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  • 1
    ISSN: 1279-8517
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Conclusion N'ignorant pas que le choix des sites d'incision pour la chirurgie laparoscopique peut être influencé par une multitude de facteurs, afin de minimiser le risque de lésions des vaisseaux de la paroi abdominale, nous suggérons de placer les trocarts sur la ligne blanche et dans une zone de 5 cm de large en dehors du bord latéral de la gaine du m. droit
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1279-8517
    Keywords: Inferior epigastric artery ; Endoscopy ; Laparoscopy ; Complication ; Hematoma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A knowledge of the parietal structures of the abdominal wall is necessary to minimize risks of operative procedures like laparoscopy. For means to prevent intraoperative bleeding and the occurrence of abdominal wall hematoma, we studied the course of the inferior epigastric arteries and the ascending branch of the deep circumflex iliac artery in 21 human cadavers. The abdominal wall structures were dissected and the distances of the arteries in relation to anatomic structures such as the umbilicus, pubic symphysis, superior ischial spine and lower edge of the rib-cage were measured. Comparison of the morphometric results obtained with the location of 36 trocar incision sites recommended in the common literature yields the information that about half of these incision sites incur the risk of injuring the arteries.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1279-8517
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Conclusion N'ignorant pas que le choix des sites d'incision pour la chirurgie laparoscopique peut être influencé par une multitude de facteurs, afin de minimiser le risque de lésions des vaisseaux de la paroi abdominale, nous suggérons de placer les trocarts sur la ligne blanche et dans une zone de 5 cm de large en dehors du bord latéral de la gaine du m. droit
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1433-0385
    Keywords: Key words: Minimally invasive surgery ; Solo surgery ; Clinical anatomy ; Training. ; Schlüsselwörter: Minimal-invasive Chirurgie ; „Solo surgery“ ; klinische Anatomie ; Training.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung. Die expansive Entwicklung minimal-invasiver Operationstechniken bedingt weltweit eine erheblich gesteigerte Nachfrage der operativen Fächer nach Lern-, Lehr- und Forschungsmöglichkeiten an den Körpern verstorbener Menschen in den anatomischen Universitätsinstituten. Die deutschen anatomischen Institute können dieser Nachfrage derzeit nur unzureichend genügen, da die räumliche und technische Infrastruktur für die Bearbeitung derartiger Fragestellungen zwar teilweise noch vorhanden ist, durch die sich wandelnden Forschungsschwerpunkte und die Forderung nach Erfüllung von Lehraufgaben ausschließlich in der Studentenausbildung aber keine freien Personal- und Finanzressourcen für die Lösung von Anwenderproblemen verfügbar sind. Um Planungsgrundlagen für den Aufwand zukünftiger klinisch-anatomischer Arbeiten für Qualitätssicherung, Aus-, Fort- und Weiterbildung bei modernen Interventionen zu schaffen, skizziert der Artikel aus eigener praktischer Erfahrung („ANAtoMIC“) abgeleitete wesentliche Voraussetzungen für derartige Projekte.
    Notes: Summary. The expansion of minimally invasive surgery worldwide provokes an intensive interest of all surgical disciplines in gaining possibilities for research, learning and teaching by operating on human corpses. Despite the fact that German anatomical institutes in general have the infrastructure to realise such clinical cooperations, at present they may offer such opportunities only to a restricted degree, since the concentration on student teaching and anatomic research limits the capacity of the staff for a commitment in this field of applied science. To provide a basis for future estimations of the efforts necessary to perform solo surgery on the human cadaver, especially with emphasis on research, quality control and teaching, this article reports on practical experiences with such a project named “ANAtoMIC”, identifying minimal conditions which have to be realised.
    Type of Medium: Electronic Resource
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