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An R Acad Nac Med (Madr)
September 2016
To perform arterial or venous spleno-renal anastomoses, surgeons have so far systematically used the transperitoneal way whic is burdened by a high mortality an morbility percentage. On the basis of anatomo-surgical considerations, a retroperitoneal approach has been found reaching the hilus of the spleen via the lumbar region; the first arterial spleno-renal anastomosis by this way was performed in 1972 and the first venous spleno-renal anastomosis due to portal hipertension also by this way was performed in 1974, the alter proving to be the least aggresive by avoiding damaging the páncreas, the most surgical and direct for reaching the splenic vessels thereby enabling a better exposure and an easier performing of the anastomoses. By being retroperitoneal, the loss or infección of the ascitic liquid in the cirrhotic patient is prevented.
View Article and Find Full Text PDFSurg Radiol Anat
July 2010
Gynecologic Oncology Division, Department of Obstetrics and Gynecology, European Gynaecology Endoscopy School, Sacred Heart Hospital "Ospedale Sacro Cuore-Don Calabria", Via Don A. Sempreboni no. 5, 37024, Negrar, Verona, Italy.
Purpose: Endometriotic or fibrotic involvement of sacral plexus and pudendal and sciatic nerves may be quite frequently the endopelvic cause of ano-genital and pelvic pain. Feasibility of a laparoscopic transperitoneal approach to the somatic nerves of the pelvis was determined and showed by Possover et al. for diagnosis and treatment of ano-genital pain caused by pudendal and/or sacral nerve roots lesions and adopted at our institution.
View Article and Find Full Text PDFRev Fac Cien Med Univ Nac Cordoba
October 2003
2o Cátedra de Anatomía Normal, Facultad de Ciencias Medicas, Universidad Nacional de Córdoba.
Among the diverse complications of thyroidectomy, it is mostly the cordial sequels from the recurrent laryngeal nerve damage. This is why anatomical and surgical considerations are made upon the vulnerable areas of this nerve and the circumstances in which it is damaged. The relationship between the recurrent laryngeal nerve and the inferior thyroid artery, location most frequently injured, was investigated on 55 adult formulated cadavers.
View Article and Find Full Text PDFArch Ital Urol Androl
October 1993
U.S.S.L. 70-Alessandria Divisione di Urologia.
Following radical prostatectomy or radical cystectomy with orthotopic ileal bladder (in male patients), the cervico-urethral or entero-urethral anastomosis are at high risk for urinary stress incontinence, due to the shortening of the urethral functional length as well as "unavoidable downward fall" of the perineum after sectioning of the anterior portion of the sacro-pubic ligaments. That descensus of the perineum, if uncorrected, might cause a functional extraabdominal positioning of the residual functional urethra; this feature is close similar to one of the most important pathogenetic factors of genuine stress incontinence in the female. In order to correct that perineal fall is advisable to perform the so-called "secondary sphincter" (after Rocca Rossetti, 1982) by suturing with the same stitches not only the anastomotic edges but the medial part of the levator ani (i.
View Article and Find Full Text PDFMinerva Chir
June 1993
Divisione di Chirurgia e PS, Regione Campania, USL 55 - Eboli, Salerno.
The authors describe a case of Spigelian hernia observed and treated. This hernia is uncommon, although the true incidence is probably greater than the small number of patients reported in literature. The signs and symptoms of the hernia are not always characteristic and then a correct diagnosis can be difficult.
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