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Superficial Fascia

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https://www.readbyqxmd.com/read/30536834/identifying-the-emergence-of-the-superficial-peroneal-nerve-through-deep-fascia-on-ultrasound-and-by-dissection-implications-for-regional-anaesthesia-in-foot-and-ankle-surgery
#1
James Bowness, Katie Turnbull, Alasdair Taylor, Jayne Halcrow, Fraser Chisholm, Calum Grant, Ourania Varsou
Regional anesthesia relies on a sound understanding of anatomy and the utility of ultrasound in identifying relevant structures. We assessed the ability to identify the point at which the superficial peroneal nerve (SPN) emerges through the deep fascia by ultrasound on 26 volunteers (mean age 27.85 years ±13.186; equal male:female). This point was identified, characterized in relation to surrounding bony landmarks (lateral malleolus and head of the fibula), and compared to data from 16 formalin-fixed human cadavers (mean age 82...
December 10, 2018: Clinical Anatomy
https://www.readbyqxmd.com/read/30527055/simultaneous-suprapubic-lipectomy-and-penile-prosthesis-implantation
#2
Osama Shaeer, Kamal Shaeer, Islam Fathi AbdelRahman
INTRODUCTION: A shorter penis is a frequent complaint following penile prosthesis implantation (PPI), and a large redundant suprapubic fat pad can conceal the penis and possibly compromise patient and partner satisfaction with length. AIM: To evaluate feasibility and outcome of same-session, same-incision, PPI and suprapubic lipectomy (SPL). METHODS: In 22 patients, SPL was performed through an abdominal crease incision. Through the same incision, the superficial perineal pouch was opened to gain access to the base of the penis...
December 2018: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/30511967/anatomy-of-the-superficial-fascia-system-of-the-breast-a-comprehensive-theory-of-breast-fascial-anatomy
#3
Robert D Rehnke, Rachel M Groening, Eric R Van Buskirk, John M Clarke
BACKGROUND: It has been two centuries since Petrus Camper identified superficial fascia and over 175 years since Sir Astley Cooper wrote his book on the anatomy of the breast. In the 1990s, Ted Lockwood taught us the importance of the superficial fascia layers in body contouring procedures he pioneered. These descriptions, however, fail to explain the three-dimensional fascial system in the breast. The authors set out to discover and describe a theory of superficial fascia structures responsible for breast shape...
November 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/30508290/complex-abdominopelvic-reconstruction-by-combined-tensor-fascia-latae-and-superficial-circumflex-iliac-artery-perforator-flaps
#4
V Luca-Pozner, F Boissiere, T Rodriguez, A Karra, C Herlin, B Chaput
BACKGROUND: Extensive full thickness abdominopelvic defects pose a difficult challenge to surgeons. Autologous tissues are versatile and can provide a satisfying reconstructive option for this type of defects. The tensor fascia latae (TFL) and superficial circumflex iliac perforator (SCIP) flaps provide a large area of vascularized tissue and their use in reconstructive surgery is well-known. In this report, the authors present the experience of using combined TFL and propeller SCIP flaps for covering large abdominal and pelvic defects...
December 3, 2018: Microsurgery
https://www.readbyqxmd.com/read/30486856/understanding-the-role-of-mesenchymal-stem-cells-in-urinary-bladder-regeneration-a-preclinical-study-on-a-porcine-model
#5
Marta Pokrywczynska, Arkadiusz Jundzill, Marta Rasmus, Jan Adamowicz, Daria Balcerczyk, Monika Buhl, Karolina Warda, Lukasz Buchholz, Maciej Gagat, Dariusz Grzanka, Tomasz Drewa
BACKGROUND: The tissue engineering of urinary bladder advances rapidly reflecting clinical need for a new kind of therapeutic solution for patients requiring urinary bladder replacement. Majority of the bladder augmentation studies have been performed in small rodent or rabbit models. Insufficient number of studies examining regenerative capacity of tissue-engineered graft in urinary bladder augmentation in a large animal model does not allow for successful translation of this technology to the clinical setting...
November 28, 2018: Stem Cell Research & Therapy
https://www.readbyqxmd.com/read/30485169/establishment-of-an-uncomplicated-radiation-delayed-wound-healing-model-using-irradiation-in-pigs
#6
Xiao Yang, Woonhyeok Jeong, Daegu Son, Youngwook Ryoo, Jinhee Kim, Youngkee Oh, Sunyoung Kwon, Dalie Liu
INTRODUCTION: Radiation-delayed wounds require diverse therapeutic strategies to achieve effective healing. However, the development of novel therapies with a radiation-delayed wound healing model is hindered by the lack of standardized animal models. OBJECTIVE: In this study, the authors propose and verify a procedure to establish a radiation-delayed wound healing model in pigs. MATERIALS AND METHODS: Two female pigs received a single 18-Gy dose of a 6-MeV electron beam per 18 cm x 8 cm area...
November 22, 2018: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/30468848/histological-sem-and-three-dimensional-analysis-of-the-midfacial-smas-new-morphological-insights
#7
T Sandulescu, H Büchner, D Rauscher, E A Naumova, W-H Arnold
INTRODUCTION: The superficial musculoaponeurotic system (SMAS) of the midface has a complex morphological architecture, and a multitude of controversial opinions exist regarding its in vitro appearance and clinical relevance. The aim of this study was to investigate the three-dimensional architecture of the midfacial SMAS. METHOD: Histological and SEM analyses were performed on tissue blocks of the skin, subcutaneous tissue and mimic musculature of the midfacial region between the anterior parotid gland pole and lateral to the nasolabial fold and tissue blocks of the skin, subcutaneous tissue and parotid fascia...
November 20, 2018: Annals of Anatomy, Anatomischer Anzeiger: Official Organ of the Anatomische Gesellschaft
https://www.readbyqxmd.com/read/30466306/superficial-peroneal-nerve-injury-risk-during-a-semiblind-fasciotomy-for-anterior-chronic-exertional-compartment-syndrome-of-the-leg-an-anatomical-and-clinical-study
#8
Johan A de Bruijn, Aniek P M van Zantvoort, Henricus P H Hundscheid, Adwin R Hoogeveen, Joep A W Teijink, Marc R Scheltinga
BACKGROUND: Up to 8% of patients who underwent a fasciotomy for leg anterior chronic exertional compartment syndrome (ant-CECS) report sensory deficits suggestive of iatrogenic superficial peroneal nerve (SPN) injury. In the current study we aimed to thoroughly assess the risk of SPN injury during a semiblind fasciotomy of the anterior compartment using 2 separate approaches. METHODS: A modified semiblind fasciotomy of the anterior compartment was performed via a longitudinal 2-cm skin incision 2 cm lateral of the anterior tibial crest halfway along the line fibular head-lateral malleolus both in cadaver legs and in patients with ant-CECS...
November 22, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/30447133/slick-stretchy-fascia-underlies-the-sliding-tongue-of-rorquals
#9
Alexander J Werth, Margo A Lillie, Marina A Piscitelli, A Wayne Vogl, Robert E Shadwick
The tongue of rorqual (balaenopterid) whales slides far down the throat into the expanded oral pouch as an enormous mouthful of water is engulfed during gulp feeding. As the tongue and adjacent oral floor expands and slides caudoventrally, it glides along a more superficial (outer) layer of ventral body wall musculature, just deep to the accordion-like ventral throat pleats. We hypothesize that this sliding movement of adjacent musculature is facilitated by a slick, stretchy layer of loose areolar connective tissue that binds the muscle fibers and reduces friction: fascia...
November 17, 2018: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
https://www.readbyqxmd.com/read/30423153/new-tnm-classification-ajcc-eighth-edition-of-bone-and-soft-tissue-sarcomas-jcog-bone-and-soft-tissue-tumor-study-group
#10
Kazuhiro Tanaka, Toshifumi Ozaki
The Cancer Staging Manual of the American Joint Committee on Cancer (AJCC) has recently been revised and updated to its eighth edition. This review focuses on the new staging system of bone and soft tissue sarcomas and outlines the revision points and caveats in the latest edition. The major changes in the eighth edition of the AJCC staging for bone and soft tissue sarcomas are the following four points. (i) Tumors are described separately according to the primary sites. For bone sarcoma, three tumor locations are described: (a) appendicular skeleton, trunk, skull and facial bones; (b) spine and (c) pelvis...
November 13, 2018: Japanese Journal of Clinical Oncology
https://www.readbyqxmd.com/read/30411146/tuberous-breast-deformity-correction-12-year-experience
#11
Vitaly Zholtikov, Natalya Korableva, Julia Lebedeva
BACKGROUND: This article shows our 12-year experience in application of the technique of breast parenchyma modification with simultaneous augmentation on the tuberous breast. We undertook the study, and with the results of this study we can say that tuberous breast deformation is a common pathology that is caused not only by a thickening of the superficial fascia but also by breast parenchyma fibrosis. When traditional techniques without parenchyma modification are used during the surgery, it is often that patients come back to treat complications...
November 8, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/30392165/incisional-hernia-in-hepatobiliary-and-pancreatic-surgery-incidence-and-risk-factors
#12
J Chen-Xu, R Bessa-Melo, L Graça, J Costa-Maia
PURPOSE: The occurrence of incisional hernia (IH) is one of the main complications after open abdominal surgery. However, its incidence in hepatobiliary and pancreatic surgery is not known. Studies on hepatectomy and necrotizing pancreatitis show that the incidence can reach up to 42%. This study aims at evaluating the incidence of IH and its risk factors. METHODS: Patients submitted to open hepatobiliary and pancreatic surgery at our centre between 2010 and 2016 were selected...
November 3, 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/30349336/tuberculosis-of-the-parotid-lymph-nodes-clinical-and-imaging-features
#13
Dan Zhang, Xiaojiao Li, Hua Xiong, Chao Yang, Fajin Lv, Xianlong Huang, Qi Li, Zhuoyue Tang, Tianyou Luo
Objectives: To characterize clinical, computed tomography (CT) and magnetic resonance imaging (MRI) features of tuberculosis (TB) of the parotid nodes. Materials and methods: CT (n=21) and MR (n=7) images, and clinical data from 25 patients with TB of the parotid nodes were retrospectively analyzed by two experienced radiologists who reached consensus. Results: Younger patients (aged <50 years) accounted for 72%. Eighty percent of patients were asymptomatic, and had no history of TB exposure...
2018: Infection and Drug Resistance
https://www.readbyqxmd.com/read/30346075/the-superficial-and-deep-inferior-epigastric-artery-composite-perforator-flap-for-breast-reconstruction-a-case-report
#14
Andrew A Gassman, Judy Pan, Edwin Acevedo, Nicholas Haddock, Sumeet Teotia
The superficial inferior epigastric artery (SIEA) flap and the deep inferior epigastric perforator (DIEP) flap have been increasingly adopted for breast reconstruction; however, each have its own set of advantages and disadvantages. In the select subset of patients that cannot tolerate minimal abdominal fasciotomy that occurs with DIEP harvest and do not have adequate pedicle length that often occurs after SIEA harvest, we suggest another option for abdominally-based free flap breast reconstruction. Here, we describe the formation of a composite perforator based on the pedicle of the retro-rectus deep inferior epigastric vessels and the superficial inferior epigastric vessels, known as a superficial and deep inferior epigastric artery (SADIE) flap, which allows for a more compatible anastomotic size match than the SIEA and elongation of the vascular pedicle with minimal dissection of the anterior rectus fascia...
October 2018: Microsurgery
https://www.readbyqxmd.com/read/30337784/a-novel-technique-for-direct-visualization-of-reservoir-placement-for-penoscrotal-inflatable-penile-prostheses-using-a-single-incision
#15
Joshua D Roth, M Francesca Monn, Thomas M Shelton, Matthew J Mellon
Introduction: We aim to present a modified technique and outcomes of a novel method allowing for direct visualization of the reservoir placement during a penoscrotal inflatable penile prosthesis (IPP). Methods: Out of165 patients who underwent IPP placement from August 2012 to March 2015, 157 underwent a modified technique and comprised the cohort of this study. A Deaver's retractor was placed lateral to the penis and over the pubic bone to allow for direct visualization of the tissues overlying the lower abdomen...
October 2018: Indian Journal of Urology: IJU: Journal of the Urological Society of India
https://www.readbyqxmd.com/read/30321674/necrotizing-fasciitis-involving-the-spine-an-unusual-medical-emergency-for-the-spine-surgeon
#16
Alisson R Teles, Spencer Montgomery, Kenneth C Thomas
BACKGROUND: Necrotizing fasciitis (NF) is a surgical diagnosis characterized by a rapidly progressive soft tissue infection, widespread tissue necrosis, and associated systemic illness. Friability of the superficial fascia, dishwater-gray exudate, and absence of pus are surgical characteristics of this diagnosis. Due to the rapid progression of the infection, early recognition and aggressive surgical debridement are crucial to reduce mortality. Despite being commonly seen by general, plastic, and orthopedic surgeons, NF is an extremely rare spine surgery emergency...
October 12, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/30313086/a-morel-lavall%C3%A3-e-lesion-of-the-proximal-calf-in-a-young-trauma-patient-a-case-report
#17
Woo Jong Kim, Hong Seop Lee, Sung Hun Won, Yong Cheol Hong, Dhong Won Lee, Ji-Hye Lee, Chang Hyun Kim
RATIONALE: The Morel-Lavallée lesion (MLL) is a closed degloving injury developing when shear force acts between the muscle fascia and the subcutaneous layer. MLLs develop principally in the trochanteric area or the pelvis; lesions in the proximal calf are rare. Acute lesions can be treated conservatively, but chronic lesions are best treated surgically because of a high rate of recurrence. To the best of our knowledge, this is a rare case of successful treatment of an MLL in the proximal calf associated with tibio-fibular shaft fracture...
October 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/30304314/relationship-of-the-skin-and-subcutaneous-tissue-thickness-in-the-tensiomyography-response-a-novel-ultrasound-observational-study
#18
César Calvo-Lobo, Ignacio Díez-Vega, Mónica García-Mateos, Juan José Molina-Martín, Germán Díaz-Ureña, David Rodríguez-Sanz
BACKGROUND: The aim of the study was to describe and correlate the skin, subcutaneous tissue, and superficial fascia thickness assessed by ultrasonography (US) with the lumbar erector spinae muscles contractile properties evaluated by tensiomyography (TMG). METHODS: A cross-sectional descriptive study with 50 healthy participants was performed. The point of maximum lordosis in the lumbar region of the right erector spinae was evaluated by US and TMG. First, the skin, subcutaneous tissue, and superficial fascia thicknesses (cm) were assessed by US...
June 2018: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/30278925/free-vascularized-fascia-flap-combined-with-skin-grafting-for-deep-toe-ulcer-in-diabetic-patients
#19
Xuekang Yang, Zhuoqun Fang, Mengdong Liu, Yue Zhang, Qiaohua Chen, Ke Tao, Juntao Han, Dahai Hu
BACKGROUND: This study introduces a technique for the reconstruction of deep toe defects in diabetic patients using a method that combines free vascularized fascia flap with skin grafting. METHODS: In this retrospective study, conducted between March 2010 and February 2016, 15 diabetic patients with deep toe ulcer received surgeries that combined free vascularized fascia flap with skin grafting, including nine anterolateral thigh fascia lata flaps and six superficial temporal fascia flaps...
November 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/30269883/-to-harvest-a-siea-flap-instead-of-a-diep-flap-in-breast-reconstruction-a-technical-note
#20
Q Bettex, C Jaloux, M Abellan Lopez, D Casanova, B Bertrand, C Philandrianos
Breast reconstruction by abdominal flap has evolved to ensure minimal donor-site morbidity with the description of Deep Inferior Epigastric artery Perforator flap (DIEP flap). Being of the same thickness and the same surface, the Superficial Inferior Epigastric Artery flap (SIEA flap) does not require, for it harvesting, to open the abdominal fascia or to dissect through the muscles minimizing again donor-site sequelae. However, it is little used because of the variability of its vascularization and a higher failure rate than the DIEP in the literature...
September 27, 2018: Annales de Chirurgie Plastique et Esthétique
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