Aurel George Mohan,
Aurel George Mohan
Institution: Department of Neurosurgery, Bihor County Emergency Clinical Hospital, 410167 Oradea, Romania
Email: naurel@yahoo.com
Vicentiu Mircea Saceleanu,
Vicentiu Mircea Saceleanu
Institution: Neurosurgery Department, Sibiu County Emergency Hospital, 550245 Sibiu, Romania
Email: ntiu.saceleanu@gmail.com
Razvan Adrian Covache-Busuioc,
Razvan Adrian Covache-Busuioc
Institution: General Medicine, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
Email: an_adrian69@yahoo.ro
Horia Petre Costin,
Horia Petre Costin
Institution: General Medicine, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
Email: acostin2001@yahoo.com
Alexandru Vlad Ciurea
Alexandru Vlad Ciurea
Institution: Neurosurgery, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
Email: avciurea@gmail.com
Heinrich Wilhelm Gottfried von Waldeyer-Harz is regarded as a significant anatomist who helped the entire medical world to discover and develop new techniques in order to improve patient treatment as well as decrease death rates. He discovered fascia propria recti in 1899, which is important in tota...
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Heinrich Wilhelm Gottfried von Waldeyer-Harz is regarded as a significant anatomist who helped the entire medical world to discover and develop new techniques in order to improve patient treatment as well as decrease death rates. He discovered fascia propria recti in 1899, which is important in total mesorectal excision which improves cancer treatment as well as outcomes. He played an important role in developing the neuron theory which states that the nervous system consists of multiple individual cells, called neurons, which currently stands as the basis of the impulse transmission of neurons. Waldeyer was also interested in cytology, where he made a substantial contribution, being the first who adopted the name "Chromosome". Therefore, he accelerated the progress of what it is now known as Genetics. In conclusion, starting from the Fascia propria recti and continuing with great discoveries in cytology and neuron theory, Wilhelm von Waldeyer represents a key person in what we today call medicine.
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1 year ago
Florian Augustin
Florian Augustin
Institution: Department of Visceral, Transplant and Thoracic Surgery, Medical University of Innsbruck, Innsbruck, Austria
Email: florian.augustin@i-med.ac.at
The preperitoneal spaces relevant for incisional hernia repair and minimally invasive groin hernia repair are described in terms of surgical anatomy. Emphasis is put on the transversalis fascia and the urogenital fascia and its extensions, the vesicoumbilical fascia, and the spermatic sheath of Stop...
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The preperitoneal spaces relevant for incisional hernia repair and minimally invasive groin hernia repair are described in terms of surgical anatomy. Emphasis is put on the transversalis fascia and the urogenital fascia and its extensions, the vesicoumbilical fascia, and the spermatic sheath of Stoppa procedure. Steps in hernia surgery where these structures are relevant are reviewed.
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1 year ago
Nripendra Tiwari
Nripendra Tiwari
Institution: Department of Anatomy, Kathmandu Medical College and Teaching Hospital, Duwakot, Bhaktapur, Nepal
Email: nriti2000@gmail.com
"Introduction: Cardiac coronary dominance plays a significant role in different clinical conditions and diseases of the heart. As the people of developing and developed nations are having global coronary artery diseases, it is mandatory to have knowledge of coronary artery diseases including cardiac...
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"Introduction: Cardiac coronary dominance plays a significant role in different clinical conditions and diseases of the heart. As the people of developing and developed nations are having global coronary artery diseases, it is mandatory to have knowledge of coronary artery diseases including cardiac coronary dominance. The aim of this study is to find out the prevalence of the right coronary artery dominance in cadaveric human hearts in a medical college.
Methods: A descriptive cross-sectional study was conducted among all 52 preserved hearts as well as the heart isolated from cadavers obtained from the teaching hospital. The study was conducted from 24th June, 2020 to 24th December, 2020 after obtaining ethical clearance from the Institutional Review Committee (Reference number: 2306202004). All cadaveric heart specimens were laelled with numbers and photographed for easy description of anatomical variation related to the coronary artery. Data were entered into Microsoft Excel 2007 and analysed using Statistical Package for the Social Sciences version 20.0. Point estimate at 90% Confidence Interval was calculated along with frequency and proportion for binary data.
Results: Out of 52 undissected isolated cadaveric hearts, the right cardiac dominance was found in 42 (80.76%) (71.77-89.75 at 90%
Confidence Interval). The mean diameter of the right coronary artery was found to be 4.06±0.55 mm.
Conclusions: The prevalence of right cardiac dominance in isolated cadaveric hearts was similar to the studies done in a similar setting.
Keywords: cardiac; coronary arteries; dominance."
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1 year ago
author list
author list
Institution: rnfinity
Nobuhisa Matsuhashi
Nobuhisa Matsuhashi
Institution: Department of Gastroenterological Surgery, Gifu University Graduate School of Medicine, Gifu 501-1194, Japan
Email: nobuhisa517@hotmail.com
Background Even if 3D angiographic images of preoperative contrast-enhanced computed tomography (CT) are created, the coronal and axial sections can be unclear, and thus, it is difficult to achieve projection awareness similar to that of actual laparoscopic images. In recent years, the technology of...
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Background Even if 3D angiographic images of preoperative contrast-enhanced computed tomography (CT) are created, the coronal and axial sections can be unclear, and thus, it is difficult to achieve projection awareness similar to that of actual laparoscopic images. In recent years, the technology of analyzing and applying medical images has advanced, and surgical simulation and navigation have been widely used to improve the safety of surgical operations. It is important to understand pelvic anatomy in the area of rectal cancer, and use of the SYNAPSE VINCENT makes it possible to simulate the anatomy before surgery, which is very useful in educating surgeons and their assistants.
Materials and methods An important objective in surgery is to understand the anatomy of the external/internal iliac arteries and lymph nodes in lateral lymph node dissection (LLD) for rectal cancer. In this study, we explored the accuracy and usefulness of SYNAPSE VINCENT images of pelvic anatomy (especially vascular anatomy) analyzed preoperatively in two cases of LLD for rectal cancer in our department.
Results The patients were two men aged 73 and 57 years, respectively. Both patients underwent robotic abdominal perineal resection and LLD with neoadjuvant chemoradiotherapy. The operating times for LLD were 138 and 106 min, estimated blood loss was less than 10 mL and 20 mL, and the harvested lymph nodes were nos. 21 and 22, respectively. The SYNAPSE VINCENT could be used for simulation and navigation before and during surgery. For experienced surgeons, the system helped them carry out operations more accurately.
Conclusion In the future, surgical support using virtual reality, augmented reality, and mixed reality based on medical images will be useful and is expected to improve the safety, accuracy, and efficiency of surgery, which is extremely useful for both young and skilled surgeons preparing for difficult operations.
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1 year ago
author list
author list
Institution: rnfinity
Artur Pasternak
Artur Pasternak
Institution: Department of Anatomy, Jagiellonian University, ul. Kopernika 12, 31-034 Kraków, Poland
Email: artur.pasternak@uj.edu.pl
The morphometry and morphology of the components of extrahepatic biliary tree show extensive variations. A beforehand recognition of these variations is very crucial to prevent unintended complications while performing surgeries in this region. This study was conducted to analyze the configuration o...
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The morphometry and morphology of the components of extrahepatic biliary tree show extensive variations. A beforehand recognition of these variations is very crucial to prevent unintended complications while performing surgeries in this region. This study was conducted to analyze the configuration of the extrahepatic biliary tree and its possible variations, as well as measure the components that limit the cystohepatic triangle. Articles were searched in major online indexed databases (Medline and PubMed, Scopus, Embase, CINAHL Plus, Web of Science and Google Scholar) using relevant key words. A total of 73 articles matched the search criteria of which 55 articles were identified for data extraction. The length of left and right hepatic duct in majority of studies was found to be >10 mm. A wide range of diameters of hepatic ducts were observed between 5-43 mm. The average length of cystic duct is around 20 mm. The length and diameter of the common bile duct are 50-150 mm and 3-9 mm respectively. The most frequently observed pattern of insertion of cystic duct into common hepatic duct is right lateral, rarely anterior, or posterior spiral insertion can present. The results of this study will provide a standard reference range which instead will help to differentiate the normal and pathological conditions.
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1 year ago
author list
author list
Institution: rnfinity
Karl Waked
Karl Waked
Institution: University Hospital Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium
Email: karl.waked@icloud.com
"Background: The arterial anatomy of the face is extremely variable. Despite numerous cadaver dissections and anatomical descriptions, the exact location of the superficial facial arteries remains unpredictable. This ignorance is a determining factor in the pathophysiology of intravascular filler in...
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"Background: The arterial anatomy of the face is extremely variable. Despite numerous cadaver dissections and anatomical descriptions, the exact location of the superficial facial arteries remains unpredictable. This ignorance is a determining factor in the pathophysiology of intravascular filler injections, potentially causing skin necrosis and blindness.
Objectives: The main objective of this study is to evaluate the accuracy of an augmented reality (AR) application that visualizes the individual arterial anatomy of the face.
Methods: A workflow was developed during which a magnetic resonance angiography (MRA) mapped the superficial arteries of the face. The images were further processed into an AR image that was visualized on the patient's face using a specifically designed smartphone application. The accuracy of the AR image and the position of each individual artery were analyzed using duplex ultrasound (US).
Results: A total of 216 facial arteries were visualized in 20 patients. The superficial temporal (100%), supratrochlear (92.5%), facial (75%), and angular (82.5%) arteries were visualized the most. The inferior labial (17.5%), dorsal nasal (22.5%), and supraorbital (42.5%) arteries were the most difficult to visualize through MRA. The average deviation between the artery visible on the AR image and the location assessed by US was 0.30 mm (standard deviation = +/- 0.66 mm). There were no complications reported.
Conclusions: The combination of a risk-free MRA to map the individual arteries of the face and the processing into an AR image may be considered as a useful and accurate tool during dermal filler injections to potentially minimize the risk of intravascular filler injections."
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1 year ago
Kacper Ruzik,
Kacper Ruzik
Institution: Department of Anatomical Dissection and Donation, Medical University of Lodz, Lodz, Poland
Email: kacper.ruzik@umed.lodz.pl
Karolina Westrych,
Karolina Westrych
Institution: Department of Anatomical Dissection and Donation, Medical University of Lodz, Lodz, Poland
Email: Karolina.westrych@stud.umed.lodz.pl
Marko Konschake,
Marko Konschake
Institution: Division of Clinical and Functional Anatomy, Department of Anatomy, Histology and Embryology, Medical University of Innsbruck, Müllerstr. 59, 6020 Innsbruck, Austria
Email: marko.konschake@i-med.ac.at
R. Tubbs,
R. Tubbs
Institution: Department of Neurosurgery, Tulane University School of Medicine, New Orleans, LA, USA
Email: shane.tubbs@icloud.com
Piotr Karauda,
Piotr Karauda
Institution: Department of Anatomical Dissection and Donation, Medical University of Lodz, Lodz, Poland
Email: Piotr.karauda@umed.lodz.pl
Łukasz Olewnik
Łukasz Olewnik
Institution: Department of Anatomical Dissection and Donation, Medical University of Lodz, Lodz, Poland
Email: Lukasz.olewnik@umed.lodz.pl
The fibularis brevis and fibularis longus muscles belong to the lateral compartment of the leg. The fibularis brevis is morphologically variable, especially in the number of tendons and place of insertion. Its type of insertion is correlated with the presence of a fibularis digiti quinti, which is a...
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The fibularis brevis and fibularis longus muscles belong to the lateral compartment of the leg. The fibularis brevis is morphologically variable, especially in the number of tendons and place of insertion. Its type of insertion is correlated with the presence of a fibularis digiti quinti, which is also anatomically variable. We present a case study based on dissection of a seventy-three-year-old female cadaver with an unusual insertion of the fibularis brevis muscle. The tendon had three bands inserting into the fifth metatarsal bone. There was a coexisting fibularis digiti quinti, which was fused with the fibularis tertius muscle. Awareness of such anatomical variation could be useful during reconstructive surgery and planning rehabilitation protocols.
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1 year ago
author list
author list
Institution: rnfinity
Grigol Keshelava
Grigol Keshelava
Institution: Department of Vascular Surgery, Clinic “Helsicore,”, Tevdore Mgvdeli Street 13 Tbilisi, Georgia
Email: gagakeshelava@gmail.com
Leonardo da Vinci conducted many anatomical studies during his life. Today, almost the complete set of these anatomical drawings and comments is owned by the British Crown and resides in the Royal Library at Windsor Castle, United Kingdom.Through the program Paint X, we moved two details on the pain...
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Leonardo da Vinci conducted many anatomical studies during his life. Today, almost the complete set of these anatomical drawings and comments is owned by the British Crown and resides in the Royal Library at Windsor Castle, United Kingdom.Through the program Paint X, we moved two details on the painting "Saint John the Baptist." The moving details are circled along the faint contour by Leonardo da Vinci himself. We obtained heart and aortic arch imaging.
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1 year ago
Andy Yeung
Andy Yeung
Institution: Oral and Maxillofacial Radiology, Applied Oral Sciences and Community Dental Care, Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
Email: ndyeung@hku.hk
The radiographic anatomy on dental panoramic images is essential knowledge for proper diagnosis and treatment planning purposes. No prior study has examined the content of YouTube videos with regard to radiographic anatomy on panoramic radiography. The objective of this study was to provide a conten...
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The radiographic anatomy on dental panoramic images is essential knowledge for proper diagnosis and treatment planning purposes. No prior study has examined the content of YouTube videos with regard to radiographic anatomy on panoramic radiography. The objective of this study was to provide a content analysis on these videos. The initial search string was: (panoramic anatomy). An additional search was performed with the search string: (OPG landmarks). By screening the resultant videos and their related videos (recommended by YouTube as a list on the right of the screen), a total of 62 videos were screened. Videos were excluded if they were irrelevant (e.g., focusing on radiographic errors without covering the anatomy), elaborating mainly with drawings without showing the landmarks on panoramic images, duplicate videos, and non-English speaking. Finally, 38 videos were included and analyzed. Most of them showed clear panoramic images and had clear tracing or delineation of the anatomical landmarks. On average, each video described 26 landmarks, including 12.3 from the midfacial region, 8.2 from the mandible, and 5.2 from soft tissue/air space/others. The videos were of good quality in general, with some frequent shortcomings being lack of visual aid with skull and schematic diagrams, and lack of discussion on clinical relevance. The maxillary sinus was the structure mostly involved in wrong information, particularly the wrong delineation of its posterior wall.
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1 year ago
Lauren Betancourt,
Lauren Betancourt
Institution: Children’s Hospital of San Antonio, San Antonio, TX 78207, USA
Email: laurenashleygabriel@gmail.com
Harinder Singh,
Harinder Singh
Institution: Children’s Hospital of San Antonio, San Antonio, TX 78207, USA
Email: harinder.Singh@bcm.edu
Daniel Nento,
Daniel Nento
Institution: Children’s Hospital of San Antonio, San Antonio, TX 78207, USA
Email: Daniel.Nento@bcm.edu
Arpit Agarwal
Arpit Agarwal
Institution: Children’s Hospital of San Antonio, San Antonio, TX 78207, USA
Email: arpit.agarwal@bcm.edu
Heterotaxy is a rare syndrome associated with cardiac complexity, anatomic variability and high morbidity and mortality. It is often challenging to visualize and provide an accurate diagnosis of the cardiac anatomy prior to surgery with the use of conventional imaging techniques. We report a unique ...
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Heterotaxy is a rare syndrome associated with cardiac complexity, anatomic variability and high morbidity and mortality. It is often challenging to visualize and provide an accurate diagnosis of the cardiac anatomy prior to surgery with the use of conventional imaging techniques. We report a unique case demonstrating how the use of three-dimensional (3D) cardiac printed model allowed us to better understand the anatomical complexity and plan a tailored surgical approach for successful biventricular repair in a patient with heterotaxy syndrome.
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1 year ago
