The Influence of the Fast-Track Program on the Functional State of Kidneys in Patients with Chronic Kidneys Pathology at Simultane Treatment of Combined Surgical Diseases of Organs of Abdominal Cavity and Anterior Abdominal Wall

The extraperitoneal space extends between peritoneum and investing fascia of muscles of anterior, lateral and posterior abdominal and pelvic walls, and circumferentially surrounds the abdominal cavity. The retroperitoneum, which is confined to the posterior and lateral abdominal and pelvic wall, may be divided into three surgicoanatomic zones: centromedial, lateral (right and left), and pelvic. The preperitoneal space is confined to the anterior abdominal wall and the subperitoneal extraperitoneal space to the pelvis. In the extraperitoneal tissue, condensation fascias delineate peri- and parasplanchnic spaces. The former are between organs and condensation fasciae, the latter between this fascia and investing fascia of neighboring muscles of the wall. Thus, perirenal space is encircled by renal fascia, and pararenal is exterior to renal fascia. Similarly for the urinary bladder, paravesical space is between the umbilical prevesical fascia and fascia of the pelvic wall muscles—the prevesical space is its anterior part, between transversalis and umbilical prevesical fascia. For the rectum, the “mesorectum” describes the extraperitoneal tissue bound by the mesorectal condensation fascia, and the pararectal space is between the latter and the muscles of the pelvic wall. Perisplanchnic spaces are closed, except for neurovascular pedicles. Prevesical and pararectal (presacral) and posterior pararenal spaces are in the same anatomical level and communicate. Anterior to the anterior layer of the renal fascia, the anterior interfascial plane (superimposed and fused mesenteries of pancreas, duodenum, and colon) permits communication across the midline. Thus parasplanchnic extraperitoneal spaces of abdomen and pelvis communicate with each other and across the midline.

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Rare case of synovial sarcoma of anterior abdominal wall in a young Indian male

International Surgery Journal ◽

10.18203/2349-2902.isj20172798 ◽

2017 ◽

Vol 4 (7) ◽

pp. 2358

Author(s):

Abhishek Katyal ◽

Yash Patel

Keyword(s):

Abdominal Wall ◽

Synovial Sarcoma ◽

Rare Case ◽

Anterior Abdominal Wall ◽

Close Association ◽

Abdominal Cavity ◽

Typically Develop ◽

Synovial Sarcomas ◽

Upper Abdominal ◽

Malignant Soft Tissue

Synovial Sarcomas (synoviomas) are the fourth most common malignant soft-tissue tumours, and typically develop in para-articular locations of the extremities in close association with joint capsules, tendon sheaths, bursae and fascial structures. Other less common sites include the head and neck, abdominal wall, intra-abdominal cavity, and mediastinum. In this article, an interesting and rare case of a 25-year-old man with left upper abdominal lump is reported which was subsequently diagnosed as biphasic synovial sarcoma (spindle cell variety) of anterior abdominal wall.

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Preview of Abdominal Cavity and Anterior Abdominal Wall

Inderbir Singh's Textbook of Anatomy (Volume 2) ◽

10.5005/jp/books/12659_15 ◽

2016 ◽

pp. 158-158

Author(s):

Sudha Seshayyan

Keyword(s):

Abdominal Wall ◽

Anterior Abdominal Wall ◽

Abdominal Cavity

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Vaginal birth vs caesarean delivery: impact on gastroschisis anatomy in newborns (a 33-year experience)

Reproductive Endocrinology ◽

10.18370/2309-4117.2021.61.15-19 ◽

2021 ◽

pp. 15-19

Author(s):

O.K. Sliepov ◽

N.Y. Zhylka ◽

V.L. Veselskyi ◽

N.Y. Skrypchenko ◽

T.V. Avramenko ◽

...

Keyword(s):

Caesarean Section ◽

Abdominal Wall ◽

Caesarean Delivery ◽

Anterior Abdominal Wall ◽

Abdominal Wall Defect ◽

Abdominal Cavity ◽

Delivery Mode ◽

Wall Defect ◽

Abdominal Organs ◽

Group I

Background. Despite the existence of numerous studies on the optimal delivery mode in gastroschisis (GS), their results remain controversial. Therefore, the presented study is focused on establishing the delivery mode impact on GS anatomy in newborns.Research objective. The study was conducted to determine the impact of the delivery mode on the features of GS anatomy in newborns.Materials and methods. A retrospective analysis of medical records of 135 pregnant women and 135 their newborns with GS born between 1987 and 2020 was conducted. All newborns are divided into 3 groups. Newborns delivered by caesarean section are included in group I (n = 80); children born exclusively naturally are included in groups II (n = 25) and III (n = 30). The following anatomical features of GS in newborns were studied: localization and size of the anterior abdominal wall defect, confluence with the abdominal cavity, the nature and frequency of the eventrated organs.Results. The size of the anterior abdominal wall defect was significantly smaller in children with GS delivered by caesarean section (3.02 ± 0.58 cm; p < 0.01) than in children born naturally (4.17 ± 0.3 cm in group II, 4.7 ± 0.29 cm in group III). The frequency of retroperitoneal organs eventration was significantly less (20.0%; p < 0.01) in caesarean delivery grope than in II and III groups (52% and 63.3%, respectively). There was no significant difference in frequency of other abdominal organs eventration, localization of the anterior abdominal wall defect and confluence with the abdominal cavity. Level of evidence – III. Conclusions. The mode of delivery affects the size of abdominal wall defect and frequency of the abdominal organs eventration in newborns with GS.

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A TISSUE REACTION TO COMBINED HERNIA PROSTHESIS AT DIFFERENT POSTOPERATIVE P

Archiv Euromedica ◽

10.35630/2199-885x/2020/10/4.23 ◽

2020 ◽

Vol 10 (4) ◽

pp. 94-95

Author(s):

Valery Nikolskiy ◽

Ekaterina Titova ◽

Yaroslav Feoktistov ◽

Vladislav Kiselev

Keyword(s):

Connective Tissue ◽

Abdominal Wall ◽

Anterior Abdominal Wall ◽

Abdominal Cavity ◽

Tissue Reaction ◽

Synthetic Material ◽

Internal Organs ◽

Morphological Response ◽

Polyester Mesh ◽

Morphometric Assessment

Our experimental study shows a morphological response of the anterior abdominal wall to implantation of a combined (bovine pericardium graft and polyester mesh) hernia prosthesis. For this purpose, fifteen chinchillas were operated on. A combined prosthesis was implanted intra-abdominally, where the pericardium graft adjoined the internal organs with the smooth side, while the synthetic material was facing the peritoneum. Morphological and morphometric assessment of the tissue in the area of implantation of the prosthesis was carried out. Morphology of tissues samples was evaluated in 2 weeks, in 1 month and in 2 months after surgery. Our study revealed that the combined prosthesis implanted in the anterior abdominal wall causes an acute inflammatory response, which progresses within a month after the surgery. However, the signs of inflammation reduced at the end of the second month of the experiment. A new connective tissue grew actively into the implant from the side of the polyester mesh. The pericardium graft adjacent to the abdominal cavity with the smooth side did not cause formation of connective tissue. Thus, the combined hernia prosthesis has protected the abdominal cavity from adhesions in the postoperative period.

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Dmitry Oscarovich Ott — the foundator of endoscopy in gynecology

Journal of obstetrics and women s diseases ◽

10.17816/jowd95549 ◽

2021 ◽

Vol 50 (3) ◽

pp. 8-14

Author(s):

E. K. Ailamazyan ◽

E. F. Kira ◽

Yu. V. Tsvelev ◽

V. F. Bezhenar ◽

A. A. Bezmenko

Keyword(s):

Abdominal Wall ◽

Anterior Abdominal Wall ◽

Abdominal Cavity ◽

Abdominal Organs ◽

First Time

On April 19, 1901, at a meeting of the St. Petersburg Obstetric and Gynecological Society, Professor Dmitry Oskarovich Ott for the first time made a report on the method he developed for illuminating the abdominal cavity when performing operations with a vaginal access. He called the proposed method ventroscopy (ventroscopia; Latin venter stomach + Greek skopeo consider). The latter used terms such as celioscopy, abdominoscopy, pelvioscopy, etc. At present, it is customary to call the examination of the abdominal organs using an endoscope inserted through the anterior abdominal wall, the method of laparoscopy, and when the endoscope is introduced through the posterior vaginal fornix - cultoscopy.

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Gender abdominal features, determining depth of incisional wound in abdominal surgeries

Perm Medical Journal ◽

10.17816/pmj36511-20 ◽

2019 ◽

Vol 36 (5) ◽

pp. 11-20

Author(s):

D. G. Amarantov ◽

M. F. Zarivchatsky ◽

A. A. Alkhamaidh ◽

N. Kh. Gorst ◽

O. V. Zheleznitskikh ◽

...

Keyword(s):

Abdominal Wall ◽

Wall Thickness ◽

Anterior Abdominal Wall ◽

Abdominal Cavity ◽

Preoperative Period ◽

Cavity Depth ◽

Men And Women ◽

Mean Values ◽

Different Types ◽

Laparotomy Wound

Aim. To determine the mean values of the anterior abdominal wall thickness and abdominal cavity depth for men and women with different types of constitution and reveal the mechanisms, allowing the surgeon to predict these parameters in the preoperative period. Materials and methods. One hundred twenty male and female computer tomograms of the abdominal cavity were studied. Results. The anterior abdominal wall thickness and abdominal cavity depth values for men and women with different types of constitution at different levels of measurement were determined. The depth of laparotomy wound was found to be dependent on the distance between the anterior upper iliac spines. Conclusions. The gender features of the anterior abdominal wall thickness and abdominal cavity depth were revealed. There were determined the coefficients, permitting to predict the depth of laparotomy wound in the preoperative period.

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OBSTETRIC GYNECOLOGICAL SOCIETY IN BERLIN Meeting on November 27, 1891

Journal of obstetrics and women s diseases ◽

10.17816/jowd64398-402 ◽

2020 ◽

Vol 6 (4) ◽

pp. 398-402

Author(s):

V. N. Massen

Keyword(s):

Abdominal Wall ◽

Anterior Abdominal Wall ◽

Abdominal Cavity ◽

Anterior Wall ◽

Lower Segment ◽

Complete Rupture ◽

One To One ◽

Rupture Site

Winter showed a postpartum uterus with a complete rupture in its lower segment. The rupture passed very obliquely through the anterior wall of the uterus and extended from the ring of contraction almost to the external uterine pharynx. The peritoneum was separated above the gap to the line of tight attachment in such a way that a connection with the abdominal cavity 10 cm long was formed. When opened: the uterus was lying in a strong bend forward; bowel loops and the anterior abdominal wall delimited the rupture site from the abdominal cavity; all intestines were very red and covered with a light coating; in the abdominal cavity there were about one to one and a half liters of liquid and coagulated blood.

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eTep-retromuscular Repair for Ventral Hernia; a Technique Closest to Ideal

Lietuvos chirurgija ◽

10.15388/lietchirur.2020.19.35 ◽

2020 ◽

Vol 19 (3-4) ◽

pp. 151-155

Author(s):

Aleksandar Mitevski ◽

Petar Markov

Keyword(s):

Abdominal Wall ◽

Ventral Hernia ◽

Umbilical Hernia ◽

Anterior Abdominal Wall ◽

Abdominal Cavity ◽

Wound Complications ◽

Suture Repair ◽

Complication Rates ◽

Mesh Placement ◽

Umbilical Hernia Repair

Introduction. Ventral hernia represents a problem for the surgeon and patients alike. eTEP repair is a technique that is minimally invasive, provides lower overall complication rates, decreased wound complications and the recurrence rates and shortens the length of stay in the hospital. Case. We present a case of a 48 year old patient who was admitted to our hospital for elective treatment of recurrent umbilical hernia. The patient had umbilical hernia repair 4 years ago, suture repair without mesh placement was performed according to the information given by the patient. On inspection there is visible supraumbillical scar, 12 cm in length with hernia bulging under the scar which is partially reducible on pressure. Discussion. The eTEP technique is closest to ideal because the abdominal cavity is not penetrated, is lessening the risk of visceral lesions and trocar site hernias, allows local or regional anesthesia, gives unsurpassed views of inguinal region and hernias and reproduces the technique of Rives-Stoppa. In favor to overcome the limitations deriving from the limited surgical field and restricted port set up, this technique has been modified based on the normal anatomy of the abdominal wall naming it dependently of the extension of the dissection and the location of the hernia. Conclusion. The extended-TEP (e-TEP) technique is based on the anatomical principle that the extraperitoneal space can be reached from almost anywhere in the anterior abdominal wall. It provides the most of the benefits for the patients but also requires great surgical skill and understanding of the anatomy of the anterior abdominal wall.

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TO THE QUESTION OF THE OPERATION "HYSTEROPEXIA ABDOMINALIS ANTERIOR"

Journal of obstetrics and women s diseases ◽

10.17816/jowd55445-451 ◽

2020 ◽

Vol 5 (5) ◽

pp. 445-451

Author(s):

S. V. Ter-Mikaelyants

Keyword(s):

Abdominal Wall ◽

Ovarian Cyst ◽

Anterior Abdominal Wall ◽

Abdominal Cavity ◽

Broad Ligament ◽

The Other ◽

Abdominal Wound ◽

The Right ◽

Methods Of Treatment

Hysteropexia abdominalis anterior - suturing of the uterus to the anterior abdominal wall is a relatively new operation. Although it was first adopted by Koeberl) back in 1869, it was forgotten until the 80s. The free Coeberl suffered from strong constipation, which did not give in to any cure, the cause of which Koeberl saw in the pressure on the rectum of the bent back of the uterus. The patient reached such a state that energetic intervention was necessary. In view of these indications, Koeberl decided to make the womb and to strengthen the uterus in the abdominal wound in such a position that its body could not be thrown backwards. Opening the abdominal cavity, the operator removed the healthy ovary; the resulting leg, i.e. broad ligament, tube and lig. ovarii sewed it into the abdominal wound. The result was satisfactory. Ten years later, Schroeder) performed this operation on a patient with a posterior bend of the uterus and a small ovarian cyst, accompanied, in addition, by the dance of St. Witt. After removing the cyst, he sewed the leg to the anterior abdominal wall. In 1880, L. Tait) performed two operations, one in February, the other in April. In both cases, it was about the backward bends; In addition, the patients suffered from ovarian inflammation, which did not respond to any other methods of treatment. The operator removed the inflamed, slightly enlarged ovaries, lifted the uterus and, when suturing the abdominal wound, passed the needle so that it captured part of the tissue in the area of the fundus of the uterus and, thus, sewed the fundus of the uterus to the abdominal wall. In both cases, the results were satisfactory, at least until 1883. In 1881, he also, in one case of persistent retroflexio uteri, performed a blanching and a ligament of the right ovary and a left wide ligament in the belly. This case is cited by Snger in Centr. f.Gyn. 1888, No. 2.

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