Anatomically Based Surgical Dissection for Deep Endometriosis Surgery
Nazar N. Amso, Saikat Banerjee in Endometriosis, 2022
Indeed, according to its structure, the endopelvic fascia can be divided into three types:MembranousThe membranous fascia is divided into parietal and visceral. The parietal pelvic fascia (PPF), which covers bones and muscles limiting the pelvic cavity, reflects on the pelvic organs (except ovaries and tubes), forming the visceral pelvic fascia (VPF).FibroareolarThe connective tissue between the VPF and the PPF is called the ‘extraserous pelvic fascia' (EPF). It acts as a mesentery containing vessels and nerve branches. In some anatomical locations, the connective tissues of EPF are thicker, producing ‘visceral ligaments'.
General Anatomy
Gene L. Colborn, David B. Lause in Musculoskeletal Anatomy, 2009
The superficial fascia is also called tela subcutanea, subcutaneous tissue, and the hypodermis (as in hypodermic needle). This is a layer of connective tissues which, among other things, serves in attaching the skin to underlying bone, deep fascia or muscular fascia by means of retinacula cutis. In certain parts of the body the superficial fascia is composed of an outer, fatty layer and a deeper, membranous layer. This is particularly true in the abdominal wall and in the proximal parts of the limbs. The fibrous and areolar tissues of the superficial fascia vary in their quantity of adipose tissue (fat) from one part of the body to another. There is little fat in the eyelids, for example, but the deposits in the buttocks, abdominal wall and limbs can be very great.
Anatomy
J. Richard Smith, Giuseppe Del Priore, Robert L. Coleman, John M. Monaghan in An Atlas of Gynecologic Oncology, 2018
Parietal pelvic fascia lines the muscles that form the pelvic walls and floor, and is continuous with transversalis and iliopsoas fascias. Visceral pelvic fascia encloses pelvic organs and forms their adventitial layers. Both parietal and visceral fascias are continuous where viscera penetrate the pelvic floor. Here, parietal fascia thickens, forming the bilateral tendinous arch (arcus) that courses from pubis to sacrum (Figures 4.2 and 4.3), adjacent to the viscera. In females, the arcus is divided into the anterior pubovesicular ligament and the posterior sacrogenital ligaments. This lateral attachment of visceral fascia of the vagina with the arcus is called the paracolpium. The paracolpium supports the vagina and assists in the weight bearing of the urinary fundus. Because of its anatomical course and thickness, the arcus can be used to anchor sutures during reconstructive procedures.
Safety and effectiveness of fascial therapy in adult patients with hemophilic arthropathy. A pilot study
Published in Physiotherapy Theory and Practice, 2018
Elena Donoso-Úbeda, Javier Meroño-Gallut, José Antonio López-Pina, Rubén Cuesta-Barriuso
The fascial system includes connective structures that support and cover the muscles, joint capsules, and organs. Recent reviews of the concept of integrated fascial network (Findley, Chaudhry, Stecco, and Roman 2012) also include the soft collagen connective tissue, such as superficial fascia and endomysium; or dense connective structures, including the dura mater, periosteum, perineurium, and fibrous capsular layers of the vertebrae and discs, the sheaths of the visceral structures as well as the bronchial connective tissue and the mesentery of the abdomen (Schleip, Jäger, and Klingler 2012). Schleip (2003a, 2003b), Pilat (2003), and Rivard et al. (2011) explain the clinical effects obtained with manual maneuvers of fascial therapy in thixotropic changes and tissue viscosity. They also refer to the piezoelectric effect of the collagen present in the connective tissue or as a consequence of the stimulation of the nervous system.
Comparison and convergence of compartment syndrome techniques: a narrative review
Published in Expert Review of Medical Devices, 2023
Naveen Sharma, Nitin Mohan Sharma, Apurva Sharma, Sarfaraj Mirza
Figure 1 [3] describes the structure of a calf, showing the compartments. Compartment syndrome is a disorder characterized by increased pressure on the tissues or muscles, which is caused by an injury that causes swelling or bleeding within the compartment. Because fascia tissue does not stretch or expand easily, it helps maintain the position of the muscles. Consequently, any swelling, bleeding, or fluid release inside the compartment will exert additional pressure on the muscles, nerves, and so forth, which reduces the oxygenated blood flow and nutrients inside the compartment, resulting in internal damage. This condition may cause irreversible tissue damage if left untreated. Figure 2 [3] represents the condition of compartment syndrome, in which the blood flow has been reduced due to the increased pressure inside the compartments.
Is type 1 tympanoplasty effective in elderly patients? Comparison of fascia and perichondrium grafts
Published in Acta Oto-Laryngologica, 2019
Serkan Cayir, Serkan Kayabasi, Omer Hizli
Forty-nine elderly patients undergone tympanoplasty were eligible for the study. The characteristics of the fascia and perichondrium groups were presented in Table 1. Tympanoplasty operations were performed in 22 (44.9%) right ears and 27 (55.1%) left ears. The overall mean air and bone conduction thresholds were 44.8 ± 12.2 dB and 17.9 ± 12.8 dB, respectively. Overall graft success rate was 85.7% (42 out of 49 patients). After a mean follow-up period of 23.3 ± 8.32 months, the overall mean ABG gain was 11.33 ± 8.42 dB. The overall functional success rate was 65.3% (32 out of 49 patients). The overall median postoperative ABG (9 dB) was significantly lower compared to the overall median preoperative ABG (24 dB) (p < .001). Thus, we found that type 1 tympanoplasty was an effective surgical procedure in elderly patients.
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