39 Reconstruction of Thoracic and Abdominal Defects

2022 ◽  
Keyword(s):  
Thoracic And Abdominal

scholarly journals Two cases of intraoperative hemodynamic instability during combined thoracoscopic-laparoscopic surgery for esophagogastric junction carcinoma

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Makiko Tani ◽  
Yoshikazu Matsuoka ◽  
Mayu Sugihara ◽  
Ayaka Fujii ◽  
Tomoyuki Kanazawa ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Esophagogastric Junction ◽  
Intraoperative Complications ◽  
Proximal Gastrectomy ◽  
Tension Pneumothorax ◽  
Hemodynamic Instability ◽  
Laparoscopic Proximal Gastrectomy ◽  
Surgical Field ◽  
Coronary Ischemia ◽  
Thoracic And Abdominal

Abstract Background Intraoperative complications during combined thoracoscopic-laparoscopic surgery for esophagogastric junction (EGJ) carcinoma have not been reported as compared to those during surgery for esophageal carcinoma. We present two cases which had surgery-related hemodynamic instability during laparoscopic proximal gastrectomy and intra-mediastinal valvuloplastic esophagogastrostomy (vEG) with thoracoscopic mediastinal lymphadenectomy for EGJ carcinoma. Case presentation In case 1, the patient fell into hypotension with hypoxemia during laparoscopic vEG due to pneumothorax caused by entry of intraabdominal carbon dioxide. In case 2, ventricular arrythmia and ST elevation occurred during laparoscopic vEG. Pericardium retraction to secure surgical field during reconstruction compressed the coronary artery, which caused coronary malperfusion. These two events were induced by the surgical procedure, characterized by the following: (1) connection of the thoracic and abdominal cavities and (2) cardiac displacement during vEG. Conclusion These cases indicated tension pneumothorax and coronary ischemia are possible intraoperative complications specific to combined thoracoscopic-laparoscopic surgery for EGJ carcinoma.

scholarly journals Automated Assessment of Thoracic-Abdominal Asynchrony in Patients with Morquio Syndrome

Diagnostics ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 880
Author(s):  
Madhavi V. Ratnagiri ◽  
Yan Zhu ◽  
Tariq Rahman ◽  
Mary Theroux ◽  
Shunji Tomatsu ◽  
...  
Keyword(s):  
Learning Algorithm ◽  
Assessment Methodology ◽  
Emergency Rooms ◽  
Multiple Organs ◽  
Difficulty Breathing ◽  
Causes Of Mortality ◽  
Morquio Syndrome ◽  
Automated Technique ◽  
Thoracic And Abdominal ◽  
Function Testing

Morquio syndrome is a rare disease caused by a disorder in the storage of mucopolysaccharides that affects multiple organs, including musculoskeletal, respiratory, cardiovascular, and digestive systems. Respiratory failure is one of the leading causes of mortality in Morquio patients; thus, respiratory function testing is vital to the management of the disease. An automated respiratory assessment methodology using the pneuRIP device and a machine-learning algorithm was developed. pneuRIP is a noninvasive approach that uses differences between thoracic and abdominal movements (thoracic-abdominal asynchrony) during respiration to assess respiratory status. The technique was evaluated on 17 patients with Morquio (9 females and 8 males) between the ages of 2 and 57 years. The results of the automated technique agreed with the clinical assessment in 16 out of the 17 patients. It was found that the inverse cumulative percentage representation of the time delay between the thorax and abdomen was the most critical variable for accurate evaluation. It was demonstrated that the technique could be successfully used on patients with Morquio who have difficulty breathing with 100% compliance. This technique is highly accurate, portable, noninvasive, and easy to administer, making it suitable for a variety of settings, such as outpatient clinics, at home, and emergency rooms.

scholarly journals First instar larvae of endemic Australian Miltogramminae (Diptera: Sarcophagidae)

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Krzysztof Szpila ◽  
Kinga Walczak ◽  
Nikolas P. Johnston ◽  
Thomas Pape ◽  
James F. Wallman
Keyword(s):  
Laser Scanning ◽  
Instar Larva ◽  
Laser Scanning Microscopy ◽  
Confocal Laser ◽  
Maxillary Palpus ◽  
Larval Morphology ◽  
First Instar ◽  
Morphological Differences ◽  
Thoracic And Abdominal ◽  
First Time

AbstractThe first instar larva of a species of the Australian endemic genus Aenigmetopia Malloch is described for the first time, along with the first instar larvae of three other Australian species representing the genera Amobia Robineau-Desvoidy and Protomiltogramma Townsend. Larval morphology was analysed using a combination of light microscopy, confocal laser scanning microscopy and scanning electron microscopy. The following morphological structures are documented: pseudocephalon, antennal complex, maxillary palpus, facial mask, modifications of thoracic and abdominal segments, anal region, spiracular field, posterior spiracles and details of the cephaloskeleton. Substantial morphological differences are observed between the three genera, most notably in the labrum and mouthhooks of the cephaloskeleton, sensory organs of the pseudocephalon, spinulation, sculpture of the integument and form of the spiracular field. The first instar larval morphology of Aenigmetopia amissa Johnston, Wallman, Szpila & Pape corroborates the close phylogenetic affinity of Aenigmetopia Malloch with Metopia Meigen, inferred from recent molecular analysis. The larval morphology of Amobia auriceps (Baranov), Protomiltogramma cincta Townsend and Protomiltogramma plebeia Malloch is mostly congruent with the morphology of Palaearctic representatives of both genera.

Surgical Management of Blunt Thoracic and Abdominal Injuries in Quebec: A Limited Volume

2007 ◽  
Vol 62 (6) ◽  
pp. 1421-1426 ◽  
Author(s):  
Eric Bergeron ◽  
Andre Lavoie ◽  
Amina Belcaid ◽  
Lynne Moore ◽  
David Clas ◽  
...  
Keyword(s):  
Surgical Management ◽  
Abdominal Injuries ◽  
Limited Volume ◽  
Thoracic And Abdominal ◽  
Thoracic And Abdominal Injuries

Final stage larvae and puparia of Platypezidae (Diptera)

2004 ◽  
Vol 35 (1) ◽  
pp. 79-105 ◽  
Author(s):  
Peter Chandler ◽  
Francis Gilbert ◽  
Graham Rotheray
Keyword(s):  
Phylogenetic Analysis ◽  
Final Stage ◽  
Abdominal Segment ◽  
Early Stage ◽  
Dorsal Surface ◽  
Uniform Pattern ◽  
Thoracic And Abdominal ◽  
Head Skeleton ◽  
Basal Position

AbstractPlatypezidae occupy an important basal position within the Muscomorpha. However, morphological analyses of larval Platypezidae are incomplete and early stage data is insufficient to inform phylogenetic analysis and recognition of groundplan characters and states within Muscomorpha. For example, knowledge is poor of the characters of respiratory organs, head, head skeleton, thorax and segmental sensilla. In this study we describe and compare these features of 16 species in 11 genera. The head appears as a distinct fleshy organ with atrium and antennae and maxillary organs separated on the dorsal surface. Head skeletons are characterised by an anteriorly projecting labrum and labium with laterally placed mandibles. The prothorax is frequently armoured with sclerotised regions and spicules. A repeated and uniform pattern of up to 11 pairs of sensilla circumvent each thoracic and abdominal segment. Respiratory organs vary little in size and arrangement of spiracular openings. Using a set of 43 larval and puparial characters and based on a Brachyceran outgroup, a sequence of genera is established which places Melanderomyia as the most basal. These results are compared with estimates of phylogeny based on adult characters.

Thoracic Leg Control of Abdominal Extension in the Crayfish, Procambarus Clarkii

1981 ◽  
Vol 90 (1) ◽  
pp. 85-100
Author(s):  
CHARLES H. PAGE
Keyword(s):  
Procambarus Clarkii ◽  
Mean Values ◽  
Extensor Muscles ◽  
Carpal Joint ◽  
The Mean ◽  
Leg Movement ◽  
Abdominal Appendages ◽  
Thoracic And Abdominal ◽  
Abdominal Movement ◽  
Stimulation Of

Postural extensions of the abdomen of the crayfish, Procambarus clarkii, could be evoked by mechanical stimulation of a single thoracic leg. Movement of a single leg joint was sufficient to initiate an extension response. Vigorous abdominal extensions were initiated either by depression of the whole leg (WLD) or by flexion of the mero-carpal joint (MCF). Weaker extension responses were obtained by depression of the thoracic-coxal and coxo-basal joints. Similar stimulation of the chelipeds did not elicit an abdominal extension response. Single-frame analysis of motion pictures of crayfish responding to WLD or MCF stimulation of a 2nd thoracic leg showed that the responses evoked by the two different stimulus situations were nearly identical. They differed principally in the responses of the leg located contralateral to the stimulated leg. Movements of most of the cephalic, thoracic and abdominal appendages accompanied the abdominal extension response. Only the eyes remained stationary throughout the response. The mean values of the latencies for the initiation of appendage movement ranged from 125 to 204 ma; abdominal movement had a mean latency of about 220 ms. The abdominal extension reflex resulted from the activity of the tonic superficial extensor muscles. The deep phasic extensor muscles were silent during the response. The mean latencies for the initiation of superficial extensor muscle activity by WLD and MCF stimulation were 53·7 and 50·0 ms respectively.

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