China
Africa
Explore chapters and articles related to this topic
Emergency Surgery
Published in Tjun Tang, Elizabeth O'Riordan, Stewart Walsh, Cracking the Intercollegiate General Surgery FRCS Viva, 2020
Alastair Brookes, Yiu-Che Chan, Rebecca Fish, Fung Joon Foo, Aisling Hogan, Thomas Konig, Aoife Lowery, Chelliah R Selvasekar, Choon Sheong Seow, Vishal G Shelat, Paul Sutton, Colin Walsh, John Wang, Ting Hway Wong
Why are females more likely to develop femoral herniae?Normally, ileopsoas and pectineus muscle acts as a barrier to development of hernia. Ageing atrophy of muscle mass and a wide pelvis in women make them prone to develop femoral hernias.
Blocks of Nerves of the Lumbar Plexus Supplying the Lower Extremities
Published in Bernard J. Dalens, Jean-Pierre Monnet, Yves Harmand, Pediatric Regional Anesthesia, 2019
Bernard J. Dalens, Jean-Pierre Monnet, Yves Harmand
Below the inguinal ligament, the femoral nerve lies in the femoral triangle, limited by: (1) laterally, the medial border of the sartorius muscle; (2) medially, the lateral border of the adductor longus muscle; and (3) rostrally, the inguinal ligament. The femoral triangle is covered by the fascia lata. Its floor is formed by the pectineus muscle (medially) and the iliopsoas muscle (laterally). The femoral vessels are bundled by the femoral sheath and lie immediately below the fascia lata. The femoral nerve is adjacent and lateral to the artery, but is deep to the fascia iliaca, not bundled with the vessels within the femoral sheath.16
Pericapsular nerve group block for analgesia of positioning pain during spinal anesthesia in hip fracture patients, a randomized controlled study
Published in Egyptian Journal of Anaesthesia, 2020
Alrefaey K. Alrefaey, Mohamed A. Abouelela
On arrival in the operating theater, automatic noninvasive blood pressure, electrocardiograph, and pulse oximetry were recorded and a wide bore cannula (18 G) was secured. In the PENG group, the block as described by Girón-Arango et al. [10] was performed with the patient in the supine position using ultrasound guidance (high-frequency probe, L7M-A probe7.5 MHz, CHISON, Jiangsu, China). The probe was initially placed in a transverse plane over the anterior inferior iliac spine (AIIS), and then rotated 45 degrees anticlockwise to be roughly aligned with the pubic ramus. As shown in Figure 2, after keeping the iliopectineal imminence| (IPE), the iliopsoas muscle and tendon, the femoral artery, and pectineus muscle were maintained in the view, a 22-gauge, 80-mm needle was introduced from lateral to medial in an in-plane approach. When the tipoff the needle is visualized in the musculofascial plane between the psoas tendon anteriorly and the pubic ramus posteriorly, 20 ml of local anesthetic (LA) solution (bupivacaine 0.25%) was injected in 5-mL increments while observing for adequate fluid spread. Negative aspiration is performed at the start of the injection and after each 5 mls of the injectate. Patients arterial blood pressure and electrocardiographic tracings, respiratory rate, and pulse oximetry were evaluated noninvasively at 5 min intervals for 30 min after the injection. Also, patients were carefully observed to detect any symptom of LA toxicity of the anesthetic agent.
Arthroscopic versus open, medial approach, surgical reduction for developmental dysplasia of the hip in patients under 18 months of age
Published in Acta Orthopaedica, 2019
Serda Duman, Yalkin Camurcu, Hakan Sofu, Hanifi Ucpunar, Deniz Akbulut, Timur Yildirim
Medial approach open reduction was performed through a transverse incision measuring 5 cm in length. After dissecting the adductor longus muscle, broad exposure of the surgical field was achieved with dissection of the pectineus muscle. Tenotomy of the iliopsoas was performed, and the joint capsule was incised. Subsequently, we excised the ligamentum teres, as well as the pulvinar tissue, followed by incision of the transverse acetabular ligament. The femoral head was then reduced into the acetabular cavity. Post-reduction stability was confirmed, and the surgical incision was sutured. A pelvipedal cast was applied in the human position of 100° flexion, < 50° of abduction, and < 10° of internal rotation.