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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Surgical and radiologic anatomy 15 (1993), S. 315-319 
    ISSN: 1279-8517
    Keywords: Anatomy ; Seated position ; Anatomic sections ; Three-dimensional reconstruction ; Modelling ; Data bank
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Le but de ce travail est, à terme, l'étude anatomique de la position assise afin de répondre notamment, aux interrogations diverses posées dans certains milieux industriels sur cette position et sur l'adaptation réciproque de l'être humain et du siège. La méthodologie utilisée repose sur la réalisation de coupes sériées référencées d'un sujet entier congelé en position assise, ainsi que sur sa reconstruction tridimensionnelle par informatique. La difficulté de l'entreprise nous a conduits à préciser cette méthodologie qui doit être parfaitement rigoureuse. Différents types de visualisation sont alors envisagés montrant la faisabilité de la méthode, qui peut effectivement répondre aux besoins des milieux industriels en permettant la création d'une banque de données, mais aussi ouvrir des perspectives nouvelles dans le domaine de l'enseignement de l'anatomie.
    Notes: Summary The aim of this research was an anatomic study of the seated position in order to reply, in particular, to various questions raised in certain industrial situations as to this position and the reciprocal adaptation of the human being and his seat. The methodology adopted was based on obtaining reference serial sections from an entire subject frozen in the seated position, as well as on computerised three-dimensional reconstruction. The difficulty of the undertaking led us to specify this methodology, which must be strictly adhered to. Different types of visualisation were then considered, showing the feasibility of the method, which can effectively respond to the demands of industrial situations by allowing the creation of a data bank, and also by opening up new perspectives in the field of anatomical teaching.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Surgical and radiologic anatomy 2 (1980), S. 373-379 
    ISSN: 1279-8517
    Keywords: diaphragme ; veine cave inférieure ; nerf phrénique droit ; artères phréniques inférieures
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Résumé A partir d'un travail réalisé d'après 66 dissections du diaphragme et 4 séries de coupes, les auteurs présentent une étude descriptive et topographique du foramen de la veine cave. Ils précisent la forme ovalaire de cet orifice, ses dimensions et la distance qui le sépare des parois du thorax. Ils montrent que le foramen diaphragmatique est réalisé par la superposition de deux plans fibreux et qu'il existe un véritable canal diaphragmatique de la veine cave. Les auteurs rappellent la proximité du foramen de la veine cave et du hiatus œsophagien. Ils étudient enfin la vascularisation des berges du foramen.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Surgical and radiologic anatomy 9 (1987), S. 51-62 
    ISSN: 1279-8517
    Keywords: Macroscopic anatomy of the thymus ; Anatomy of the parathyroid glands ; Thymic compartment
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé La dissection de 48 pièces cadavériques, confrontée à des données opératoires, permet de rappeler la forme, la taille et la situation de cette glande chez l'adulte. La constitution de la loge thymique puis les rapports du thymus avec, en particulier, les vaisseaux du médiastin supérieur et la base du cou sont étudiés. Les positions respectives des glandes parathyroïdes inférieures et du thymus avec l'incidence de cette topographie dans la chirurgie de ces glandes, sont précisées. La vascularisation artérielle de la glande, encore très riche chez l'adulte est en faveur d'un organe fonctionnel dont l'involution physiologique est lente.
    Notes: Summary The dissection of. 48 cadaveric specimens has been compared with operative findings for a review of the shape, size and site of this gland in the adult. The structure of the thymic compartment and the relations of the thymus, particularly with the vessels of the superior mediastinum and the base of the neck, were studied. The relative positions of the inferior parathyroid glands and the thymus were identified, with respect to the influence of this topography on the surgery of these glands. The arterial suply to the thymus, which is still very abundant in the adult, presupposes a functional organ whose physiologic involution is slow.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Surgical and radiologic anatomy 4 (1982), S. 3-5 
    ISSN: 1279-8517
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Surgical and radiologic anatomy 4 (1982), S. 7-12 
    ISSN: 1279-8517
    Keywords: Shoulder ; Articular puncture ; Arthrography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé A partir de coupes sériées et de dissections les auteurs étudient les différentes techniques de ponctions et injections pratiquées au niveau de la région de l'épaule, articulations scapulo-humérale et acromio-claviculaire, bourse sous-deltoïdienne, tendons des muscles péri-articulaires et nerf sus-scapulaire.
    Notes: Summary Basing our study on serial cuts and dissections, we have analysed the various techniques for puncture and injection in the region of the shoulder, the scapulohumeral and acromioclavicular joints, the subdeltoid bursa, the peri-articular muscles and tendons and the suprascapular nerve.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Surgical and radiologic anatomy 18 (1996), S. 167-172 
    ISSN: 1279-8517
    Keywords: Celiac axis ; Superior mesenteric artery ; Celiac plexus ; Multiorgan procurement
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Les auteurs rapportent leur expérience basée sur l'étude anatomique de la région coeliaque de Luschka et sur la pratique des prélèvements multiorganes en vue de transplantations. Ils précisent les limites et le contenu de la région coeliaque et en particulier: la position du tronc coeliaque par rapport au ligament arqué médian du diaphragme, les rapports respectifs des branches collatérales de l'aorte abdominale, la place occupée par le plexus coeliaque et sa situation par rapport à la v. rénale gauche. A partir de ces éléments, ils décrivent une voie d'abord originale, transplexique, des origines du tronc coeliaque et de l'artère mésentérique supérieure. Ils montrent l'importance de cette voie d'abord, aussi bien en chirurgie vasculaire digestive que lors des prélèvements multiorganes, en vue de transplantations.
    Notes: Summary The authors report their experience based on the anatomical study of the celiac region and on the practice of abdominal multiorgan removal for transplantation. They particularly concentrate on the limits and the content of the celiac region of Luschka and particularly: the position of the celiac axis in relation to the median arcuate ligament of the diaphragm, the relations of the collateral branches of the abdominal aorta, the place being taken by the celiac plexus and its situation in relation to the left renal v. From these elements, they describe an original transplexus surgical exposure of the origins of the celiac axis and of the superior mesenteric a. They show the importance of this approach in abdominal vascular surgery and during abdominal multiorgan removal in transplantation.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Surgical endoscopy and other interventional techniques 14 (2000), S. 915 -919 
    ISSN: 1432-2218
    Keywords: Key words: Aortiliac reconstruction — Transperitoneal approach — Viscera retraction — Experimental study — Human cadavers — Clinical experience
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Background: We set out to design a bowel retractor for use during laparoscopic transperitoneal reconstruction of the infrarenal aorta and of both iliac axes. Methods: This study was performed on five cadavers. After the insertion of four trocars, a pneumoperitoneum was created, and the bowels were gathered to the right flank. On each cadaver, the following four measurements were made: the distance between the Treitz angle and the aortic bifurcation (L1), the distance between the aortic bifurcation and the right internal inguinal ring (L2), the angles between L1 and L2 in the axial plane (A1), and the angles between them in the sagittal (A2) plane. These measurements enabled us to create a bowel retractor. The device was composed of a malleable metallic rod with a 2.5-mm diameter that was fixed to the operating table and whose intraabdominal section was designed to follow the outline of the mesenteric root in addition, a 25 × 12 cm polypropylene net was slipped around the rod. The infrarenal aorta and both iliac axes were then dissected. Secondarily, the bowel retractor was used in eight patients (seven men and one woman; mean age, 56 years; range 44–76) during laparoscopic aortoiliac reconstruction for occlusive (n= 6) or aneurysmal (n= 2) disease. Results: The statistical analysis of the measurements performed on cadavers showed a significant correlation between body height and L1 (r= 0.8769; p 〈 0.05) and L2 (r= 0.9706; p 〈 0.01) distances. It was then possible to design the shape of two metallic rods (one small and one large) so that they would be adaptable to the height of the patients (〈1.65 m and 〉1.65 m). During our clinical experience, all laparoscopic procedures were completed in a mean operative and clamping time of 266 min (range, 215–360) and 54 min (range, 18–90), respectively. Mean postoperative hospital stay was 6 days (range, 3–13). Conclusion: Our experimental study allowed us to develop a bowel retractor that can make it easier to perform laparoscopic transperitoneal aortoiliac reconstruction in humans.
    Type of Medium: Electronic Resource
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