scholarly journals Costal Arch

2020 ◽  
Author(s):  
Keyword(s):  
Costal Arch

Abdominal intercostal hernia and costal arch repair

2021 ◽  
Vol 14 (11) ◽  
pp. e247189
Author(s):  
Jacob Moneim
Keyword(s):  
Case Report ◽  
Hernia Repair ◽  
Total Arthroplasty ◽  
Costal Arch ◽  
Intercostal Hernia ◽  
History Of ◽  
Abdominal Intercostal Hernia ◽  
Fat Herniation ◽  
Diaphragmatic Hernia Repair

A 70-year-old asthmatic man presented with a history of chronic intermittent left-sided chest pains and a bulge-like deformity of his chest which became more prominent with expiration. He sustained a traumatic fall 2 years prior whereby he fractured his right humerus at the surgical neck, requiring total arthroplasty. Examination and CT imaging of the thorax revealed a left costal arch fracture with hemidiaphragm rupture and associated transperitoneal fat herniation. He underwent left thoracolaparotomy with costal arch and diaphragmatic hernia repair. He was discharged 48 hours postoperatively and is satisfied with good outcomes under initial follow-up. This case report highlights the surgical management of a condition that usually presents late after significant trauma and may progress to visceral strangulation if untreated.

scholarly journals Prediction and management of a low-lying costal arch which restricts the operative working space during laparoscopic cholecystectomy

2010 ◽  
Vol 18 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Yoshitsugu Tajima ◽  
Tamotsu Kuroki ◽  
Amane Kitasato ◽  
Tomohiko Adachi ◽  
Taiichiro Kosaka ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Working Space ◽  
Costal Arch

scholarly journals Precise Application of the Xiao-Chai-Hu-Tang in 98 Cases of Patients with the Major Syndrome of Feeling Pain and Tenderness under the Right Costal Arch

2019 ◽  
Vol 1 (1) ◽  
pp. 26-30
Author(s):  
Zhi-qiang Wang ◽  
Zhi-yong Song ◽  
Bai-zhi Yang ◽  
Xiu-hong Wang ◽  
Huan-chen Gui ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Chinese Medicine ◽  
Side Effects ◽  
Traditional Chinese Medicine ◽  
Therapeutic Effect ◽  
Effect Rate ◽  
Costal Arch ◽  
Previous Edition ◽  
The Individual ◽  
The Right

Xiao-Chai-Hu-Tang (XCHT), a representative of previous edition of Formulas of Traditional Chinese Medicine and harmonizing formulas, has multiple pharmacological functions. However, a variety of side effects could be caused by misuse or abuse, ignoring the theory of diagnosis and treatment based on the combination of syndrome and disease differentiation. Therefore, we conducted a retrospective study to evaluate the efficacy of XCHT, depending upon the individual patient’s condition. Among 98 patients treated with XCHT, most of the patients of syndromes could be cured after about two course. The therapeutic effect rate of prescribed XCHT in our 98 cases of treatment is 91.84% (90/98). In addition, the high frequently syndromes are consistent with Shanhanlun. With multiple years of experience, we believe that: patient feel pain and tenderness under the right costal arch is one of the symptoms of patients who fit for the treatment with XCHT.

scholarly journals Comparative Ultrasonographic Imaging of Spleen and Liver in Healthy Crossbred Cows

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Sheikh Imran ◽  
S. P. Tyagi ◽  
Amit Kumar ◽  
Adarsh Kumar ◽  
Shivali Sharma
Keyword(s):  
Learning Experience ◽  
Left Lung ◽  
Vena Cava ◽  
Water Bath ◽  
Second Phase ◽  
Abdominal Ultrasonography ◽  
Splenic Parenchyma ◽  
Costal Arch ◽  
Good Learning ◽  
Two Phases

The present study was undertaken to conduct a comparative ultrasonographic study of the normal bovine spleen and liver. This study was carried out in two phases using 3.5 MHz curvilinear transducer. In first phase of water bath study, bovine spleens and livers were obtained from 3 healthy cadavers and subjected to repeated ultrasonography to study the echotexture. The splenic parenchyma was isoechogenic with greater echogenicity as compared to the liver. Water bath study provided a good learning experience for the comparative analysis of echotexture of the spleen and liver. In second phase, 10 healthy Jersey/Red Sindhi adult nonpregnant cows were subjected to detailed abdominal ultrasonography a number of times to develop the baseline topographical data of the spleen and liver. The dorsal end of the spleen in the cranial intercostal spaces could be clearly seen at the peak of inspiration when the lungs retracted to uncover the parietal surface of the spleen. The ventral end of the spleen, portion of the left lung, and the reticular wall could be scanned in the left 7th to 6th ICS in all the cows, and in the left 5th ICS in 5 cows. The liver was imaged from just behind the 12th to 6th ICS in all the cows easily. The gallbladder was imaged as a tear drop or pear shaped anechogenic structure with a hyperechogenic wall. The location of the gallbladder varied from the 12th to 9th ICS. It was most consistently observed in the 11th ICS (in 7 cows) at a mean distance of 46.3 cm from the dorsal midline. In 3 cows, the gallbladder was also seen ventral to the costal arch. The caudal vena cava was imaged as a triangular anechogenic structure on the dorsal border of the liver in the last 2 intercostal spaces in all the cows. The portal vein was imaged characteristically as a star shaped anechogenic structure with a hyperechogenic wall, ventral to the caudal vena cava, in the last 2 intercostal spaces in all the cows and in the 10th ICS in only 8 cows. It was concluded that a systematic ultrasonography formed a basis for a reliable noninvasive determination of positions and sizes of the normal spleen and liver and their vessels in the bovines.

An ECG method for positioning the tip of a PICC in “mirror people” with dextrocardia: A case report

2021 ◽  
pp. 112972982110150
Author(s):  
Chunli Liu ◽  
Tao Jin ◽  
Aifeng Meng ◽  
Jing Mao ◽  
Ruchun Shi ◽  
...  
Keyword(s):  
Intercostal Space ◽  
P Wave ◽  
Seldinger Technique ◽  
Inferior Margin ◽  
Guide Catheter ◽  
Costal Arch ◽  
Opposite Electrode ◽  
Catheter Tip ◽  
Stomach Cancer Patient ◽  
The Right

Intracavitary electrocardiogram (ECG) has been widely used for PICC tip positioning in patients with a normal left heart. However, there is little information about using ECG for PICC insertion in patients with mirror dextrocardia. We report a 70-year-old stomach cancer patient with mirror dextrocardia admitted to our vascular access center for four Fr silicon Groshong PICC insertion. We successfully performed an ultrasound-guided modified Seldinger technique for insertion. First, the usual standardized ECG technique was used for tip positioning, and it failed. Then, we changed the procedure slightly, using the opposite electrode connections (RA: the first intercostal space of the midline of the left clavicle; LA: the first intercostal space of the midline of the right clavicle; and LL: the inferior margin of the right costal arch) to obtain an evident P-wave change to guide catheter placement in this case. We confirm that we can use the opposite electrodes to obtain an apparent P-wave for locating the catheter tip in patients with mirror dextrocardia.

Our Experience with Retroperitoneal Laparoendoscopic Single-Site Ureterolithotomy

2014 ◽  
Vol 94 (1) ◽  
pp. 58-63
Author(s):  
Zhonghua Wu ◽  
Youming Xu ◽  
Jianhua Yu ◽  
Jin Liu ◽  
Jiushun Chen ◽  
...  
Keyword(s):  
Single Port ◽  
Intraoperative Complications ◽  
Single Site ◽  
Ureteral Stones ◽  
Laparoendoscopic Single Site ◽  
Laparoscopic Instruments ◽  
Costal Arch ◽  
Attractive Option ◽  
The Mean ◽  
Port Device

Aim: To report our experience with retroperitoneal laparoendoscopic single-site (LESS) ureterolithotomy for the management of large proximal ureteral stones. Patients and Methods: From July 2011 to April 2012, 20 patients underwent retroperitoneal LESS ureterolithotomy. The indications for the operation were impacted upper ureteral stones larger than 15 mm. A reusable elastic single-port device with 3 working channels was inserted through the 2.5-cm incision at the midpoint between the costal arch and iliac crest on the mid-axillary line. A rigid 10-mm 30° extra-long laparoscope was introduced for monitoring, and a combination of lengthened pre-bent and conventional laparoscopic instruments was used for handling. The surgical procedure was similar to conventional retroperitoneal laparoscopic ureterolithotomy. Results: Retroperitoneal LESS ureterolithotomy was completed in all of the patients. The mean stone size was 18.8 mm (range 16-28). The mean operative time was 108 min (range 75-140). Significant bleeding was not observed, and no major intraoperative complications occurred in any of the patients. The mean hospital stay was 4.4 days (range 3-7). Conclusions: Retroperitoneal LESS ureterolithotomy, using a reusable elastic single-port device, is technically feasible and safe, and the combination of conventional and pre-bent laparoscopic instruments represents an attractive option for retroperitoneal LESS.

scholarly journals Ultrasonographic Imaging of Normal and Impacted Omasum in Indian Crossbred Cows

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Sheikh Imran ◽  
S. P. Tyagi ◽  
Amit Kumar ◽  
Shivali Sharma
Keyword(s):  
Intercostal Space ◽  
Water Bath ◽  
Noninvasive Evaluation ◽  
Crossbred Cows ◽  
Costal Arch ◽  
The Difference ◽  
Serious Disease ◽  
Ultrasonographic Appearance

Omasal impaction is a serious disease problem in cattle in India, but it is difficult to diagnose clinically. Ultrasonography has been proposed for the noninvasive evaluation of omasal disease. The objectives of this study were to compare the in vitro and in vivo ultrasonographic appearance of the omasum and to compare omasal appearance, limits, and size in clinically healthy cows with those in cows having confirmed omasal impaction. A 3.5 MHz curvilinear transducer was used to image and record the appearance of the omasum in vitro in a water bath, and its appearance, dorsal and ventral limits, and size in 10 healthy Indian Jersey/Red Sindhi crossbred cows. The results were compared with the ultrasonographic data collected from 5 cows with omasal impaction, as confirmed at necropsy. On moving the transducer dorsoventrally in each intercostal space and below the costal arch, the wall of omasum could be seen as an echogenic arc-like structure. The difference between mean dorsoventral extents of the normal and impacted omasums was statistically insignificant. These results suggest that ultrasonographic imaging may not be useful in the diagnosis of omasal impaction in Indian crossbred cows, however, additional studies may be warranted.

Costal Chondritis: The Costal Arch

1983 ◽  
Vol 35 (3) ◽  
pp. 318-321 ◽  
Author(s):  
Raymond C. Talucci ◽  
Watts R. Webb
Keyword(s):  
Costal Arch
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