2. Masks and Clothes: Medial Surfaces and the Dialectic of Appearing

2019 ◽  
pp. 20-27
Keyword(s):  
Medial Surfaces

scholarly journals Personalized reconstructive and plastic approach in the surgical treatment of vulvar cancer

2021 ◽  
Vol 20 (2) ◽  
pp. 12-16
Author(s):  
A. A. Mukhin ◽  
A. V. Taratonov
Keyword(s):  
Surgical Treatment ◽  
Squamous Cell ◽  
Vulvar Cancer ◽  
Locally Advanced ◽  
Defect Closure ◽  
Anatomical Structures ◽  
Clinical Center ◽  
Vulvar Reconstruction ◽  
Medial Surfaces ◽  
Treatment Volume

Introduction. The choice of a rational method of treatment in vulvar cancer is one of the most actual and difficult problems of modern clinical oncology. In the majority of cases vulvar cancer occurs in elderly and senile patients, as well as in some patients with locally advanced form. The aim of the investigation was to assess the possibility of reconstruction after surgical treatment of vulvar cancer.Materials and Methods. A study was conducted involving 151 patients with squamous cell vulvar cancer in whom the gynecological oncology department of Chelyabinsk regional clinical center of oncology and nuclear medicine performed surgical treatment by various methods in the following volume: dilated vulvectomy with the resection of adjacent anatomical structures with reconstructive and plastic component.Results. The original ways of plasty of the postoperative wound after vulvectomy were evaluated, the minimum risk of  complications was revealed. The presented technologies permit to use additional variants of the wound defect reconstruction and have a number of advantages in comparison with two dermalfascial flaps from the medial surfaces of the femur used earlier. Discussion. Studies have shown that vulvar reconstruction using skin flaps can avoid complications and improve patients' quality of life. Reconstruction with flaps is not currently an accepted standard of treatment for vulvar cancer. Conclusion. The methods of the wound defect closure are possible after radical vulvectomy in patients with squamous cell vulvar cancer and resection of adjacent anatomical structures without reduction of surgical treatment volume. These methods of wound defect closure contribute to the reduction of postoperative complications and significantly reduce postoperative stay in a medical institution.

scholarly journals Improving medial surfaces for reverse engineering

2016 ◽  
Vol 13 (6) ◽  
pp. 786-791
Author(s):  
Vaibhav Kumar ◽  
Takashi Michikawa ◽  
Hiromasa Suzuki
Keyword(s):  
Reverse Engineering ◽  
Medial Surfaces

scholarly journals Giant pericallosal artery aneurysm – Literature review and report of a rare case

2013 ◽  
Vol 32 (03) ◽  
pp. 195-199
Author(s):  
José Fernando Guedes Corrêa ◽  
Ari Boulanger Sucussel Junior ◽  
Rogério Martins Pires Amorim ◽  
Lucas Santos Loiola ◽  
Maristella Reis ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Cerebral Arteries ◽  
Clinical Status ◽  
Artery Aneurysm ◽  
Mass Effect ◽  
Imaging Studies ◽  
Falx Cerebri ◽  
Aneurysm Neck ◽  
Pericallosal Artery ◽  
Medial Surfaces

AbstractGiant pericallosal artery aneurysms are extremely rare. Aneurismatic lesions involving this artery are usually small, tend to early bleeding and might be associated with other lesions. Differential diagnosis of giant aneurysms are not easy and includes tumoral, infectious and vascular mass effect lesions. We report a case of a giant and partially thrombosed left pericallosal artery aneurysm. A 58-year-old man, presented with progressive headaches, seizures and speech alterations initially misdiagnosed as a falx cerebri meningioma. As clinical status continue to worsen, magnetic resonance imaging and digital cerebral angiography were performed and a vascular etiology was considered. The patient was then referred to our hospital for surgical treatment. The peculiarity of this case concerns the difficulty of surgical treatment once the surgeon was not able to obtain control of the afferent artery and the aneurysm neck could not be visualized. Also, the aneurysm adhered to the medial surfaces of the frontal lobes and covered the anterior cerebral arteries. Treatment by means of microsurgical thrombectomy, clipping and resection of the lesion was successfully performed. Microsurgical treatment may provide good results when carefully planned with the help of imaging studies of the lesion. It is essential to keep in mind that flexible approach is of great importance when dealing with giant aneurysmatic lesions of pericallosal artery due to its variety of intraoperative presentation.

scholarly journals THE FINE STRUCTURE OF GIARDIA MURIS

1966 ◽  
Vol 29 (2) ◽  
pp. 317-332 ◽  
Author(s):  
Daniel S. Friend
Keyword(s):  
Fine Structure ◽  
Osmium Tetroxide ◽  
Smooth Endoplasmic Reticulum ◽  
Dorsal Surface ◽  
Ventral Surface ◽  
Cell Periphery ◽  
Adhesive Disc ◽  
Medial Surfaces ◽  
Dorsal Portion ◽  
Giardia Muris

Giardia is a noninvasive intestinal zooflagellate. This electron microscope study demonstrates the fine structure of the trophozoite of Giardia muris in the lumen of the duodenum of the mouse as it appears after combined glutaraldehyde and acrolein fixation and osmium tetroxide postfixation. Giardia muris is of teardrop shape, rounded anteriorly, with a convex dorsal surface and a concave ventral one. The anterior two-thirds of the ventral surface is modified to form an adhesive disc. The adhesive disc is divided into 2 lobes whose medial surfaces form the median groove. The marginal grooves are the spaces between the lateral crests of the adhesive disc and a protruding portion of the peripheral cytoplasm. The organism has 2 nuclei, 1 dorsal to each lobe of the adhesive disc. Between the anterior poles of the nuclei, basal bodies give rise to 8 paired flagella. The median body, unique to Giardia, is situated between the posterior poles of the nuclei. The cytoplasm contains 300-A granules that resemble particulate glycogen, 150- to 200-A granules that resemble ribosomes, and fusiform clefts. The dorsal portion of the cell periphery is occupied by a linear array of flattened vacuoles, some of which contain clusters of dense particles. The ventrolateral cytoplasm is composed of regularly packed coarse and fine filaments which extend as a striated flange around the adhesive disc. The adhesive disc is composed of a layer of microtubules which are joined to the cytoplasm by regularly spaced fibrous ribbons. The plasma membrane covers the ventral and lateral surfaces of the disc. The median body consists of an oval aggregate of curved microtubules. Microtubules extend ventrally from the median body to lie alongside the caudal flagella. The intracytoplasmic portions of the caudal, lateral, and anterior flagella course considerable distances, accompanied by hollow filaments adjacent to their outer doublets. The intracytoplasmic portions of the anterior flagella are accompanied also by finely granular rodlike bodies. No structures identifiable as mitochondria, smooth endoplasmic reticulum, the Golgi complex, lysosomes, or axostyles are recognized.

scholarly journals Incidentally detected pancake kidney:case report of an extremely rare congenital anomaly.

2020 ◽  
Author(s):  
Sabyasachi Bakshi
Keyword(s):  
Kidney Function ◽  
Lower Abdominal Pain ◽  
Pelvic Cavity ◽  
Abdominal Organs ◽  
Urine Examination ◽  
Medial Surfaces ◽  
Calculus Formation ◽  
History Of ◽  
Malignant Changes ◽  
Patient Department

Abstract Background:Congenital anomalies of urinary system are very common and have extremely varied presentation. Among them most rarely found structural anomaly is the pancake kidney. When both kidneys are fused along their medial surfaces to form a round shaped single renal mass is termed as Pancake kidney. In this case report, a pancake kidney was incidentally detected in a girl. The majority of subjects who have pancake kidney are usually symptom less but surgeons should be aware of coexisting malformation of other organs and its potential risk of developing malignancy.Case presentation:A 12-year-old young lady attended out-patient department with mild dull aching lower abdominal pain and dysuria. She had no history of fever, haematuria, menstrual abnormality, pelvic inflammatory disease or trauma. Urine examination showed traces of albumin and 10-12 pus cells/ HPF. She had normal kidney function test and digital X-ray of KUB region. A USG of the whole abdomen showed normal intra-abdominal organs except empty bilateral renal fossa. The Multi-Detector Computed Tomography(MDCT) scan of the whole abdomen revealed one round shaped mass measuring approximately 9 cm(vertical) X 10 cm(horizontal), in the pelvic cavity. That mass was finally identified as a pancake kidney. She was prescribed antibiotics based on urine culture, and sensitivity test that cured her symptoms. She was advised to follow-up regularly in Out-Patient Department to evaluate her kidney function and to rule out any neoplastic change.Conclusions: This condition can be managed conservatively, if the subject remains symptom less, by regular monitoring of renal function. Surgeon should remain alert for the development of infections, any obstructive manifestations leading to calculus formation and any malignant changes. The person should be careful in avoiding trauma to low-lying pelvic kidney. Extensive surgeries should be avoided and only selective procedures should be done so that the patient may lead a normal lifestyle.

Effect of Sympathetic Nerve Block on Acute Inflammatory Pain and Hyperalgesia

1997 ◽  
Vol 86 (2) ◽  
pp. 293-301 ◽  
Author(s):  
Juri L. Pedersen ◽  
George W. Rung ◽  
Henrik Kehlet
Keyword(s):  
Nerve Block ◽  
Acute Pain ◽  
Sympathetic Nerve ◽  
Inflammatory Pain ◽  
Secondary Hyperalgesia ◽  
Sympathetic Block ◽  
Nerve Blocks ◽  
Pain Thresholds ◽  
Heat Injury ◽  
Medial Surfaces

Background Sympathetic nerve blocks relieve pain in certain chronic pain states, but the role of the sympathetic pathways in acute pain is unclear. Thus the authors wanted to determine whether a sympathetic block could reduce acute pain and hyperalgesia after a heat injury in healthy volunteers. Methods The study was made as a randomized, single blinded investigation, in which the volunteers served as their own controls. A lumbar sympathetic nerve block and a contralateral placebo block were performed in 24 persons by injecting 10 ml bupivacaine (0.5%) and 10 ml saline, respectively. The duration and quality of blocks were evaluated by the sympatogalvanic skin response and skin temperature. Bilateral heat injuries were produced on the medial surfaces of the calves with a 50 x 25 mm thermode (47 degrees C, 7 min) 45 min after the blocks. Pain intensity induced by heat, pain thresholds to thermal and mechanical stimulation, and secondary hyperalgesia were assessed before block, after block, and 1, 2, 4, and 6 h after the heat injuries. Results Of the 24 volunteers, eight were excluded because of somatic block or incomplete sympathetic block. The study revealed no significant differences between sympathetic block and placebo for pain or mechanical allodynia during injury, or pain thresholds, pain responses to heat, or areas of secondary hyperalgesia after the injury. The comparisons were done for the period when the block was effective. Conclusion Sympathetic nerve block did not change acute inflammatory pain or hyperalgesia after a heat injury in human skin.

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