.: 355- ... It both named and popularized the act of muffing, or stimulating the inguinal canals through an invaginated scrotum, which can ...
In the inguinal hernia, fatty tissue or a part of the small intestine gets inserted into the inguinal canal. Other structures ... Inguinal hernia is the most common type of hernia and consist of about 75% of all hernia surgery cases in the US. Inguinal ... "Inguinal Hernia Repair Surgery Information from SAGES". SAGES. Retrieved 2017-12-05. "Laparoscopic surgery for inguinal hernia ... Males who have asymptomatic inguinal hernia and pregnant women with uncomplicated inguinal hernia can be observed, but the ...
"The inguinal canal and derivation of the layers of the spermatic cord." inguinalregion at The Anatomy Lesson by Wesley Norman ( ... "Anatomy of the anterior abdominal wall and inguinal canal". Anaesthesia & Intensive Care Medicine. 10 (7): 315-317. doi:10.1016 ...
Inguinal ligament Lacunar ligament Inguinal canal Cooper's ligaments Steinke, Hanno; Wiersbicki, Dina; Völker, Anna; Pieroh, ... This facilitates reconstruction of the floor of the inguinal canal.[citation needed] It is a useful landmark for pelvic surgery ... The pectineal ligament, sometimes known as the inguinal ligament of Cooper, is an extension of the lacunar ligament. It runs on ... A variant of non-prosthetic inguinal hernia repair, first used by Georg Lotheissen in Austria, now bears his name.[citation ...
Front of abdomen, showing surface markings for arteries and inguinal canal. Femoral canal Femoral hernia Inguinal canal Moore, ... Part of the intestine can sometimes pass through the femoral ring into the femoral canal causing a femoral hernia. The femoral ... The femoral ring is the opening at the proximal, abdominal end of the femoral canal, and represents the (superiorly directed/ ... oriented) base of the conically-shaped femoral canal. The femoral ring is oval-shaped, with its long diameter being directed ...
Peng B, Wang YP, Shang Y, Guo Y, Yang ZW (2008). "Effect of vasectomy via inguinal canal on spermatogenesis in rabbits". Asian ...
Front of abdomen, showing surface markings for arteries and inguinal canal. Transpyloric plane This article incorporates text ...
Front of abdomen, showing surface markings for arteries and inguinal canal. Schema of the arteries arising from the external ... The inferior epigastric artery may lie close to an inguinal hernia, so acts as a useful landmark. The inferior epigastric ... It curves forward in the subperitoneal tissue, and then ascends obliquely along the medial margin of the abdominal inguinal ... "Ultrasound imaging for inguinal hernia: a pictorial review". Ultrasonography. 41 (3): 610-623. doi:10.14366/usg.21192. PMC ...
Palpate the inguinal canals to assess for hernias or abnormal tenderness. Examination is repeated with the examinee in supine ... The testis is in the inguinal canal but cannot be palpated for specific reasons. The testis is situated inside the abdomen. The ... and subsequently descend through the inguinal canal into the scrotum. Diagnosing undescended testicles involves a physical ... Detecting an inguinal hernia is typically characterized by a noticeable bulge in the groin or scrotum, which may vary in size. ...
Front of abdomen, showing surface markings for arteries and inguinal canal. Transtubercular plane Singh, Vishram. (2014). ... especially the gastro-intestinal canal" in which he established a baseline for the anatomy of the abdomen based on the ...
Front of abdomen, showing surface markings for arteries and inguinal canal. Inferior mesenteric artery Lumbar and sacral plexus ... supplying the large intestine from the distal transverse colon to the upper part of the anal canal. The regions supplied by the ...
Palpation of gonads from the labioscrotal fold to the abdomen (inguinal canal). Hydration and blood pressure assessment should ...
Inguinal hernia* is a protrusion of abdominal contents through the inguinal canal. They are corrected through surgery. Canine ... Cryptorchidism is when one the testicles is retained in the abdomen or inguinal canal past a normal stage of development. It is ... Most are not clinically significant, but they can cause compression of the spinal cord by deforming the vertebral canal or ... Ear infections are common in dogs, particularly breeds with hanging ears, such as Beagles, and dogs with narrow ear canals, ...
The round ligament exits the pelvis via the deep inguinal ring. It passes through the inguinal canal to reach the labium majus ... It passes through the inguinal canal to insert at the labium majus. The two round ligaments of uterus develop from the ... "Inguinal Region, Scrotum and Testes: The Internal Surface of the Anterior Abdominal Wall" Bellier, A.; Cavalié, G.; Marnas, G ...
... from an abdominal or inguinal position to the scrotum. If the inguinal canal is open it must be closed to prevent hernia. ...
The anal canal below the pectinate line drains into the superficial inguinal nodes. The pectinate line only roughly marks this ... and anal canal. Some other sources exclude the anal canal. In humans, the large intestine begins in the right iliac region of ... The lower rectum to the anal canal above the pectinate line drain to the internal ileocolic nodes. ... and anal canal. The four sections of the colon are: the ascending colon, transverse colon, descending colon, and sigmoid colon ...
Testes are often found in the inguinal canal or in a bifid scrotum. Wolffian derivatives including the epididymides, vas ...
It forms the medial part of the posterior wall of the inguinal canal. The conjoint tendon is formed from the lower part of the ... It forms the medial part of the posterior wall of the inguinal canal. The conjoint tendon serves to protect what would ... A weakening of the conjoint tendon can precipitate a direct inguinal hernia. A direct inguinal hernia will protrude through ... This is in contrast to an indirect inguinal hernia, which will protrude laterally to the inferior epigastric artery and is most ...
As a result, the testes move from the inguinal canal into the scrotum. Only mammals have a scrotum and descended testes. INSL3 ... INSL3 acts on RXFP2 receptors which link the testis to the inguinal abdominal wall. ...
Wikimedia Commons has media related to Inguinal canal. The spermatic cord in the inguinal canal Inguinal fossae The abdominal ... The inguinal canals are larger and more prominent in males. The inguinal canals are situated just above the medial half of the ... internal inguinal ring, annulus abdominalis) is the entrance to the inguinal canal. The surface marking of the deep inguinal ... Where these contents exit through the inguinal canal, having passed through the deep inguinal ring, the condition is known as ...
Other names Rings, Inguinal; Ring, Inguinal; Inguinal Rings; Inguinal Canals; Canals, Inguinal; Canal, Inguinal; Inguinal Ring ... Its internal end is at the deep inguinal ring and its external end is at the superficial inguinal ring. internal canal only: do ...
Contents of inguinal canal *Spermatic cord / Round ligament of uterus *Cremasteric fascia / muscle*Ductus (vas) deferens*Artery ... Landmark - Deep inguinal ring *Superior to inguinal ligament*Medial to femoral a.*Lateral to inferior epigastric vessels*Midway ...
inguinal canal. How to sign: oblique passage through the lower abdominal wall; in males it is the passage through which the ...
The inguinal canals should be explored for hernias or cord tenderness. Funiculitis, an inflammation of cord structures, may ... If a testicle cannot be palpated in the scrotum, the inguinal canals and lower abdomen should be examined. A nonpalpable ... An inguinal hernia commonly presents as a scrotal mass. An incarcerated hernia cannot be reduced back into the abdominal cavity ... Radical orchiectomy with high ligation of the spermatic cord via an inguinal approach is appropriate for surgery on testicular ...
It occurs when the urinary bladder or ureter herniates into the inguinal canal, scrotal sac or femoral canal. Differential ... Urinary Bladder Herniation into Inguinal canal Reviewed by Sumer Sethi on Wednesday, July 23, 2014 Rating: 5 ... This is a 67 year old male with prostatomegaly and shows herniation of urinary bladder into the right inguinal canal, this is a ... normal protrusion of lateral aspect of bladder is seen into the inguinal canal. ...
encoded search term (Femoral Sheath and Inguinal Canal Anatomy) and Femoral Sheath and Inguinal Canal Anatomy What to Read Next ... a persistent processus vaginalis that traverses the inguinal canal (a so-called canal of Nuck) may facilitate later inguinal ... The entry point of the inguinal canal formed by a ballooning of the transversalis fascia that is known as the internal inguinal ... The exit point of the inguinal canal, known as the external inguinal ring, is formed by aponeurotic fibers of the external ...
encoded search term (Femoral Sheath and Inguinal Canal Anatomy) and Femoral Sheath and Inguinal Canal Anatomy What to Read Next ... a persistent processus vaginalis that traverses the inguinal canal (a so-called canal of Nuck) may facilitate later inguinal ... The entry point of the inguinal canal formed by a ballooning of the transversalis fascia that is known as the internal inguinal ... The exit point of the inguinal canal, known as the external inguinal ring, is formed by aponeurotic fibers of the external ...
The inguinal canal is a tubular structure that runs inferomedially and contains the spermatic cord in ma... ... The inguinal region of the body, also known as the groin, is located on the lower portion of the anterior abdominal wall, with ... The inguinal canal has 2 openings: the deep (internal) inguinal ring and the superficial (external) inguinal ring. The ... The floor of the inguinal canal is the inguinal ligament, otherwise known as the Poupart ligament, which is formed by the ...
The inguinal ligament is often incorrectly referred to as a Fallopian ligament or Pouparts ligament. The physician Poupart ... The inguinal ligament is at the bottom of the inguinal canal, a passage in the abdominal wall through which the spermatic cord ... There are two types of inguinal hernias: direct and indirect. Direct hernias are the result of weak area in the inguinal canal ... Inguinal ligament. Medically reviewed by the Healthline Medical Network - By The Healthline Editorial Team on January 23, 2018 ...
An inguinal hernia happens at the inguinal canal. This is a narrow passage in which blood vessels supplying the testicle pass ... Groin hernia (or inguinal hernia) An inguinal hernia happens at the inguinal canal. This is a narrow passage in which blood ... Bilateral (inguinal) hernia repair. A bilateral hernia is a very common form of hernia that presents itself in the groin area. ... Going home after inguinal hernia repair. Recovery from hernia repair is usually very quick. You will probably go home the day ...
Surgeons removed the left testis and reconstructed the inguinal canal. Six months after a benign postoperative course, he had a ... undescended left testis with edema and inflammatory changes in the left inguinal canal. ... which revealed the inguinal mass.. This case emphasizes that abdominal or genitourinary pathology can mimic hip pathology and ...
Labels point to small intestine, inguinal canal, spermatic cord, scrotum and testicle. ... Drawing of the digestive tract within the outline of a male body with an inset showing an indirect inguinal hernia in a male. ... Labels point to small intestine, inguinal canal, spermatic cord, scrotum and testicle. ... Labels point to small intestine, inguinal canal, spermatic cord, scrotum and testicle. ...
An inguinal hernia happens when part of the intestines pushes through an opening in the lower part of the abdomen. Doctors fix ... Girls dont have testicles, but they do have inguinal canals, and can have inguinal hernias. ... Hernias inguinales. What Are Inguinal Hernias?. An inguinal hernia happens when part of the intestines slips into the groin ( ... A common type in babies and young kids happens when the intestines slide into a pathway called the inguinal canal in the groin ...
... ulcers with irregular borders and tender inguinal lymphadenopathy, or buboes. The causative organism, Haemophilus ducreyi, is a ... The bubo in the left inguinal canal required needle aspiration. * Large fluctuant buboes should be drained with the patient ... Goens JL, Schwartz RA, De Wolf K. Mucocutaneous manifestations of chancroid, lymphogranuloma venereum and granuloma inguinale. ... Joseph AK, Rosen T. Laboratory techniques used in the diagnosis of chancroid, granuloma inguinale, and lymphogranuloma venereum ...
Inguinal Canal 55% * Pyogenic Granuloma 55% * Lymph Node Metastasis 55% * Eculizumab 44% ...
female inguinal canal +. 0. female labial swelling +. 0. female reproductive organ +. 0. ...
Intravenous Pyogenic Granuloma in the Inguinal Canal Mimicking Lymph Node Metastasis on PSMA PET/CT. Skyum, S. MD., Anthonsen, ...
Categories: Inguinal Canal Image Types: Photo, Illustrations, Video, Color, Black&White, PublicDomain, CopyrightRestricted 2 ...
inguinal canal morphology trait +. 0. male reproductive system morphology trait +. 13. perineum morphology trait +. 0. ...
The undescended testis can be found in the belly, the inguinal canal or other places, but most are found in the inguinal canal ... the exam shows an inguinal hernia (an opening in the lower belly wall or inguinal canal where the intestines may stick out) as ... they pass through a small passage that runs along the belly near the groin called the inguinal canal. Once through the inguinal ... canal, the testicles reside in the scrotal sac. Since the scrotal sac is cooler than the body temperature, it is the ideal ...
The femoral canal is also exposed carefully and an assessment made of the attachment of the inguinal, lacunar and pectineal ... Groin pain associated with ultrasound finding of inguinal canal posterior wall deficiency in Australian Rules footballers. Br J ... Various operative interventions to support the posterior wall of the inguinal canal have been utilised, with mixed results. ... The peritoneum is incised, and the whole inguinal region exposed so that the medial end of the inguinal ligament and its ...
... inguinal canal, medially the superficial inguinal ring and conjoint tendon, more laterally the canal and further laterally the ... The junction of where these structures converge at the pubic bone revolves around the inguinal canal. The internal inguinal ... Results of inguinal canal repair in athletes with sports hernia. J R Coll Surg (Edinburgh) 2002;47:561-5. ... The obturator nerve divides in the obturator canal (2-3 cm long canal situated in the anterosuperior aspect of the obturator ...
An operation in which the hernia sac is removed without any repair of the inguinal canal is described as a herniotomy. When ... Main article: Inguinal hernia repair. The first differentiating factor in hernia repair is whether the surgery is done open, or ... herniotomy is combined with a reinforced repair of the posterior inguinal canal wall with autogenous (patients own tissue) or ... European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. ...
The Pediatric Inguinal Canal/Descent of the Testes and Cryptorchidism. Award of Merit. ...
Irregular closing of the processus vaginalis leads to formation of a cyst in the inguinal canal of a male infant.. Hydrocele, ... Three variants of hydrocele formation in the inguinal canal of a male infant are shown.. Cyst formation: ...
As the name suggests, theyre found on the groin (at the inguinal canal). ...
The testicle (black arrow) is resting in the abdomen next to the inguinal canal (white arrow). In a normal horse, only the ... The retained testicle may be located anywhere from within the abdomen to within the inguinal canal, which is the normal passage ... The testicular tissue is carefully located and manually removed in its entirety from the abdomen or inguinal canal. The ... though retained left testes are more often in the abdomen while the right retained testicle is more often in the inguinal canal ...
Placing the testicles back into the inguinal canal reduces the genitals by a third, so there's a lot less material that ... The testicles descend into the scrotum from two little chutes called the inguinal canal. Though the balls spend most of their ... Sometimes tucking can hurt the penis: With the balls stuffed inside hot canals all day and the dick pulled backward, blood flow ... time in the sack, they commonly slip back inside the body during sex, and you can also easily push them in the canal whenever ...
Sustained compression in the inguinal canal during femoral artery pulse palpation reproduced the tingling pain on the anterior ...

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