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Abdominal Anatomy

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1. A prognostic review and meta-analysis of the outcomes of open and endovascular ruptured abdominal aortic aneurysm repair in patients with hostile versus friendly aortic anatomy

A prognostic review and meta-analysis of the outcomes of open and endovascular ruptured abdominal aortic aneurysm repair in patients with hostile versus friendly aortic anatomy Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability

2019 PROSPERO

2. Long-term outcome of sac filling with fibrin sealant after endovascular aneurysm repair of abdominal aortic aneurysm with challenging aortic neck anatomy. (PubMed)

Long-term outcome of sac filling with fibrin sealant after endovascular aneurysm repair of abdominal aortic aneurysm with challenging aortic neck anatomy. A retrospective single-center study is reported here to assess the safety and long-term effectiveness of applying a fibrin sealant (FS) sac-filling strategy to eliminate type IA endoleak (TIAE) after endovascular aneurysm repair (EVAR) of abdominal aortic aneurysm.Characteristics of abdominal aortic aneurysm patients who had challenging (...) proximal aortic neck anatomy (short or angulated) and underwent FS sac filling to resolve TIAE after traditional EVAR in Changhai Hospital between December 2006 and July 2010 were collected and reviewed. Intrasac pressure was measured with a preloaded catheter before and after FS filling to observe the immediate curative effect. The 7- to 10-year long-term effect was evaluated on the basis of the occurrence of endoleak, maximum aneurysm diameter, all-cause mortality, and other severe complications

2019 Journal of Vascular Surgery

3. Use of balloon-expandable stents to support the efficacy of ultra-low profile endografts in the treatment of abdominal aortic aneurysms with challenging iliac anatomy (PubMed)

Use of balloon-expandable stents to support the efficacy of ultra-low profile endografts in the treatment of abdominal aortic aneurysms with challenging iliac anatomy 29757149 2019 03 19 1305-3612 24 2 2018 Mar-Apr Diagnostic and interventional radiology (Ankara, Turkey) Diagn Interv Radiol Use of balloon-expandable stents to support the efficacy of ultra-low profile endografts in the treatment of abdominal aortic aneurysms with challenging iliac anatomy. 113-114 10.5152/dir.2018.17465

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2018 Diagnostic and Interventional Radiology

4. The Influence of a Pfannenstiel Scar on Venous Anatomy of the Lower Abdominal Wall and Implications for Deep Inferior Epigastric Artery Perforator Flap Breast Reconstruction. (PubMed)

The Influence of a Pfannenstiel Scar on Venous Anatomy of the Lower Abdominal Wall and Implications for Deep Inferior Epigastric Artery Perforator Flap Breast Reconstruction. A Pfannenstiel incision involves the obstruction of superficial venous pathways and functional diversion of flow through alternative pathways and adjacent vessels. This study investigated the effect of a prior Pfannenstiel incision on venous anatomy of the lower abdominal wall; specifically, the superficial inferior (...) of donor-site seroma was significantly higher in the study group.This study suggests that the presence of a Pfannenstiel scar may promote the development of direct and total communications between the SIEV and DIEP venae comitantes and branching within the SIEV in the lower abdominal wall, which may facilitate venous drainage of adipose tissue in DIEP flap breast reconstruction.Risk, II.

2017 Plastic and reconstructive surgery

5. Endovascular stent-graft repair of spontaneous aorto-caval fistula secondary to a ruptured abdominal aortic aneurysm: An emergency management of hostile anatomy (PubMed)

Endovascular stent-graft repair of spontaneous aorto-caval fistula secondary to a ruptured abdominal aortic aneurysm: An emergency management of hostile anatomy Although endovascular aneurysm repair of aorto-caval fistula offers a safe and efficient approach compared to traditional open repair, endovascular techniques for the treatment of aorto-caval fistula with ruptured abdominal aortic aneurysms in emergency circumstance are not well established. This study aims to evaluate the effect (...) of endovascular repair of aorto-caval fistula of a patient with ruptured abdominal aortic aneurysm and hostile anatomy.we report a case of an aorto-caval fistula endovascular repaired in a 78-year-old male using a hybrid stent-graft technique.The patient had an uneventful recovery and CTA follow up showed no sign of ACF or any endoleak.This case highlights ACF might be managed by composite endograft implantation with careful and solid sealing of anchoring zones on the two sides.

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2016 SAGE Open Medical Case Reports

6. Application of physician-modified fenestrated stent graft in urgent endovascular repair of abdominal aortic aneurysm with hostile neck anatomy: Case report. (PubMed)

Application of physician-modified fenestrated stent graft in urgent endovascular repair of abdominal aortic aneurysm with hostile neck anatomy: Case report. This study aimed to evaluate the feasibility and effectiveness of the Gore Excluder aortic stent graft (WL Gore & Associates, Inc., Flagstaff, AZ) using the C3 Delivery System after physician modification of fenestration for the urgent treatment of patients with abdominal aortic aneurysm showing hostile neck anatomy.Three urgent cases (...) of abdominal aortic aneurysm with hostile neck anatomy symptom with abdominal pain were reported. The same fenestration method was applied to align the target superior mesenteric artery and bilateral renal arteries with 1 scallop and 2 fenestrations, followed by the reconstruction of the target artery using a bare-metal stent or stent graft. Balloon-assisted positioning and image fusion technology were intraoperatively applied to assist the accurate release of the stent graft body. The follow-up periods

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2016 Medicine

7. Abdominal Anatomy

Abdominal Anatomy Abdominal Anatomy Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Abdominal Anatomy Abdominal Anatomy Aka: Abdominal (...) to external sites (from Bing) These images are a random sampling from a Bing search on the term "Abdominal Anatomy." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Abdomen (C0000726) Definition (FMA) Subdivision of trunk proper which is demarcated from the thorax internally by the inferior surface of the sternocostal part of the diaphragm and externally by the costal margin, from the back of abdomen by the external

2018 FP Notebook

8. Assessment of abdominal trauma

=bestpractice.com Hepatic injury is the most common intra-abdominal organ injury. This topic includes the evaluation of abdominal trauma in adults only. For information on abdominal trauma in children, please go to the Assessment of abdominal pain in children topic. Anatomy The surface anatomy of the abdomen extends from the nipple line to the groin crease anteriorly and from the tips of the scapulae to the gluteal skin crease posteriorly. The specific anatomical boundaries of the abdomen are the diaphragm (...) Assessment of abdominal trauma Assessment of abdominal trauma - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Assessment of abdominal trauma Last reviewed: February 2019 Last updated: August 2018 Summary Trauma is a physical injury caused by transfer of energy to and within the person involved. Abdominal trauma is best categorised by mechanism as blunt or penetrating abdominal injury. The mechanism of injury

2018 BMJ Best Practice

9. Complex endovascular aneurysm repair in patients with juxta-renal or thoraco-abdominal aortic aneurysm

Complex endovascular aneurysm repair in patients with juxta-renal or thoraco-abdominal aortic aneurysm 78 1 Health technology description Key points ? A single prospective observational study compared 30-day outcomes of fenestrated/branched endovascular aneurysm repair (F/B-EVAR) with open surgery repair (OSR) for the treatment of complex aortic aneurysm anatomies: para/juxta-renal aortic aneurysm (PRAA/JRAA) and thoraco-abdominal aortic aneurysm (TAAA). There was no statistically significant (...) to be comparable in terms of urgency of treatment (elective/non-elective), aneurysm anatomy, risk profile, and other demographics. The systematic reviews reported a 30-day mortality for the treatment of JRAA ranging from 1.4% to 4.1% with F-EVAR, 3.1% to 4.1% with OSR, and 5.3% with chimney-EVAR (Ch-EVAR). What is the clinical and cost-effectiveness of complex endovascular aneurysm repair in patients with juxta-renal or thoraco-abdominal aortic aneurysm compared with open surgical repair, and how should

2018 Evidence Notes from Healthcare Improvement Scotland

10. Anatomy of Teaching Anatomy: Do Prosected Cross Sections Improve Students Understanding of Spatial and Radiological Anatomy? (PubMed)

exposed to identical series of lectures regarding anatomy of the abdomen and conventional cadaveric prosections of the abdomen. The test group (n = 77, 48.4%) was also exposed to cadaveric cross-sectional slices of the abdomen to which the control group (n = 82, 51.6%) was blinded. At the end of the teaching session both groups were assessed by using their performance in a timed multiple choice question paper as well as ability to identify structures in abdominal CT films. Results. Scores for spatial (...) Anatomy of Teaching Anatomy: Do Prosected Cross Sections Improve Students Understanding of Spatial and Radiological Anatomy? Introduction. Cadaveric dissections and prosections have traditionally been part of undergraduate medical teaching. Materials and Methods. Hundred and fifty-nine first-year students in the Faculty of Medicine, University of Colombo, were invited to participate in the above study. Students were randomly allocated to two age and gender matched groups. Both groups were

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2016 Anatomy research international

11. Five-year results of endovascular abdominal aortic aneurysm repair with the Ovation abdominal stent graft. (PubMed)

Five-year results of endovascular abdominal aortic aneurysm repair with the Ovation abdominal stent graft. Endovascular abdominal aortic aneurysm repair (EVAR) has been rigorously compared with open repair for the treatment of abdominal aortic aneurysms in randomized trials and observational studies, but a comparison of individual devices is lacking, and single-device registries and trials are limited by small sample size. Here we report a descriptive analysis of the Effectiveness of Custom (...) Seal with Ovation: Review of the Evidence (ENCORE) database, pooled results of multiple studies evaluating the midterm results of EVAR with the Ovation Abdominal Stent Graft Platform.This is a retrospective analysis of the ENCORE database, a cohort of patients undergoing EVAR with the Ovation platform composed of pooled, prospectively collected data from 1296 patients from five clinical trials and the prospectively maintained European Union Post-Market Registry. The primary outcomes were 5-year

2019 Journal of Vascular Surgery

12. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm - Journal of Vascular Surgery Email/Username: Password: Remember me Search JVS Journals Search Terms Search within Search Access provided by Volume 67, Issue 1, Pages 2–77.e2 The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic (...) . Starnes Affiliations Department of Surgery, University of Washington, Seattle, Wash , MD l DOI: | | ---- Fig 1 The annual adult per capita cigarette consumption and age-adjusted abdominal aortic aneurysm ( AAA ) deaths per 100,000 white men by year in the United States. ---- | ---- Fig 2 A, Influence of smoking (current vs ex/never) on aneurysm enlargement in individual studies and meta-analysis (see primary source for individual study citations). B, Influence of diabetes on aneurysm enlargement

2018 Society for Vascular Surgery

13. A Case of Fatal Colonic Perforation without Abdominal Exam Findings

A Case of Fatal Colonic Perforation without Abdominal Exam Findings Spotlight: A Case of Fatal Colonic Perforation without Abdominal Exam Findings – Clinical Correlations Search Spotlight: A Case of Fatal Colonic Perforation without Abdominal Exam Findings June 14, 2018 6 min read By Christopher Sonne, MD Peer reviewed Learning Objectives: 1. Understand the pathophysiology of peritonitis secondary to bowel perforation. 2. Understand how classic findings of peritonitis can be absent in some (...) cases of bowel perforation. 3. Recognize bowel perforation as a complication requiring emergent surgical intervention. Case: An 89 year-old woman with a history of chronic constipation was admitted for several weeks of severe constipation and abdominal bloating. On initial exam, she exhibited abdominal distention but had minimal abdominal tenderness. Initial CT imaging demonstrated a significant stool burden with prominent colonic distension extending from the cecum to the transverse colon. She had

2018 Clinical Correlations

14. Complex endovascular aneurysm repair for juxta-renal or thoraco-abdominal aortic aneurysm: Advice Statement

Complex endovascular aneurysm repair for juxta-renal or thoraco-abdominal aortic aneurysm: Advice Statement File name: 20171208 Complex EVAR AS v3.0.docx0 Version: 3.0 Date: 26 April 2018 Produced by: Page: 1 Review date: Advice Statement 006/18 May 2018 What is the clinical and cost- effectiveness of complex endovascular aneurysm repair in patients with juxta-renal or thoraco-abdominal aortic aneurysm compared with open surgical repair and how should these technologies be delivered (...) in NHSScotland? Figure 1: fenestrated (left) and branched (right) endovascular stent grafts Advice for NHSScotland Complex endovascular repair (EVAR) of juxta-renal aneurysms or thoraco-abdominal aneurysms offers an alternative to open surgical repair (OSR) and is used particularly for patients with perceived moderate/high operative risk. This is a novel treatment associated with limited and low quality evidence. Based on the published literature alone, it is difficult to establish its advantage over OSR

2018 SHTG Advice Statements

15. Endovascular Aneurysm Repair in Patients with Conical Neck Anatomy (PubMed)

Endovascular Aneurysm Repair in Patients with Conical Neck Anatomy Cone shape neck is regarded as non-instruction for use (IFU) in most commercial stent graft. However, in real practice, liberal application of endovascular aneurysm repair (EVAR) for outside of IFU happens. We investigate non-adherence to conical neck anatomy in terms of early aneurysmal exclusion results.From January 2010 to December 2013, 105 patients with abdominal aortic aneurysm (AAA) underwent EVAR in Daegu Catholic

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2017 Vascular specialist international

16. Abdominal Aortic Aneurysm: Interventional Planning and Follow-up

. Unfavorable neck anatomy, based on its diameter, length, angulation, morphology, and presence of calcification, is the most frequent cause of exclusion from EVAR [18-20]. Over 50% of patients having aneurysm morphology unsuitable for conventional EVAR [7]. In conventional EVAR, a neck size of >10 to 15 mm in length and /=5 cm abdominal aortic aneurysms. Ann Surg. 2010;252(4):675-682. 3. Schmidt T, Muhlberger N, Chemelli-Steingruber IE, et al. Benefit, risks and cost-effectiveness of screening (...) Abdominal Aortic Aneurysm: Interventional Planning and Follow-up Revised 2017 ACR Appropriateness Criteria ® 1 AAA: Interventional Planning & Follow-Up American College of Radiology ACR Appropriateness Criteria ® Abdominal Aortic Aneurysm: Interventional Planning and Follow-up Variant 1: Planning for pre-endovascular repair (EVAR) or open repair of AAA. Procedure Appropriateness Category Relative Radiation Level CTA abdomen and pelvis with IV contrast Usually Appropriate ????? MRA abdomen

2017 American College of Radiology

17. No clear difference between open and keyhole surgery for the repair of ruptured abdominal aortic aneurysms

these assumptions. There is no difference in survival between the treatment strategies. Women may benefit more from EVAR, but is unclear why. It remains that survival at abdominal aortic aneurysm rupture is not simply a factor of treatment modality; rather a complex multi-faceted matter of patient physiology, aortic anatomy, timing, and peri-procedural care. There is probably a place for EVAR in improving quality for these patients, but as yet no high level evidence to support it. Ian M Nordon, Consultant (...) No clear difference between open and keyhole surgery for the repair of ruptured abdominal aortic aneurysms No clear difference between open and keyhole surgery for the repair of ruptured abdominal aortic aneurysms Discover Portal Discover Portal No clear difference between open and keyhole surgery for the repair of ruptured abdominal aortic aneurysms Published on 3 May 2016 doi: Open and keyhole surgery for repairing a ruptured abdominal aortic aneurysm show similar rates of death at three

2019 NIHR Dissemination Centre

18. Antibacterial-coated sutures versus non-antibacterial-coated sutures for the prevention of abdominal, superficial and deep, surgical site infection (SSI)

Antibacterial-coated sutures versus non-antibacterial-coated sutures for the prevention of abdominal, superficial and deep, surgical site infection (SSI) Dec2015 © EUnetHTA, 2015. Reproduction is authorised provided EUnetHTA is explicitly acknowledged 1 EUnetHTA Joint Action 3 WP4 Version 1.4, 13 March 2017 Rapid assessment of other technologies using the HTA Core Model ® for Rapid Relative Effectiveness Assessment ANTIBACTERIAL-COATED SUTURES VERSUS NON-ANTIBACTERIAL- COATED SUTURES (...) FOR THE PREVENTION OF ABDOMINAL, SUPERFICIAL AND DEEP INCISIONAL, SURGICAL SITE INFECTION (SSI) Project ID: OTCA02 Antibacterial-coated sutures for the prevention of abdominal SSI Version 1.4, March 2017 EUnetHTA Joint Action 3 WP4 2 DOCUMENT HISTORY AND CONTRIBUTORS Version Date Description V1.0 07/11/2016 First draft. V1.1 28/11/2016 Input from co-author has been processed. V1.2 23/12/2016 Input from dedicated reviewers has been processed. V1.3 20/02/2017 Input from external experts and manufacturer(s) has

2017 EUnetHTA

19. Long-term survival after endovascular and open repair in patients with anatomy outside instructions for use criteria for endovascular aneurysm repair. (PubMed)

Long-term survival after endovascular and open repair in patients with anatomy outside instructions for use criteria for endovascular aneurysm repair. Randomized controlled trials of long-term survival for infrarenal abdominal aortic aneurysms have compared open surgical repair (OSR) with endovascular aneurysm repair (EVAR) in patients with suitable aortic anatomy for EVAR. However, in clinical practice, patients who do not meet instructions for use (IFU) criteria are often still treated (...) by EVAR despite that some studies show higher graft-related adverse events. The goal of this study was to compare the long-term survival of EVAR and OSR in patients with anatomy outside IFU criteria for EVAR.This multicenter retrospective cohort study included patients with at least one anatomic IFU violation for EVAR undergoing either elective EVAR or elective OSR for abdominal aortic aneurysm. Demographics, anatomic data, and follow-up data of patients were collected from three academic centers from

2019 Journal of Vascular Surgery

20. Female sex is associated with comparable 5-year outcomes after contemporary endovascular aneurysm repair despite more challenging anatomy. (PubMed)

Female sex is associated with comparable 5-year outcomes after contemporary endovascular aneurysm repair despite more challenging anatomy. Women with abdominal aortic aneurysms less often meet anatomic criteria for endovascular repair and experience worse perioperative and long-term survival.We compared long-term survival, aneurysm-related mortality, and rates of endoleaks and reinterventions between male and female patients in the Endurant Stent Graft Natural Selection Global Postmarket (...) factors. No female patient experienced aneurysm rupture during follow-up, and only one female patient underwent conversion to open repair.Despite more challenging anatomy, female patients in the ENGAGE registry had long-term outcomes comparable to those of male patients. However, female patients experienced higher rates of type IA endoleaks. Although standard endovascular aneurysm repair remains a viable solution for most women, whether high-risk patients may be better served with open surgery, custom

2019 Journal of Vascular Surgery

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