DOCSLIB.ORG

Surgical Anatomy Training Version 2

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Surgical Anatomy Training Version 2 Surgical Anatomy Training Version 2 Aurora ICD10 Program Communications Committee November 2015 TABLE OF CONTENTS PAGE SKIN Face 1 Nose 2 Scalp and Neck 3 Eyelid 4 Ear 5 Mouth 6 Tongue 7 Lip 8 Gum 9 Trunk 10 Breast 11 Upper Limb 12 Lower Limb 13 Anal Skin 14 Female Genitalia 15 Male Genitalia 16 TABLE OF CONTENTS PAGE SALIVARY GLANDS Salivary Glands 17 Nose Interior 18 ESOPHAGUS Esophagus Distances 19 DIGESTIVE SYSTEM Lower GI 20 Colon Distances 21 Stomach 22 Urinary Tract 23 Bladder 24 FEMALE REPRODUCTIVE ORGANS Breast 25 Uterus 26 & 27 MALE REPRODUCTIVE ORGANS Male reproductive Tract 28 TABLE OF CONTENTS PAGE MUSCLES Front View 29 Back View 30 BRAIN Lobes & Stem 31 Brain Anatomy 32 CHEST CAVITY Heart 33 Divisions of Mediastinum 34 Lung 35 THYROID & ENDOCRINE SYSTEM Thyroid & Endocrine System 36 PANCREAS Pancreas 37 ANATOMY SITES 38 - 51 ICD10 CONTACTS 52 & 53 1 Face Nose – Body Site = Face 2 Scalp and Neck 3 Eyelid 4 Ear 5 Retroauricular Crus Mouth 6 Tongue 7 8 Lip Gum 9 Trunk 10 11 Upper Limb 12 Lower Limb 13 Anal Skin 14 Female Genitalia 15 Male Genitalia 16 17 Salivary Glands 18 Nose Interior 19 Esophagus Distances 20 Digestive System Anatomical Landmarks that will appear on Lower GI Specimen Requisition Anus Ascending Cecum Descending Distal Colon Hepatic Flexure Ileocecal Valve Ileum Jejunum Mid Colon Proximal Colon Random Colon Rectosigmoid Rectum Sigmoid Splenic Flexure Terminal Ileum Transverse 21 Colon Distances 22 Stomach 23 Urinary Tract Front View 24 Bladder 25 Female Reproductive Organs Breast 26 Uterus 27 28 Male Reproductive Organs 29 Muscles 30 31 Brain 32 33 Chest Cavity – (Heart, Lungs & Mediastinum) Heart 34 35 Lungs 36 Thyroid & Endocrine System 37 Pancreas 38 Anatomic Area Anatomic Specific Sites Slide Trunk Abdomen 10 Esophagus Abdominal esophagus 19 Muscles Abdominal external oblique 29 Ear Acoustic Meatus 5 Muscles Adductor muscles 29 Nose Alafacial groove 2 Lungs Alveoli 35 Female Reproductive Organs Ampulla 27 Male Reproductive Organs Ampulla 28 Lower Limb Ankle 13 Upper Limb Antebrachium or forearm 12 Upper Limb Antecubitis or front of elbow 12 Divisions of Mediastinum Anterior mediastinum 34 Nose (Interior) Anterior naris 18 Upper Limb Anterior region of arm 12 Upper Limb Anterior region of elbow 12 Ear Anti Helix 5 Ear Anti Tragus 5 Stomach Antrum 22 Anal Skin Anus 14 Digestive System Anus 20 Male Reproductive Organs Anus 28 Chest Cavity (Heart, Lungs, Mediastinum) Aorta 33 Chest Cavity (Heart, Lungs, Mediastinum) Aortic valve 33 Digestive System Appendix 20 Breast Areola 11 Female Reproductive Organs (Breast) Areola 25 Digestive System (Lower GI – Colon) Ascending colon 20 & 21 Ear Auris (Ear) 5 Trunk Axilla or armpit (axillary) 10 Breast Axillary tail of spence 11 Upper Limb Biceps 12 Muscles Biceps brachii 29 39 Anatomic Area Anatomic Specific Sites Slide Muscles Biceps femoris 30 Pancreas Bile duct (from gall bladder) 37 Urinary Tract Bladder 23 Bladder Bladder neck 24 Male Genitalia Body of penis 16 Stomach Body of Stomach 22 Female Reproductive Organs Body of Uterus 27 Muscles Brachialis 29 Muscles Brachioradialis 29 Muscles Brachioradialis 30 Upper Limb Brachium or arm (brachial) 12 Brain Brain Stem 31 Brain Brain Stem 32 Breast Breast tissue 11 Female Reproductive Organs (Breast) Breast tissue 25 Female Reproductive Organs (Breast) Breast, Lower inner 25 Female Reproductive Organs (Breast) Breast, Lower outer 25 Female Reproductive Organs (Breast) Breast, Upper inner 25 Female Reproductive Organs (Breast) Breast, Upper outer 25 Female Reproductive Organs Broad ligament 27 Face Bucca (Cheek) 1 Mouth Buccal mucosa (lip and cheek lining) 6 Male Reproductive Organs Bulbourethral gland 28 Trunk Buttock 10 Lower Limb Calf 13 Stomach Cardia 22 Upper Limb Carpus or wrist 12 Digestive System (Lower GI – Colon) Cecum 20 & 21 Brain Cerebellum 31 Brain Cerebellum 32 Brain Cerebrum 32 Female Reproductive Organs Cervical canal 27 Esophagus Cervical esophagus 19 40 Anatomic Area Anatomic Specific Sites Slide Scalp and Neck Cervicis (cervical) 3 Uterus Cervix 26 Female Reproductive Organs Cervix 27 Trunk Chest 10 Nose (Interior) Choana 18 Brain Choroid plexus 32 Tongue Circumvallate papillae 7 Female Genitalia Clitoris 15 Trunk Collarbone (clavicle) 10 Nose Columella 2 Uterus Columnar epithelium (endocervix) 26 Digestive System Common bile duct 20 Pancreas Common bile duct 37 Thyroid and Endocrine System Common carotid artery 36 Male Genitalia Corona of glans 16 Male Reproductive Organs Corpora Cavernosa 28 Male Reproductive Organs Corpora Spongiosum 28 Nose (Interior) Cribriform plate of ethmoid bone 18 Lungs Cricoid cartilage 35 Thyroid and Endocrine System Cricoid cartilage of larynx 36 Scalp and Neck Crown 3 Ear Crus of Helix 5 Lower Limb Crus or leg (crural) 13 Upper Limb Cubital fossa 12 Lip Cupid’s bow 8 Lip Cutaneous upper lip 8 Muscles Deltoid 30 Upper Limb Deltoid region 12 Muscles Deltoid Region 29 Digestive System (Lower GI – Colon) Descending colon 20 & 21 Upper Limb Digiti manus 12 Lower Limb Digits or toes (phalanges) 13 Digestive System Distal Colon 20 41 Anatomic Area Anatomic Specific Sites Slide Bladder Dome 24 Nose Domes 2 Trunk Dorsum of back (dorsal) 10 Lower Limb Dorsum of foot (dorsal) 13 Upper Limb Dorsum of hand 12 Male Genitalia Dorsum of penis 16 Male Reproductive Organs Ductus deferens 28 Digestive System (Small intestine) Duodenum 20 Pancreas Duodenum of small intestine 37 Male Reproductive Organs Ejaculatory duct 28 Female Reproductive Organs Endometrium 27 Male Reproductive Organs Epididymis 28 Digestive System Esophagus 20 Female Reproductive Organs External os 27 Male Genitalia External urethral meatus 16 Face Eyebrow 1 Eyelid Eyelashes 4 Eyelid Eyelid Fold 4 Eyelid Eyelid Margin 4 Face Facies (Face) 1 Lower Limb Femoral triangle 13 Lower Limb Femur or thigh (femoral) 13 Tongue Filiform papillae 7 Female Reproductive Organs Fimbriae 27 Upper Limb Finger, index 12 Upper Limb Finger, little 12 Upper Limb Finger, Middle 12 Upper Limb Finger, ring 12 Trunk Flank (Latus) 10 Mouth Floor of mouth 6 Tongue Foliate papillae 7 Face Forehead (Frons) 1 Male Genitalia Frenulum of prepuce 16 42 Anatomic Area Anatomic Specific Sites Slide Brain Front lobe 31 Nose (Interior) Frontal sinus 18 Stomach Fundus 22 Female Reproductive Organs Fundus of uterus 27 Tongue Fungiform papillae 7 Digestive System Gall bladder 20 Muscles Gastrocnemius 30 Stomach GE/EG Junction 22 Gum Gingiva 9 Face Glabella 1 Male Genitalia Glans of penis 16 Male Reproductive Organs Glans penis 28 Trunk Gluteal fold 10 Trunk Gluteal region (buttocks) 10 Trunk Gluteus (buttock) 10 Muscles Gluteus maximus 30 Stomach Greater Curvature of Stomach 22 Trunk Groin 10 Gum Gums 9 Lower Limb Hallux or great toe 13 Mouth Hard palate 6 Nose (Interior) Hard palate 18 Chest Cavity (Heart, Lungs, Mediastinum) Heart 33 Lower Limb Heel 13 Ear Helix 5 Digestive System (Lower GI) Hepatic flexure 21 Lower Limb Hip 13 Lungs Horizontal fissure 35 Thyroid and Endocrine System Hyoid bone 36 Brain Hypothalamus 32 Upper Limb Hypothenar eminence 12 Digestive System (Lower GI) Ileocecal valve 21 Digestive System (Small intestine) Ileum 20 43 Anatomic Area Anatomic Specific Sites Slide Muscles Iliopsoas 29 Lip Inferior Lip 8 Divisions of Mediastinum Inferior mediastinum 34 Face Inferior Orbital 1 Thyroid and Endocrine System Inferior thyroid artery 36 Thyroid and Endocrine System Inferior thyroid veins 36 Nose (Interior) Inferior turbinate 18 Chest Cavity (Heart, Lungs, Mediastinum) Inferior vena cava 33 Trunk Inframammary 10 Brain Infratentorium 32 Nose Infratip 2 Female Reproductive Organs Infundibulum 27 Trunk Inguinal crease 10 Trunk Intergluteal cleft, Natal cleft 10 Thyroid and Endocrine System Internal jugular vein 36 Female Reproductive Organs Internal os 27 Ear Intertragic Notch 5 Female Reproductive Organs Isthmus 27 Thyroid and Endocrine System Isthmus of thyroid gland 36 Digestive System (Small intestine) Jejunum 20 Urinary Tract Kidney 23 Lower Limb Knee 13 Female Genitalia Labia majora 15 Female Genitalia Labia minora 15 Upper Limb Lateral bicipital groove 12 Eyelid Lateral Canthus 4 Female Reproductive Organs Lateral cervical (cardinal) ligament 27 Female Reproductive Organs Lateral fornix 27 Face Lateral Orbital 1 Lower Limb Lateral retromalleolar 13 Bladder Lateral wall 24 Muscles Latissimus dorsi 30 Trunk Latus (flank) 10 44 Anatomic Area Anatomic Specific Sites Slide Chest Cavity (Heart, Lungs, Mediastinum) Left atrium 33 Lungs Left lobe 35 Thyroid and Endocrine System Left lobe of thyroid gland 36 Lungs Left primary bronchus 35 Chest Cavity (Heart, Lungs, Mediastinum) Left ventricle 33 Lower Limb Leg 13 Stomach Less Curvature of Stomach 22 Muscles Levator scapulae 30 Tongue Lingual tonsil 7 Lip Lips 8 Digestive System Liver 20 Ear Lobe 5 Ear Lobule 5 Eyelid Lower Eyelid 4 Breast Lower inner quadrant 11 Lungs Lower lobe 35 Lungs Lower lobe bronchus (secondary) 35 Breast Lower outer quadrant 11 Esophagus Lower thoracic esophagus/esophagogastric junction (EGJ) 19 Trunk Lumbus or Loin (lumbar) 10 Female Reproductive Organs Lumen (cavity) of uterus 27 Face Maxilla 1 Upper Limb Medial bicipital groove 12 Eyelid Medial Canthus 4 Lower Limb Medial retromalleolar 13 Brain Medulla 32 Face Mentis (Chin) 1 Female Reproductive Organs Mesometrium 27 Female Reproductive Organs Mesosalpinx 27 Female Reproductive Organs Mesovarium 27 Upper Limb Metacarpal 12 Digestive System Mid Colon 20 Lungs Middle lobe 35 45 Anatomic Area Anatomic Specific Sites Slide Divisions of Mediastinum Middle mediastinum 34 Esophagus Middle thoracic esophagus
Load more

Recommended publications
  • Download PDF File
    Folia Morphol. Vol. 79, No. 1, pp. 1–14 DOI: 10.5603/FM.a2019.0047 R E V I E W A R T I C L E Copyright © 2020 Via Medica ISSN 0015–5659 journals.viamedica.pl Should Terminologia Anatomica be revised and extended? A critical literature review P.P. Chmielewski1, B. Strzelec2, 3 1Division of Anatomy, Department of Human Morphology and Embryology, Faculty of Medicine, Wroclaw Medical University, Wroclaw, Poland 2Department and Clinic of Vascular, General and Transplantation Surgery, Jan Mikulicz-Radecki Medical University Hospital, Wroclaw Medical University, Wroclaw, Poland 3Department and Clinic of Gastrointestinal and General Surgery, Wroclaw Medical University, Wroclaw, Poland [Received: 14 November 2018; Accepted: 31 December 2018] The first edition of the Terminologia Anatomica was published in 1998 by the Federative Committee for Anatomical Terminology, whereas the second edition was issued in 2011 by the Federative International Programme for Anatomical Terminologies. Since then many attempts have been made to revise and extend the official terminology as several inconsistencies have been noted. Moreover, numerous crucial terms were either omitted or deliberately excluded from the official terminology, like sulcus popliteus and diaphragma urogenitale, respec- tively. Furthermore, several synonyms are to be discarded. Notwithstanding the criticism, the use of the current version of terminology is strongly recommended. Although the Terminologia Anatomica is open to future expansion and revision, every change should be made after a thorough discussion of the historical context and scientific legitimacy of a given term. The anatomical nomenclature must be as simple as possible but also precise and coherent. It is generally accepted that hasty innovation ought not to be endorsed.
    [Show full text]
  • Plastic Surgery and Modern Techniques Abulezz T
    Plastic Surgery and Modern Techniques Abulezz T. Plast Surg Mod Tech 6: 147. Review Article DOI: 10.29011/2577-1701.100047 A Review of Recent Advances in Aesthetic Gluteoplasty and Buttock Contouring Tarek Abulezz* Department of plastic surgery, Faculty of Medicine, Sohag University, Sohag, Egypt *Corresponding author: Tarek Abulezz, Department of plastic surgery, Faculty of Medicine, Sohag University, Sohag, Egypt. Tel: +20-1003674340; Email: [email protected] Citation: Abulezz T (2019) A Review of Recent Advances in Aesthetic Gluteoplasty and Buttock Contouring. Plast Surg Mod Tech 6: 147. DOI: 10.29011/2577-1701.100047 Received Date: 20 June, 2019; Accepted Date: 03 July, 2019; Published Date: 11 July, 2019 Introduction Infragluteal fold: a horizontal crease arising from the median gluteal crease and runs laterally under the ischial tuberosity with a A well-developed buttock is a peculiar trait of the human, slight upward concavity. and not seen in the other primates [1]. The buttock is an extremely important area in woman’s sexuality and is considered a cornerstone Supragluteal fossettes: two hollows located on either side of the of female beauty. Although the concept of female beauty has medial sacral crest. They are formed by the posterior superior iliac changed over time, there are two constant items of femininity: spine and medially by the multifidus muscle. the breasts and the buttocks [2,3]. However, the parameters of V-shaped crease: two lines arising in the upper portion of the beautiful buttocks have varied according to time, culture, and gluteal crease toward the supragluteal fossettes. ethnicity [4,5]. Increasing number of patients are asking for esthetic improvement of their buttock profile or for correction of a Lumbar hyperlordosis is an additional feature that may deformity or irregularity.
    [Show full text]
  • General Surgery and Semiology
    „Nicolae Testemiţanu” State University of Medicine and Pharmacy Department of General Surgery and Semiology E.Guţu, D.Casian, V.Iacub, V.Culiuc GENERAL SURGERY AND SEMIOLOGY LECTURE SUPPORT for the 3rd-year students, faculty of Medicine nr.2 2nd edition Chişinău, 2017 2 CONTENTS I. Short history of surgery 5 II. Antisepsis 6 Mechanical antisepsis 6 Physical antisepsis 6 Chemical antisepsis 6 Biological antisepsis 7 III. Aseptic technique in surgery 9 Prevention of airborne infection 9 Prevention of contact infection 9 Prevention of contamination by implantation 10 Endogenous infection 10 Antibacterial prophylaxis 10 IV. Hemorrhage 11 Classifications of bleeding 11 Reactions of human organism to blood loss 11 Clinical manifestations and diagnosis 12 V. Blood coagulation and hemostasis 14 Blood coagulation 14 Syndrome of disseminated intravascular coagulation 14 Medicamentous and surgical hemostasis 15 VI. Blood transfusion 17 History of blood transfusion 17 Blood groups 17 Blood transfusion 18 Procedure of blood transfusion 19 Posttransfusion reactions and complications 20 VII. Local anesthesia 22 Local anesthetics 22 Types of local anesthesia 23 Topical anesthesia 23 Tumescent anesthesia 23 Regional anesthesia 24 Blockades with local anesthetics 25 VIII. Surgical intervention. Pre- and postoperative period 26 Preoperative period 26 Surgical procedure 27 Postoperative period 28 IX. Surgical instruments. Sutures and knots 29 Surgical instruments 29 Suture material 30 Knots and sutures 31 X. Dressings and bandages 32 3 Triangular bandages 32 Cravat bandages 32 Roller bandages 33 Elastic net retention bandages 35 XI. Minor surgical procedures and manipulations 36 Injections 36 Vascular access 36 Thoracic procedures 36 Abdominal procedures 37 Gastrointestinal procedures 37 Urological procedures 38 XII.
    [Show full text]
  • Clinical and Radiologic Characteristics of Caudal Regression Syndrome in a 3-Year-Old Boy: Lessons from Overlooked Plain Radiographs
    Pediatr Gastroenterol Hepatol Nutr. 2021 Mar;24(2):238-243 https://doi.org/10.5223/pghn.2021.24.2.238 pISSN 2234-8646·eISSN 2234-8840 Letter to the Editor Clinical and Radiologic Characteristics of Caudal Regression Syndrome in a 3-Year-Old Boy: Lessons from Overlooked Plain Radiographs Seongyeon Kang ,1 Heewon Park ,2 and Jeana Hong 1,3 1Department of Pediatrics, Kangwon National University Hospital, Chuncheon, Korea 2Department of Rehabilitation, Kangwon National University School of Medicine, Chuncheon, Korea 3Department of Pediatrics, Kangwon National University School of Medicine, Chuncheon, Korea Received: Aug 13, 2020 ABSTRACT 1st Revised: Sep 20, 2020 2nd Revised: Oct 4, 2020 Accepted: Oct 5, 2020 Caudal regression syndrome (CRS) is a rare neural tube defect that affects the terminal spinal segment, manifesting as neurological deficits and structural anomalies in the lower body. We Correspondence to report a case of a 31-month-old boy presenting with constipation who had long been considered Jeana Hong to have functional constipation but was finally confirmed to have CRS. Small, flat buttocks with Department of Pediatrics, Kangwon National University Hospital, 156 Baengnyeong-ro, bilateral buttock dimples and a short intergluteal cleft were identified on close examination. Chuncheon 24289, Korea. Plain radiographs of the abdomen, retrospectively reviewed, revealed the absence of the distal E-mail: [email protected] sacrum and the coccyx. During the 5-year follow-up period, we could find his long-term clinical course showing bowel
    [Show full text]
  • Or Moisture-Associated Skin Damage, Due to Perspiration: Expert Consensus on Best Practice
    A Practical Approach to the Prevention and Management of Intertrigo, or Moisture-associated Skin Damage, due to Perspiration: Expert Consensus on Best Practice Consensus panel R. Gary Sibbald MD Professor, Medicine and Public Health University of Toronto Toronto, ON Judith Kelley RN, BSN, CWON Henry Ford Hospital – Main Campus Detroit, MI Karen Lou Kennedy-Evans RN, FNP, APRN-BC KL Kennedy LLC Tucson, AZ Chantal Labrecque RN, BSN, MSN CliniConseil Inc. Montreal, QC Nicola Waters RN, MSc, PhD(c) Assistant Professor, Nursing Mount Royal University A supplement of Calgary, AB The development of this consensus document has been supported by Coloplast. Editorial support was provided by Joanna Gorski of Prescriptum Health Care Communications Inc. This supplement is published by Wound Care Canada and is available at www.woundcarecanada.ca. All rights reserved. Contents may not be reproduced without written permission of the Canadian Association of Wound Care. © 2013. 2 Wound Care Canada – Supplement Volume 11, Number 2 · Fall 2013 Contents Introduction ................................................................... 4 Complications of Intertrigo ......................................11 Moisture-associated skin damage Secondary skin infection ...................................11 and intertrigo ................................................................. 4 Organisms in intertrigo ..............................11 Consensus Statements ................................................ 5 Specific types of infection .................................11
    [Show full text]
  • Hollows and Folds of the Body
    Hollows and folds of the body by David Mead 2017 Sulang Language Data and Working Papers: Topics in Lexicography, no. 31 Sulawesi Language Alliance http://sulang.org/ SulangLexTopics031-v2 LANGUAGES Language of materials : English DESCRIPTION/ABSTRACT In this paper I discuss certain hollows, notches, and folds of the surface anatomy of the human body, features which might otherwise go overlooked in your lexicographical research. Along the way I also mention names for wrinkles of the face and fold lines of the hands. TABLE OF CONTENTS Head; Face; Neck, chest, and abdomen; Back and buttocks; Arms and hands; Legs and feet; References; Appendix: Bones of the body. VERSION HISTORY Version 2 [29 May 2017] Edits to ‘fontanelle’ and ‘straie,’ order of references and appendix reversed, minor edits to appendix. Version 1 [15 May 2017] Drafted September 2010, revised June 2013, revised for publication May 2017. © 2017 by David Mead. Text is licensed under terms of the Creative Commons Attribution- ShareAlike 4.0 International license. Images are licensed as individually noted. Hollows and folds of the body by David Mead Who has measured the waters in the hollow of his hand, or with the breadth of his hand marked off the heavens? Isaiah 40:12 Names for the parts of the human body are universal to human language. In fact names for salient body parts are considered part of the basic or core vocabulary of a language, and are often some of the first words elicited when learning a language. In this paper I want to raise your awareness concerning certain less salient features of the surface anatomy of the body that may otherwise go overlooked in your lexicography research.
    [Show full text]
  • 5A6630c628c0fba96a58e28502
    International Journal of Environmental Research and Public Health Article Decreased Vertical Trunk Inclination Angle and Pelvic Inclination as the Result of Mid-High-Heeled Footwear on Static Posture Parameters in Asymptomatic Young Adult Women Jakub Micho ´nski 1 , Marcin Witkowski 1, Bo˙zenaGlinkowska 2, Robert Sitnik 1 and Wojciech Glinkowski 3,4,5,* 1 Institute of Micromechanics and Photonics, Faculty of Mechatronics, Warsaw University of Technology, 02525 Warsaw, Poland; [email protected] (J.M.); [email protected] (M.W.); [email protected] (R.S.) 2 Department of Sports and Physical Education, Medical University of Warsaw, 00581 Warsaw, Poland; [email protected] 3 Centre of Excellence “TeleOrto” for Telediagnostics and Treatment of Disorders and Injuries of the Locomotor System, Medical University of Warsaw, 00581 Warsaw, Poland 4 Department of Medical Informatics and Telemedicine, Medical University of Warsaw, 00581 Warsaw, Poland 5 Polish Telemedicine and eHealth Society, 03728 Warsaw, Poland * Correspondence: [email protected]; Tel.: +48-601-230-577 Received: 18 September 2019; Accepted: 13 November 2019; Published: 18 November 2019 Abstract: The influence of high-heel footwear on the lumbar lordosis angle, anterior pelvic tilt, and sacral tilt are inconsistently described in the literature. This study aimed to investigate the impact of medium-height heeled footwear on the static posture parameters of homogeneous young adult standing women. Heel geometry, data acquisition process, as well as data analysis and parameter extraction stage, were controlled. Seventy-six healthy young adult women with experience in wearing high-heeled shoes were enrolled. Data of fifty-three subjects were used for analysis due to exclusion criteria (scoliotic posture or missing measurement data).
    [Show full text]
  • A Review of Pilonidal Sinus Lesions and a Method Oftreatment
    Postgrad Med J: first published as 10.1136/pgmj.43.499.353 on 1 May 1967. Downloaded from Postgrad. med. J. (May 1967) 43, 353-358. A review of pilonidal sinus lesions and a method of treatment B. P. FLANNERY H. A. KIDD F.R.C.S. F.R.C.S.E. St Helier Hospital, Carshalton, Surrey Introduction barbers has been reported by Patey & Scarff (1946, This paper on pilonidal lesions is presented with 1948, 1955). Lesions have also been found in the the object of reviewing the disease and describing anterior perineum (Smith, 1948), axilla and a method of treatment introduced by Jacobsen umbilicus (Aird, 1952) and also in an amputation (1959). stump (Shoesmith, 1953. From a review of umbilical A pilonidal sinus is an anomalous condition, in sinuses and fistulae (Steck & Helwig, 1965) thirty- which there may be found a nidus of epithelial and eight sinuses have been histologically identified as hair cells submerged in the cutaneous tissues of the pilonidal. intergluteal cleft. These elements under certain conditions give rise to symptoms or signs. Their Aetiology presence is indicated by a number of fine circular The cause of pilonidal sinuses has during the last pits, which are aligned vertically and are of four to five decades been in doubt. For some time, variable orifice-diameter. They are usually two or two beliefs supporting a congenital theory of origin thiree in number, although larger numbers have were held: (a) remnants of the neural canal be- copyright. been described. They extend to the caudal end of came separated off and isolated, thus leading to a the anal cleft, superior to the posterior anal verge sinus tract; and (b) malfusion of the body halves beyond which they are not seen.
    [Show full text]
  • The Use of the Superior Gluteal Artery Perforator Flap to Cover Sacral Defects
    Clinical Case Reports and Reviews Case Report ISSN: 2059-0393 The use of the superior gluteal artery perforator flap to cover sacral defects Fazlur Rahman M*, Aleezay Haider and Muhammad Asif Ahsan Department of Plastic and Reconstructive Surgery, Aga Khan University, Karachi, Pakistan Abstract Objective: To describe our experience of using superior gluteal artery perforator flap for coverage of sacral defects. Results: We report the use of the superior gluteal artery perforator flap, a skin-subcutaneous tissue flap to repair and reconstruct sacral defects in six patients. The procedures were done for defects of the sacral area. Flap size ranged from 20 x 9 cm to 9 x4 cm. All flaps survived completely and all donor sites were closed primarily without any donor site complication. Conclusion: We believe that the superior gluteal artery perforator flap is a suitable option for defects in the sacral area. However, more studies with larger numbers are required before it can become a mainstay for this region. Introduction fascia is incised and perforator followed to the underlying vessel. The vessel direction is visualized and other perforators located along the The gluteal region is a commonly used donor site for flaps. Fujino et vessel path. At least two perforators are taken and lateral perforators are al. were the first to describe using the gluteal region as a donor site [1]. preferred as they provide a wider arc of movement [5]. The number of Improving upon the gluteal myocutaneous flap led Allen and Tucker perforators selected varies and depends on patient anatomy [7]. Loupe [2] to introduce the superior gluteal artery flap (SGAP) in 1993 that not magnification is used to dissect the vessel from between the muscle only had a longer vascular pedicle but also kept the underlying gluteus fibers and to ligate muscular side branches [2].
    [Show full text]
  • Breech Presentation Delivery Care: a Review of Childbirth Semiology
    Revista Colombiana de Obstetricia y Ginecología Vol. 70 No. 4 • Septiembre-Diciembre 2019 • (253-264) MEDICAL EDUCATION DOI: https://doi.org/10.18597/rcog.3345 BREECH PRESENTATION DELIVERY CARE: A REVIEW OF CHILDBIRTH SEMIOLOGY, MECHANISM AND CARE Atención del parto con feto en presentación pelviana: revisión de la semiología, el mecanismo y la atención del parto Carlos Fernando Grillo-Ardila1, MD, MSc; Alejandro Antonio Bautista-Charry2, MD, MS(c); Mariana Diosa-Restrepo3, MD Received: March 25, 2019 / Accepted: December 27, 2019 ABSTRACT semiology and physiology of this condition as well Objective: To review the concepts underlying as the obstetric maneuvers to facilitate an uncom- breech presentation delivery as well as the semiol- plicated delivery. ogy and the obstetric maneuvers contributing to Conclusions: The mechanism of childbirth in successful perinatal and maternal outcomes. breech presentation is complex and requires knowl- Materials and methods: Based on a hypothetical edge of its physiology and multiple obstetric ma- scenario to set the stage for a practical approach to neuvers by the obstetrician as well as the general the topic, an explanatory paper built on a narrative practitioner, in order to ensure adequate care when review is created in order to examine the prin- there is no other option. ciples related to diagnosis, mechanism of delivery Key words: Breech presentation; obstetric compli- and maternal care, emphasizing maneuvers to ease cations of childbirth; continuing medical education; fetal extraction. dystocia. Results: Breech presentation delivery must be managed through the vaginal canal when already RESUMEN in the expulsion phase with fetal engagement. For Objetivo: revisar los conceptos que subyacen al tra- diagnosis and care, it is essential to know the unique bajo de parto con feto en presentación pelviana, su semiología y las maniobras obstétricas que facilitan un resultado materno perinatal exitoso.
    [Show full text]
  • Case Report a Case of Large Perianal Mucinous Adenocarcinoma Arising from Recurrent Abscess and Complex Fistulae
    Hindawi Case Reports in Surgery Volume 2020, Article ID 1798543, 4 pages https://doi.org/10.1155/2020/1798543 Case Report A Case of Large Perianal Mucinous Adenocarcinoma Arising from Recurrent Abscess and Complex Fistulae Fahmi Pramaditto Azmi,1 Nur Afdzillah Abdul Rahman,1 Luqman Mazlan,1 Normala Basiron,2 and Farrah-Hani Imran 3 1Colorectal Surgery Unit, Department of Surgery, UKM Medical Centre, Kuala Lumpur, Malaysia 2Department of Plastic and Reconstructive Surgery, Hospital Kuala Lumpur, Malaysia 3Plastic and Reconstructive Surgery Unit, Department of Surgery, UKM Medical Centre, Kuala Lumpur, Malaysia Correspondence should be addressed to Farrah-Hani Imran; [email protected] Received 3 December 2019; Revised 20 September 2020; Accepted 26 October 2020; Published 19 December 2020 Academic Editor: Dimitrios Mantas Copyright © 2020 Fahmi Pramaditto Azmi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Mucinous adenocarcinoma of the perianal region is an oncologic rarity posing a diagnostic and therapeutic dilemma for treating oncologists. This is due to the low number of reported cases, compounded by the lack of definitive therapeutic guidelines. It accounts for 2% to 3% of all gastrointestinal malignancies and is historically known to arise from chronic anal fistulas and ischiorectal or perianal abscesses. We hereby report an interesting case of perianal mucinous adenocarcinoma in a 66-year-old male initially treated for a horseshoe abscess with complex fistulae. He presented with a 6-month history of a discharging growth in perianal region and painful defecation associated with occasional blood mixed stools.
    [Show full text]
  • Hospital Care for Adolescents and Adults
    VOLUME 2 VOLUME VOLUME 2 IMAI DISTRICT CLINICIAN MANUAL: HOSPITAL CAREFORADOLESCENTSANDADULTS HOSPITAL IMAI DISTRICTCLINICIANMANUAL: IMAI District Clinician Manual: Hospital Care for Adolescents and Adults GUIDELINES FOR THE MANAGEMENT OF COMMON ILLNESSES WITH LIMITED RESOURCES For further information please contact: Integrated Management of Adolescent and Adult Illness (IMAI) IMAI Team Department of HIV/AIDS World Health Organisation Avenue Appia, 20 CH–1211 Geneva 27 Switzerland [email protected] www.who.int/hiv/capacity/en WHO FFINALINAL CCoverover VVol.ol. 22.indd.indd 1 228/06/20128/06/2012 17:2617:26 WHO Library Cataloguing-in-Publication Data IMAI district clinician manual: hospital care for adolescents and adults: guidelines for the management of illnesses with limited-resources. 2 v. 1.Community health services - standards. 2.Hospitals. 3.Delivery of health care - standards. 4.Clinical competence. 5.Disease management. 6.Adolescent. 7.Adult. 8.Manuals. 9.Developing countries. I.World Health Organization. ISBN 978 92 4 154831 1 (package) (NLM classifi cation: WA 546) ISBN 978 92 4 154828 1 (vol. 1) ISBN 978 92 4 154829 0 (vol. 2) © World Health Organization 2011 All rights reserved. Publications of the World Health Organization are available on the WHO web site (www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@ who.int). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press through the WHO web site (http:// www.who.int/about/licensing/copyright_form/en/index.html).
    [Show full text]