scholarly journals Surgical Anatomy and Approach to the Abdominal Wall of Domestic Animals

2021 ◽  
pp. 11-21
Author(s):  
Kabkia Dieudoné ◽  
Sahidi Adamou ◽  
Bilkiss V. N. Assani ◽  
Mireille Kadja ◽  
Agba Kondi
Keyword(s):  
Abdominal Wall ◽  
Abdominal Cavity ◽  
Domestic Animals ◽  
Surgical Anatomy ◽  
Different Types

The variety of procedures that can be performed on the organs contained in the abdominal cavity is such that there are many different ways to approach them. The different laparotomies available are adapted to both the type of organ to be approached and the type of procedure to be performed; they must also take into account the anatomy of the abdominal wall, so as to be as minimally disruptive as possible. This article successively describes the surgical anatomy of the abdominal wall and the different types of laparotomies used in scheduled surgery.

Surgical Anatomy of the Retroperitoneal Spaces Part II: The Architecture of the Retroperitoneal Space

2010 ◽  
Vol 76 (1) ◽  
pp. 33-42 ◽  
Author(s):  
Petros Mirilas ◽  
John E. Skandalakis
Keyword(s):  
Urinary Bladder ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Anterior Part ◽  
Abdominal Cavity ◽  
Surgical Anatomy ◽  
Preperitoneal Space ◽  
Renal Fascia ◽  
Pelvic Wall ◽  
Prevesical Space

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.

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

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.

Surgical anatomy applied to the international classification of the abdominal wall planes (ICAP) – a video vignette

2021 ◽  
Author(s):  
Cristina Pineño‐Flores ◽  
Álvaro García‐Granero ◽  
Juan José Segura‐Sampedro ◽  
Carla Soldevila‐Verdeguer ◽  
Arantxa Blasco‐Serra ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Surgical Anatomy ◽  
International Classification ◽  
Video Vignette

scholarly journals Comparative study of inflammatory response and adhesions formation after fixation of different meshes for inguinal hernia repair in rabbits

2005 ◽  
Vol 20 (5) ◽  
pp. 347-352 ◽  
Author(s):  
Alberto Goldenberg ◽  
Jacques Matone ◽  
Wagner Marcondes ◽  
Fernando Augusto Mardiros Herbella ◽  
José Francisco de Mattos Farah
Keyword(s):  
Inflammatory Response ◽  
Abdominal Wall ◽  
Peritoneal Cavity ◽  
Abdominal Cavity ◽  
Mesh Fixation ◽  
Rabbit Model ◽  
Laparoscopic Approach ◽  
Preperitoneal Space ◽  
Similar Amount ◽  
The Right

PURPOSE: Compare, in a rabbit model, the inflammatory response and adhesions formation following surgical fixation of polypropilene and Vypro mesh in the inguinal preperitoneal space. METHODS: Fourteen male New Zealand rabbits, weighing between 2.000 to 2.500 g were used. A midline incision was made and the peritoneal cavity was exposed. The 2,0X1,0 cm polypropylene mesh was fixed in the left flank and secured to the margins with 3-0 prolene in a separate pattern. In the right flank, a 2,0X1,0 cm Vypro II mesh was sewn in the same way. After the post surgical period, the animals were again anesthetized and underwent laparoscopic approach, in order to identify and evaluate adhesions degree. Both fixed prosthesis were excised bilaterally with the abdominal wall segment, including peritoneum, aponeurosis and muscle and sent to a pathologist RESULTS: Operative time ranged from 15 to 25 minutes and no difficulties in applying the mesh were found. From the 14 polypropylene meshes fixed to the intact peritoneum, 11 had adhesions to the abdominal cavity (78,6%). Concerning Vypro mesh, 12 animals developed adhesions from the 14 with mesh fixation (85,7%). Histological examination of tissues harvested revealed fibroblasts, collagen, macrophages and lymphocytes between the threads of the mesh. CONCLUSION: Polypropylene and Vypro mesh, when implanted in the peritoneal cavity of rabbits provoke similar amount of adhesions. Vypro mesh tissues had higher fibrosis resulting in better mesh incorporation to the abdominal wall.

scholarly journals External supravesical hernia is a rare type of abdominal wall hernia: A case report

2017 ◽  
Vol 7 (1) ◽  
pp. 40-41 ◽  
Author(s):  
Pankaj Kumar Saha ◽  
Ratna Rani Roy ◽  
Mohammad Emrul Hasan Khan ◽  
Md Mamunur Rahman ◽  
Kazi Shafiqul Alam ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Abdominal Wall ◽  
Abdominal Wall Hernia ◽  
Surgical Anatomy ◽  
Rare Type ◽  
First Case ◽  
Made In

The first case of external supravesical hernia was made in 1804; but it is so rare that it is very difficult to find any case reported in Bangladesh. Here a case of external supravesical hernia is described in a male who was presented with a left sided direct incomplete reducible inguinal hernia. This report aims to review and discuss the surgical anatomy of these rare supravesical hernias and calls attention to the confusing presentation and treatment of this conditionJ Shaheed Suhrawardy Med Coll, 2015; 7(1):40-41

Metastasis of missed cholangiocarcinoma in the left lobethrough abdominal wall laparoscopic port-site and umbilicus after laparoscopic cholecystectomy: case report and literature review

2020 ◽  
Author(s):  
Lesheng Huang ◽  
Hongyi Li ◽  
Jun Chen ◽  
Jinghua Jiang ◽  
Wanchun Zhang ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Abdominal Wall ◽  
Malignant Tumor ◽  
Malignant Tumors ◽  
Abdominal Cavity ◽  
Left Lobe ◽  
Port Site ◽  
Laparoscopic Port ◽  
Missed Diagnosis ◽  
Upper Abdominal

Abstract Introduction: Laparoscopic cholecystectomy (LC) has been widely used by surgeons. However, a serious but rare condition may be happened, which is the missed diagnosis of intraperitoneal malignant tumor. If the malignancy exists, the changes of the abdominal environment or the laparoscopic operation might brought the cancer cells to the abdominal cavity or the abdominal wall. The missed laparoscopic malignant tumors are prone to metastasis, especially at the laparoscopic port-site. More extreme condition will be located in the navel, which is known as Sister Mary Joseph’s nodule(SMJN).Case presentation: A 63-year-old female who had undergone cholecystectomy and choledocholithotomy ten months ago was hospitalized for upper abdominal pain. Laboratory examination indicated that the most of tumor markers were increased. CT scan revealed that there was a diffused irregular and progressively enhanced mass around the left lobe bile duct, multiple enlarged lymph nodes in the abdominal cavity and multiple nodular lesions were found under the costal margin of the right upper abdominal wall, right lower abdominal wall and the umbilicus. Biopsy of the nodules under the original surgical scar showed an infiltrative or metastatic middle differentiated adenocarcinoma. So the diagnosis was left lobe cholangiocarcinoma of the liver, multiple lymph nodes metastasis in the abdominal cavity and multiple implant metastasis in abdominal wall laparoscopic port-site and umbilical.Conclusion: In laparoscopic cholecystectomy, surgeons should not only focus on the local lesions, like gallstone in biliary system, but also look around other the tissues and organs to avoid missing the abdominal malignant tumor or other lesions. When atypical symptoms or abnormalities have been found pre-operation, all abdominal organs should be evaluated in detail to avoid missed diagnosis of potential malignant tumors. On the other hand, when there is a nodule in the umbilicus, all the organs and tissues in abdomen should be examined to find the potential malignant tumor. Finally, multiple cholelithiasis in the left lobe of the liver should be regarded as a high risk factor for cholangiocarcinoma.

scholarly journals Surgical Anatomy of Large Retroperitoneal Teratomas in Infants: Report of Two Cases

2008 ◽  
Vol 1 ◽  
pp. CCRep.S907
Author(s):  
Ralf-Bodo Tröbs ◽  
Christian Geyer ◽  
Wolfgang Hirsch ◽  
Andrea Tannapfel
Keyword(s):  
Abdominal Cavity ◽  
Surgical Anatomy ◽  
Complete Resection ◽  
Rare Type ◽  
Anatomical Features ◽  
Anterior Position ◽  
Retroperitoneal Tumors ◽  
Upper Abdominal ◽  
Large Vessels

We report on two infants of 11 and 12 months of age, respectively, with large solid-cystic retroperitoneal tumors. Complete resection was achieved, and both children are doing well over a follow-up of more than 17 months. The presented paper focuses on surgical anatomy of this very rare type of tumor. Teratomas were located mainly within the upper abdominal cavity, and both tumors displaced the pancreas in an anterior position. The following anatomical features were observed (1) displacement of surrounding organs, (2) deformation and elongation of large retroperitoneal vessels, (3) fibrous incorporation of large vessels by the tumor pseudocapsule, (4) wrapping of anterior aortic branches by lobes and fingers of the tumor.

Deaths Caused by Animals in Finland

1973 ◽  
Vol 13 (2) ◽  
pp. 95-97 ◽  
Author(s):  
K. Karkola ◽  
M. Möttönen ◽  
J. Raekallio
Keyword(s):  
Heart Attack ◽  
Severe Aortic Stenosis ◽  
Abdominal Cavity ◽  
Domestic Animals ◽  
The Body ◽  
Snake Bites ◽  
The Face ◽  
Wasp Stings ◽  
Poisonous Animals

An average of five people die annually in Finland of injuries caused by domestic animals. During the years 1957–68 the greatest number of deaths (30) was caused by horses, then by cows (18), and bulls (11). Dogs had killed 2 people and a cat and ram 1 person each. None of these deaths was a result of bites. Poisonous animals caused 22 deaths during the years 1936–68. Out of these 22, 20 were snake bites (the last one in 1961) and 2 were wasp stings (the last one in 1959). In 1969, a very unusual death was caused by pigs in Turku. A farmer was found dead in the pigsty among 12 pigs. He had lain there for about six hours. The autopsy showed that he had suffered from severe aortic stenosis. The viscera showed signs of cardiac failure. The pigs had gnawed the soft parts of the face, the eyes, all organs of the neck, and the genitals. Biochemical determination of histamine and serotonin proved that the wounds had been caused before death. Organs of the abdominal cavity had also been crushed. Bites and marks of pigs' feet were observed all over the body. Most likely, the man had fallen into the pigsty because of a heart attack. He had obviously been unable to move and was possibly unconscious when the pigs had savaged him.

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