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[PMID]:29419689
[Au] Autor:Lin CZ; Xia X; Wang H; Liu DX
[Ad] Endereço:Shantou University Medical School Postgraduate Student, Shantou University Medical College.
[Ti] Título:Surgical reconstruction of the fascia lata and posterior tibial artery perforator flap to treat children with simultaneous injury to the Achilles tendon and heel skin.
[So] Source:Medicine (Baltimore);97(6):e9834, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Children with simultaneous injury to the Achilles tendon and heel skin remain a challenge for clinicians. The purpose of this study is to evaluate a combined surgical procedure involving use of the fascia lata to reconstruct the Achilles tendon, and the posterior tibial artery perforator flap to cover the accompanying heel skin injury.Between February 2010 and February 2013, 8 children (3 females and 5 males) between 3 and 12 years of age, with a median age of 7.5 years, were hospitalized in the First Affiliated Hospital of Shantou University Medical College. All injuries involved damage to an Achilles tendon and heel skin. In all patients, the fascia lata was transplanted to reconstruct the Achilles tendon and the posterior tibial artery perforator flap transplanted to cover the skin injury.Hospitalization was 11 to 15 days (mean 13.5 days). Local necrosis (15% of the area) occurred in 1 flap, but healed after changing dressing. All other flaps survived well. At follow-up after 1 to 2 years, all children had recovered good plantar-flexion and supported their weight while walking. Use of the Arner-Lindholm standard to rate clinical efficacy revealed that of the 8 cases, 6 cases showed excellent recovery and 2 were good, with 0 cases ranking moderate or poor. The excellent and good rate was 100%.Child patients with Achilles tendon injury accompanied by heel skin injury are still a challenge for clinicians. Use of the fascia lata, combined with a posterior tibial artery perforator flap, to reconstruct the Achilles tendon and heel skin for children is a feasible, safe, effective method, faster than other methods for recovery, and should be widely applied in the clinic.
[Mh] Termos MeSH primário: Tendão do Calcâneo
Procedimentos Cirúrgicos Dermatológicos/métodos
Fascia Lata/transplante
Calcanhar
Procedimentos Cirúrgicos Reconstrutivos
Pele/lesões
[Mh] Termos MeSH secundário: Tendão do Calcâneo/lesões
Tendão do Calcâneo/cirurgia
Criança
Pré-Escolar
China
Feminino
Calcanhar/lesões
Calcanhar/cirurgia
Seres Humanos
Masculino
Avaliação de Processos e Resultados (Cuidados de Saúde)
Retalho Perfurante/irrigação sanguínea
Procedimentos Cirúrgicos Reconstrutivos/instrumentação
Procedimentos Cirúrgicos Reconstrutivos/métodos
Traumatismos dos Tendões/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180209
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009834


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[PMID]:28238018
[Au] Autor:Flato R; Passanante GJ; Skalski MR; Patel DB; White EA; Matcuk GR
[Ad] Endereço:Department of Radiology, Keck School of Medicine, University of Southern California, 1520 San Pablo Street, Suite L1600, Los Angeles, CA, 90033, USA.
[Ti] Título:The iliotibial tract: imaging, anatomy, injuries, and other pathology.
[So] Source:Skeletal Radiol;46(5):605-622, 2017 May.
[Is] ISSN:1432-2161
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:The iliotibial tract, also known as Maissiat's band or the iliotibial band, and its associated muscles function to extend, abduct, and laterally rotate the hip, as well as aid in the stabilization of the knee. A select group of associated injuries and pathologies of the iliotibial tract are seen as sequela of repetitive stress and direct trauma. This article intends to educate the radiologist, orthopedist, and other clinicians about iliotibial tract anatomy and function and the clinical presentation, pathophysiology, and imaging findings of associated pathologies. Specifically, this article will review proximal iliotibial band syndrome, Morel-Lavallée lesions, external snapping hip syndrome, iliotibial band syndrome and bursitis, traumatic tears, iliotibial insertional tendinosis and peritendonitis, avulsion fractures at Gerdy's tubercle, and Segond fractures. The clinical management of these pathologies will also be discussed in brief.
[Mh] Termos MeSH primário: Fascia Lata/diagnóstico por imagem
Fascia Lata/patologia
Lesões do Quadril/diagnóstico por imagem
Traumatismos do Joelho/diagnóstico por imagem
Imagem por Ressonância Magnética/métodos
Radiografia/métodos
[Mh] Termos MeSH secundário: Fascia Lata/anatomia & histologia
Fascia Lata/lesões
Lesões do Quadril/patologia
Articulação do Quadril/anatomia & histologia
Articulação do Quadril/diagnóstico por imagem
Articulação do Quadril/patologia
Seres Humanos
Síndrome da Banda Iliotibial/diagnóstico por imagem
Síndrome da Banda Iliotibial/patologia
Traumatismos do Joelho/patologia
Articulação do Joelho/diagnóstico por imagem
Articulação do Joelho/patologia
Coxa da Perna/anatomia & histologia
Coxa da Perna/diagnóstico por imagem
Coxa da Perna/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170227
[St] Status:MEDLINE
[do] DOI:10.1007/s00256-017-2604-y


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[PMID]:28192858
[Au] Autor:Ogami K; Murata H; Sakai A; Sato S; Saiki K; Okamoto K; Manabe Y; Hara T; Tsurumoto T
[Ad] Endereço:Department of Macroscopic Anatomy, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
[Ti] Título:Deep and superficial circumflex iliac arteries and their relationship to the ultrasound-guided femoral nerve block procedure: A cadaver study.
[So] Source:Clin Anat;30(3):413-420, 2017 Apr.
[Is] ISSN:1098-2353
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The in-plane lateral to medial approach is a standard technique for ultrasound-guided femoral nerve block (USG-FNB). The first bifurcation of the femoral artery, which consists of the deep artery of the thigh (DAT) or occasionally the lateral circumflex femoral artery (LCFA), is regarded as the distal border for this procedure. We sometimes detect arteries along the estimated needle trajectory for USG-FNB. The superficial (SCIA) and deep (DCIA) circumflex iliac arteries run laterally parallel to the inguinal ligament from the femoral or external iliac artery. The relationship between the SCIA and DCIA and other anatomical structures related to USG-FNB around the femoral triangle region was studied by gross anatomical examination of 100 formalin-fixed adult cadavers. At least one SCIA and one DCIA were identified around each femoral triangle; 81.8% of SCIA and 58% of DCIA originated from the femoral artery. All DCIA coursed between the fascia lata and fascia iliaca and 80% of SCIA penetrated the fascia lata. In 94% of femoral triangles, at least one arterial branch heading towards the lateral part of the thigh originated from the femoral artery from the level of the inguinal ligament to the first bifurcation of the femoral artery. The presence of SCIA and DCIA should be considered during USG-FNB using the in-plane lateral to medial approach to avoid inadvertently injuring them, as they are occasionally located along the presumed needle trajectory superficial to the fascia iliaca. Clin. Anat. 30:413-420, 2017. © 2017 Wiley Periodicals, Inc.
[Mh] Termos MeSH primário: Fascia Lata/anatomia & histologia
Artéria Femoral/anatomia & histologia
Artéria Ilíaca/anatomia & histologia
Bloqueio Nervoso/métodos
[Mh] Termos MeSH secundário: Adulto
Cadáver
Feminino
Nervo Femoral
Seres Humanos
Masculino
Cirurgia Assistida por Computador
Ultrassonografia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170717
[Lr] Data última revisão:
170717
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170214
[St] Status:MEDLINE
[do] DOI:10.1002/ca.22852


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[PMID]:28170062
[Au] Autor:Damm H; Bruun Lauritzen J; Løvendahl Jørgensen H
[Ad] Endereço:Bispebjerg Hospital, University of Copenhagen - Department of Orthopaedic Surgery Copenhagen, Denmark - Copenhagen, Denmark.
[Ti] Título:[Pseudohypertrophy of musculus tensor fascia lata presenting as a soft tissue tumor: a case report].
[Ti] Título:Muskulär pseudo­hypertrofi yttrade sig som mjukdels­tumör - Denervering av tensor fasciae latae visade sig vara orsaken..
[So] Source:Lakartidningen;114, 2017 02 03.
[Is] ISSN:1652-7518
[Cp] País de publicação:Sweden
[La] Idioma:swe
[Ab] Resumo:Pseudohypertrophy of musculus tensor fascia lata presenting as a soft tissue tumor: a case report Conditions presenting as palpable soft tissue masses are a common clinical issue. This case report describes a patient with unilateral pseudohypertrophy of m. tensor fasciae latae, which is an uncommon differential diagnosis for a palpable soft tissue mass. The patient presented a palpable soft tissue mass located proximally and anteriorly on the right thigh. The primary concern was a sarcoma. The patient was examined with magnetic resonance imaging and electromyography and it could be concluded that the patient had pseudohypertrophy, i.e. accumulation of excess fat and connective tissue inside m. tensor fasciae lata which was caused by impaired function of the efferent nerve at the spinal level. If the diagnosis of soft tissue masses cannot be revealed with thorough clinical history and examination, magnetic resonance imaging is recommended for further investigation.
[Mh] Termos MeSH primário: Fascia Lata/diagnóstico por imagem
Hipertrofia/diagnóstico por imagem
Imagem por Ressonância Magnética
[Mh] Termos MeSH secundário: Diagnóstico Diferencial
Fascia Lata/patologia
Seres Humanos
Masculino
Meia-Idade
Neoplasias de Tecidos Moles/diagnóstico por imagem
[Pt] Tipo de publicação:CASE REPORTS
[Em] Mês de entrada:1705
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170208
[St] Status:MEDLINE


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[PMID]:28040525
[Au] Autor:Ho YF; Wu SY; Tsai YJ
[Ad] Endereço:Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, and the College of Medicine, Chang Gung University, Taoyuan, Taiwan.
[Ti] Título:Factors Associated With Surgical Outcomes in Congenital Ptosis: A 10-Year Study of 319 Cases.
[So] Source:Am J Ophthalmol;175:173-182, 2017 Mar.
[Is] ISSN:1879-1891
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To evaluate the 10-year results of surgery for congenital ptosis and identify factors associated with excellent outcomes and recurrence. DESIGN: Retrospective, interventional case series. METHODS: A retrospective analysis was conducted of 319 patients who underwent surgical correction at a tertiary medical center for congenital ptosis. The main outcome measures were postoperative surgical outcomes and recurrence rates. Excellent lid height was assessed as a marginal reflex distance (MRD) greater than 3 mm. Recurrence was defined as a lid height less than 50% of the initial postoperative lid height. RESULTS: The overall surgical success rate was 97.2%. On multivariate analysis, 3 factors were significantly associated with a greater probability of achieving excellent lid height: treatment using levator muscle resection (LMR) (adjusted odds ratio [OR], 1.76; P = .04), better preoperative MRD (adjusted OR, 2.21; P < .001), and absence of Marcus Gunn (jaw-winking) syndrome (adjusted OR, 0.12; P = .01). For recurrence, 7 significant risk factors were identified: children less than 1 year old (adjusted OR, 4.92; P = .02), poorer preoperative MRD (adjusted OR, 0.64; P = .04), poorer postoperative MRD (adjusted OR, 0.32; P < .001), treatment with frontalis suspension (FS) (adjusted OR, 5.86; P < .001), wound infection (adjusted OR, 9.45; P = .02), postoperative entropion (adjusted OR, 11.25; P = .003), and conjunctival prolapse (adjusted OR, 7.10; P = .03). Kaplan-Meier analysis showed that the 1-, 5-, and 10-year recurrence-free rates were 97.3% ± 1.2%, 80.5% ± 4.4%, and 76.7% ± 5.6%, respectively, for the LMR group and 90.9% ± 3.1%, 42.9% ± 8.1%, and 20.8% ± 10.1%, respectively, for the FS group (P < .001, log-rank test). CONCLUSIONS: Surgical treatment of congenital ptosis had a high success rate. Identifying the risk factors and taking appropriate measures may result in better surgical outcomes and less recurrence. Our retrospective study showed that the likelihood of achieving excellent outcomes with lower recurrence rates was higher with LMR than with FS. However, a prospective randomized study is necessary to clarify their efficacy.
[Mh] Termos MeSH primário: Blefaroplastia/métodos
Blefaroptose/cirurgia
Pálpebras/cirurgia
Fascia Lata/transplante
Previsões
Músculos Oculomotores/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Blefaroptose/congênito
Blefaroptose/fisiopatologia
Criança
Pré-Escolar
Feminino
Seguimentos
Seres Humanos
Lactente
Recém-Nascido
Masculino
Recidiva
Estudos Retrospectivos
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170504
[Lr] Data última revisão:
170504
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170102
[St] Status:MEDLINE


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[PMID]:27988149
[Au] Autor:Pidgeon TE; Boca R; Fatah F
[Ad] Endereço:Department of Plastic Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge Biomedical Campus, Hills Road, Cambridge CB2 0QQ, United Kingdom. Electronic address: tompidgeon@hotmail.com.
[Ti] Título:A technique for facial reanimation: The partial temporalis muscle-tendon transfer with a fascia lata sling.
[So] Source:J Plast Reconstr Aesthet Surg;70(3):313-321, 2017 Mar.
[Is] ISSN:1878-0539
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This report describes the results of a surgical procedure for facial reanimation. This single-stage technique involves the orthodromic transfer of only a superficial segment of the temporalis tendon. This is extended with fascia lata to achieve elevation of the oral commissure along the desired vector in the paralysed hemi-face. METHODS: A retrospective case note review was performed. Patients' photographs were objectively evaluated with Facial Assessment by Computer Evaluation (FACE) software. RESULTS: Thirty-nine patients underwent the procedure from 2001 to 2011. Median age at the operation was 57.0 years (interquartile range (IQR) 38.2-66.3 years), and median duration of follow-up was 0.9 years (IQR 0.5-1.8 years). All patients achieved early improvements in appearance and function after surgery. Three patients underwent further, minor procedures for aesthetic and functional adjustments around the oral commissure. Complications occurred in three patients: two minor facial haematomas and one thigh wound infection. The surgery did not disturb natural temporalis muscle function. FACE analysis demonstrated that no significant movement of the oral commissure occurred during attempted smiling in the paralysed hemi-face before surgery. However, symmetry was achieved when the healthy and paralysed hemi-faces were compared post-operatively, both in repose and during controlled smiling. CONCLUSIONS: This modified, single-stage technique for facial reanimation improves commissure mobilisation and has been objectively shown to restore symmetry of the commissure to the reanimated hemi-face.
[Mh] Termos MeSH primário: Músculos Faciais/cirurgia
Paralisia Facial/cirurgia
Transferência Tendinosa/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Fascia Lata/transplante
Feminino
Retalhos de Tecido Biológico
Seres Humanos
Masculino
Meia-Idade
Músculo Temporal/transplante
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170417
[Lr] Data última revisão:
170417
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161219
[St] Status:MEDLINE


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[PMID]:27906473
[Au] Autor:Shimizu N; Tarlton J; Friend E; Doran I; Parsons K
[Ad] Endereço:Department of Clinical Sciences (Companion Animals), College of Veterinary Medicine, University of Liège, Liège, Belgium.
[Ti] Título:Tensile Comparison of Polydioxanone, Polyglyconate, and Barbed Glycolide-Trimethylene Carbonate Suture in Canine Cadaveric Tensor Fascia Lata.
[So] Source:Vet Surg;46(1):89-94, 2017 Jan.
[Is] ISSN:1532-950X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To compare the mode of failure, load at yield, ultimate load to failure and stiffness of non-barbed polydioxanone, non-barbed polyglyconate and barbed glycolide-trimethylene carbonate (GTC) suture in canine cadaveric fascia. STUDY DESIGN: Ex vivo biomechanical study. SAMPLE POPULATION: 18 fascia lata specimens from 9 canine cadavers. METHODS: 6 fascia lata specimens were sutured with polydioxanone, 6 with polyglyconate, and 6 with barbed GTC suture. Load at yield, stiffness, ultimate load to failure were measured using tensile strength testing. Statistical analysis was used to compare outcomes between suture materials. The mode of failure was recorded and described. RESULTS: The load at yield and ultimate load to failure were significantly greater for polydioxanone than barbed GTC (P=.045 and P=.016, respectively). The load at yield and ultimate load to failure was not significantly different between polydioxanone and polyglyconate (P=.687 and P=.586, respectively). The load at yield and the ultimate load to failure was not significantly different between polyglyconate and barbed GTC (P=.194 and P=.109, respectively). Stiffness was not different between constructs (P=.103). Polydioxanone and polyglyconate failed by suture breakage and suture pullout. Barbed GTC failed by suture slippage and suture breakage. CONCLUSION: Our results showed that under the conditions of this study, 4-0 monofilament polydioxanone had a greater load at yield and load to failure than similarly sized, barbed copolymer suture in the fascia lata. This finding may help direct suture choice for fascial closure.
[Mh] Termos MeSH primário: Cães/cirurgia
Fascia Lata/cirurgia
Técnicas de Sutura/veterinária
Suturas/veterinária
[Mh] Termos MeSH secundário: Parede Abdominal/cirurgia
Animais
Fenômenos Biomecânicos
Cadáver
Dioxanos
Polidioxanona
Polímeros
Resistência à Tração
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Dioxanes); 0 (Polymers); 31621-87-1 (Polydioxanone); 4316AQ174Q (trimethylene carbonate); 75734-93-9 (polyglyconate)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161202
[St] Status:MEDLINE
[do] DOI:10.1111/vsu.12580


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[PMID]:27875710
[Au] Autor:Zeng L; Jiang C; Li N; Liu W; Wang F; Guo F
[Ad] Endereço:Resident, Department of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, China.
[Ti] Título:Vascularized Fascia Lata for Prevention of Postoperative Parotid Fistula Arising From Partial Parotidectomy During Neck Dissection.
[So] Source:J Oral Maxillofac Surg;75(5):1071-1080, 2017 May.
[Is] ISSN:1531-5053
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Postoperative parotid fistula can occur after partial parotidectomy, which is a routine surgical procedure during neck dissection of oral cancers arising from or close to the oropharyngeal area. The aim of this study was to evaluate the reliability of vascularized fascia lata for the prevention of postoperative parotid fistula after neck dissection. MATERIALS AND METHODS: A retrospective review was conducted of patients with oral cancer who underwent ablative resection involving the parotid tail and reconstruction using the anterolateral thigh (ALT) flap with a vascularized fascia lata paddle. The vascularized fascia lata paddle was used to seal off the parotid stump by tightly suturing the edges of the fascia lata and parotid wound together. RESULTS: Twenty-three patients (18 men and 5 women) with primary oral cancer arising from or close to the oropharyngeal area were enrolled. The mean area of parotid defect was 16.7 cm and the mean area of fascia lata harvested was 21.8 cm . All flaps survived. Pressure dressing or anticholinergic drugs were not used in any case. During the follow-up period, there was no clinical evidence of the development of parotid fistula. CONCLUSION: The vascularized fascia lata paddle is a reliable option for the prevention of postoperative parotid fistula after neck dissection of oral cancer.
[Mh] Termos MeSH primário: Fascia Lata/irrigação sanguínea
Fístula/prevenção & controle
Cuidados Intraoperatórios
Esvaziamento Cervical
Doenças Parotídeas/prevenção & controle
Glândula Parótida/cirurgia
Complicações Pós-Operatórias/prevenção & controle
Retalhos Cirúrgicos
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:AIM; D; IM
[Da] Data de entrada para processamento:161123
[St] Status:MEDLINE


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[PMID]:27828897
[Au] Autor:Lind JT; Shute TS; Sheybani A
[Ad] Endereço:Washington University Saint Louis School of Medicine, Saint Louis, Missouri, USA.
[Ti] Título:Patch graft materials for glaucoma tube implants.
[So] Source:Curr Opin Ophthalmol;28(2):194-198, 2017 Mar.
[Is] ISSN:1531-7021
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE OF REVIEW: Patch graft materials serve multiple purposes in glaucoma surgery. There are several choices of patch graft materials from which the surgeon can choose. Therefore, knowledge as to the choices and the potential risks and benefits of patch graft materials is imperative for the glaucoma surgeon. RECENT FINDINGS: Recent studies evaluate both patch graft materials and techniques. This evaluation is timely as facility reimbursement changes may also impact utilization and technique. SUMMARY: Successful operative outcomes require profound understanding of all potential risks and benefits of patch graft materials and surgical techniques.
[Mh] Termos MeSH primário: Implantes para Drenagem de Glaucoma
Glaucoma/cirurgia
Retalhos Cirúrgicos
[Mh] Termos MeSH secundário: Fascia Lata/transplante
Seres Humanos
Pressão Intraocular
Implante de Prótese/métodos
Esclera/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170314
[Lr] Data última revisão:
170314
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161110
[St] Status:MEDLINE
[do] DOI:10.1097/ICU.0000000000000347


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[PMID]:27329128
[Au] Autor:Morales-Avalos R; Soto-Domínguez A; García-Juárez J; Cardenas-Serna M; Esparza-Hernández CN; Carreño-Salcedo SA; Montes-de-Oca-Luna R; Loera-Arias MJ; Saucedo-Cárdenas O; Elizondo-Omaña RE; Guzmán-López S
[Ad] Endereço:Department of Human Anatomy, Faculty of Medicine, University Autonomous of Nuevo León (U.A.N.L.), Monterrey, Nuevo León, México.
[Ti] Título:Morphological and histomorphometric evaluation of the ventral rectus sheath of the rectus abdominis muscle, fascia lata and pectoral fascia. The beginning of a morphological information bank of human fascias.
[So] Source:Histol Histopathol;32(3):271-282, 2017 Mar.
[Is] ISSN:1699-5848
[Cp] País de publicação:Spain
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to characterize and compare the morphological and histomorphometric characteristics of the pectoral fascia, fascia lata and ventral rectus sheath. Twenty cadaveric samples of these fascias were analyzed and stained with hematoxylin and eosin, orcein, Van Gieson, Masson's trichrome and Verhoeff¨s stain (1200 slides in total). Morphological evaluation, semiquantitative, morphometric and microdensitometric analysis of elastic fibers present in each of the tissues and a morphometrical analysis of tissue thickness were performed. The mean value of the pectoral fascia thickness was 612±68.13 µm; 84±246 µm for the fascia lata and 584±92 µm for the ventral rectus sheath. The area occupied by the elastic fibers in the pectoral fascia was 12.24±5.84%; 6,54±3.85% for the fascia lata and 11.11±5.26% for the ventral rectus sheath. There were no statistically significant differences when comparing the mean values between the pectoral fascia and the ventral rectus sheath (p=0.07). There were statistically significant differences when comparing the fascia lata to the pectoral fascia and the ventral rectus sheath (p≤0.001). This study reports other morphological characteristics not described in previous histological studies of the analyzed tissues. The results of the morphometric and densitometric analysis in this study reveal that the fascia lata has the fewest elastic fibers of all the tissues analyzed, and the pectoral fascia has the most. These results will be useful for the beginning of a morphological information bank of human fascias.
[Mh] Termos MeSH primário: Fascia Lata/anatomia & histologia
Fáscia/anatomia & histologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Cadáver
Estudos Transversais
Seres Humanos
Masculino
Meia-Idade
Reto do Abdome
Tórax
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170420
[Lr] Data última revisão:
170420
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160623
[St] Status:MEDLINE
[do] DOI:10.14670/HH-11-794



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