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#Lymphatics of the Abdomen!!!β‘οΈπ€/?π¨π»ββοΈπ©π»ββοΈ
The lymphatic vessels and nodes of the abdomen drain the abdominal and pelvic organs as well as the pelvic walls and the lower part of the abdominal wall....‡οΈππ»π¨π»ββοΈ
#SoMe4IQLatAm #SoMe4Surgery
The lymphatic vessels and nodes of the abdomen drain the abdominal and pelvic organs as well as the pelvic walls and the lower part of the abdominal wall....‡οΈππ»π¨π»ββοΈ
#SoMe4IQLatAm #SoMe4Surgery
(The upper part of the abdominal wall is drained by the internal thoracic and axillary nodes In addition, the abdominal lymphatics receive lymph from the lower limb, the gonads and the perineum...‡οΈππ»
Polycystic liver disease (PLD)....‡οΈπ
βοΈA heriditary autosomal dominant (AD) disease.
βοΈArises from biliary epithelium, but does not communicate with biliary system....‡οΈ
#SoMe4IQLatAm #SoMe4Surgery
βοΈA heriditary autosomal dominant (AD) disease.
βοΈArises from biliary epithelium, but does not communicate with biliary system....‡οΈ
#SoMe4IQLatAm #SoMe4Surgery
βοΈTypes:) 1ry PLD or an extrarenal manifestation of AD polycystic kidney disease (ADPKD).
βοΈPresentation: usually asymptomatic, hepatomegally, abd pain, jaundice, portal HTN.‡οΈ
βοΈPresentation: usually asymptomatic, hepatomegally, abd pain, jaundice, portal HTN.‡οΈ
βοΈComplications:) hemorrhage, biliary obstruction, Budd-Chiari syndrome, rarely malignant transformation.
LFTs are well preserved and so liver failure will not occur.‡οΈ
LFTs are well preserved and so liver failure will not occur.‡οΈ
10β¦ β‘οΈβ© rules:) for TAPP for inguinal hernia.πβ¦π¨π»ββοΈβ©β¦π©π»ββοΈβ©β¦ππ»β©β¦βοΈβ©β¦β€΅οΈβ©β¦
#SoMe4IQLatAm #SoMe4Surgery
#SoMe4IQLatAm #SoMe4Surgery
Rule 1:) Beginning of Surgeryβ¦β¦βοΈβ©β¦β€΅οΈβ©
π TAPP: Start Flap 4 cm above Deep Ring, Continue from ASIS to Medial Umbilical Ligament
π TEP: Blunt Telescopic Dissection or Balloon Dissection
π TAPP: Start Flap 4 cm above Deep Ring, Continue from ASIS to Medial Umbilical Ligament
π TEP: Blunt Telescopic Dissection or Balloon Dissection
Rule 2:) Dissection Should Follow the Peritoneal Plane
π Keep Fatty Tissue with the Muscle of the Inguinal Floor
π Avoid Exposing Muscle to Preserve Nerves in Zone 1 and Inferior Epigastric Vessels in Zone 3
π Don't Overdissect Nerves
π Zone 3 Dissection is Left for Last‴οΈβ€΄οΈ
π Keep Fatty Tissue with the Muscle of the Inguinal Floor
π Avoid Exposing Muscle to Preserve Nerves in Zone 1 and Inferior Epigastric Vessels in Zone 3
π Don't Overdissect Nerves
π Zone 3 Dissection is Left for Last‴οΈβ€΄οΈ
Cystic neoplasm of pancreas/?π€ππ»ββοΈπ¨π»ββοΈπ©π»ββοΈππ»π‡οΈ
#SoMe4IQLatAm #SoMe4Surgery
#SoMe4IQLatAm #SoMe4Surgery
A:)β‘οΈ Mucinous cystadenomaβ‘οΈβοΈπππ»
π F>M {50 -_- 60 yrs}
π M/c site βοΈ body & tail
π Septate microcyst β solid component
π CECT βοΈ egg shell calcification
π No communication with duct
π Low s.amylase, high CEA level
π Positive mucin stain‡οΈβ€΅οΈ
π F>M {50 -_- 60 yrs}
π M/c site βοΈ body & tail
π Septate microcyst β solid component
π CECT βοΈ egg shell calcification
π No communication with duct
π Low s.amylase, high CEA level
π Positive mucin stain‡οΈβ€΅οΈ
B:)β‘οΈ IPMN(Intraductal Papillary Mucinous Neoplasm)β‘οΈβοΈπ
π F=M {60 -_- 70 yrs}
π M/c site βοΈ Head
π Lobulated polycystic mass β dilated main pancreatic duct
π Endoscopy βοΈ mucin protruding from fish mouth.....ππ»ππ»
π F=M {60 -_- 70 yrs}
π M/c site βοΈ Head
π Lobulated polycystic mass β dilated main pancreatic duct
π Endoscopy βοΈ mucin protruding from fish mouth.....ππ»ππ»
