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  • 1
    Electronic Resource
    Electronic Resource
    New York, NY [u.a.] : Wiley-Blackwell
    Clinical Anatomy 4 (1991), S. 460-462 
    ISSN: 0897-3806
    Keywords: bowel perforation ; cellulitis ; Crohn's disease ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: An external hernia is an abnormal protrusion of intraabdominal tissue or the whole or part of a viscus through an opening or fascial defect in the abdominal wall (Deveney, 1985); where a portion of the bowel circumference protrudes into the hernial sac it is termed a Richter hernia. Most commonly, the antimesenteric border of the distal ileum protrudes into the femoral or inguinal rings (Frankau, 1931), presenting as intestinal obstruction (50%), perforation (35%), or perforation leading to an intestinal cutaneous fistula (15%) (Gillespie et al., 1956). One case has been reported of a Richter hernia in an anterior sacral foramen (Botsford, 1977). This is the second such report but, after perforation, the route taken by the intestinal contents through the gluteal region, resulting in cellulitis of the anterolateral aspect of the right thigh, is unique.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    New York, NY [u.a.] : Wiley-Blackwell
    Clinical Anatomy 4 (1991), S. 228-230 
    ISSN: 0897-3806
    Keywords: hernia ; appendix ; peritoneum ; inflammation ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: An 81 year old man who had a reducible right inguinal hernia for 40 years presented with a 4 day history of irreducibility and a 2 day history of tenderness in his hernial sac. At operation a gangrenous appendix was found in the inguinal canal lateral to and outside the sac of an indirect hernia. This condition has not previously been described.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    New York, NY [u.a.] : Wiley-Blackwell
    Clinical Anatomy 6 (1993), S. 179-184 
    ISSN: 0897-3806
    Keywords: medical ; education ; basic science ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: Students at the Royal College of Surgeons in Ireland completed a questionnaire at the end of the anatomy course assessing teachers and teaching in the department of anatomy. Individual teachers were rated on a five-point scale for their performance as lecturers, demonstrators, and examiners. Anatomy teaching was considered in its various subdivisions: regional anatomy, the dissection room course (gross laboratory), radiological anatomy, embryology, neuroanatomy, and histology, and each was scored on a similar five-point scale for relevance and interest. Constructive criticism of both staff (faculty) and course was invited. The results of this survey have been used to counsel staff to good effect, and to improve course structure and content. Resultant changes were made in the teaching of histology, neuroanatomy, and embryology, and the restructuring of surface anatomy tutorials. Numerical scores for teachers provide indices of teaching abilities for comparative purposes and for professional advancement. A similar questionnaire given to clinical students 1 year after completion of the anatomy course is shown to have been of little value. © 1993 Wiley-Liss, Inc.
    Additional Material: 3 Tab.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    New York, NY [u.a.] : Wiley-Blackwell
    Clinical Anatomy 3 (1990), S. 25-31 
    ISSN: 0897-3806
    Keywords: duodenal ulceration ; parietal cell ; antrum ; vagus ; highly selective vagotomy ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: “Highly selective” or “proximal gastric” vagotomy seeks to denervate the pariental cell mass of the stomach while preserving the innervation of the pyloric antrum, and is now frequently used in the surgical treatment of duodenal ulceration. However, a high incidence of recurrent ulceration after highly selective vagotomy has been reported, suggesting inadequate denervation of the parietal cell mass. This study aims to examine the innervation of the distal parietal cell mass by antral nerves and their possible role in recurrent ulceration after highly selective vagotomy.The distribution of the nerves supplying the pyloric antrum, distal to the termination of the nerve of Latarjet, was compared to the pariental cell boundary in 20 stomachs.Parietal cells extended all the way to the distal pylorus in 35% of stomachs and could potentially have been innervated by antral branches in 55%. Branches from the anterior vagal trunk terminated on the posterior antral surface in 25% of stomachs and from the posterior trunk on the anterior surface in 20%.These findings suggest that there may be an anatomical limitation to complete denervation of the distal pariental cells mass during a standard highly selective vagotomy where the nerve of Latarjet and all the branches distal to it are spared.
    Additional Material: 3 Ill.
    Type of Medium: Electronic Resource
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