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Vascular Anatomy of the Inguinal Region

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1. Vascular Anatomy of the Inguinal Region

Vascular Anatomy of the Inguinal Region Vascular Anatomy of the Inguinal Region 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 (...) Vascular Anatomy of the Inguinal Region Vascular Anatomy of the Inguinal Region Aka: Vascular Anatomy of the Inguinal Region , Inguinal Vessel II. Anatomy: Inguinal ral Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Vein Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Artery Lewis (1918) Gray's Anatomy 20th ed

2018 FP Notebook

2. Vascular Anatomy of the Inguinal Region

Vascular Anatomy of the Inguinal Region Vascular Anatomy of the Inguinal Region 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 (...) Vascular Anatomy of the Inguinal Region Vascular Anatomy of the Inguinal Region Aka: Vascular Anatomy of the Inguinal Region , Inguinal Vessel II. Anatomy: Inguinal ral Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Vein Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Artery Lewis (1918) Gray's Anatomy 20th ed

2015 FP Notebook

3. Vascular Anatomy of the Abdomen

of the Abdomen Vascular Anatomy of the Abdomen Aka: Vascular Anatomy of the Abdomen , Abdominal Vascular Anatomy , Abdominal Vessel , Abdominal Artery , Abdominal Vein II. Anatomy Related Vessels s Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Cecum Lewis (1918) Gray's Anatomy 20th ed (in at or ) Muscle Wall See Lewis (1918) Gray's Anatomy 20th ed (in at or ) and Inguinal Region Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th (...) Vascular Anatomy of the Abdomen Vascular Anatomy of the Abdomen 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 Vascular Anatomy

2018 FP Notebook

4. Global Vascular Guidelines for patients with chronic limb-threatening ischemia

that many patients do not even receive angiography in the year before major limb amputation. x 2 Goodney, P.P., Holman, K., Henke, P.K., Travis, L.L., Dimick, J.B., Stukel, T.A. et al. Regional intensity of vascular care and lower extremity amputation rates. J Vasc Surg . 2013 ; 57 : 1471–1479 ( 1480.e1-3; discussion: 1479-80 ) These data also demonstrate a broad variation in the use of open or endovascular interventions by region of the country and hospital referral center. x 2 Goodney, P.P., Holman, K (...) ., Henke, P.K., Travis, L.L., Dimick, J.B., Stukel, T.A. et al. Regional intensity of vascular care and lower extremity amputation rates. J Vasc Surg . 2013 ; 57 : 1471–1479 ( 1480.e1-3; discussion: 1479-80 ) More expensive (and more invasive) care is not associated with better outcomes. x 3 Goodney, P.P., Travis, L.L., Brooke, B.S., DeMartino, R.R., Goodman, D.C., Fisher, E.S. et al. Relationship between regional spending on vascular care and amputation rate. JAMA Surg . 2014 ; 149 : 34–42 Instead

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2019 Society for Vascular Surgery

5. Vascular Graft Infections, Mycotic Aneurysms, and Endovascular Infections: A Scientific Statement From the American Heart Association

on patients with multiple underlying comorbidities and the increased frequency of emergency procedures have contributed to the changing spectrum of infection. Other factors such as changes in hospital flora, surgery in patients with complicated vascular anatomy, and multiple revisions of previous vascular surgery have resulted in a more diverse microbiological spectrum of infection, which includes multidrug-resistant strains, polymicrobial infection, and Candida species. Gram-positive cocci accounts (...) , determine the extent of the infection, identify a fluid collection for aspiration for culture, or detect a pseudoaneurysm or bleeding at the site of the anastomosis. A CTA is useful to define vascular anatomy to help guide medical and surgical treatment. shows an algorithm for the diagnosis of Samson I to V VGIs using a combination of clinical findings, ultrasonography, or other imaging modalities, and surgery. Figure 2. Extracavitary vascular graft infection: diagnosis using Samson classification. CT

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2016 American Heart Association

6. Inguinal Hernia

Inguinal Hernia risk) Normal weight (lower risk in obese men) Women Tall height Older age IV. Types Background: Anatomy See See Indirect Inguinal Hernia (most common in men and women) Course sac passes outside tes via Enters through (Lateral to inferior epigastric artery) See for anatomic course Canal carries spermatic cord in men and round ligament in women May result in Scrotal Hernia in males More commonly on right in males (due to right migration lags the left in development) Pathophysiology (...) emergency with vascular compromise and high risk of infarcted bowel XII. References Degowin (1987) Diagnostic Examination, p. 489-96 Goroll (2000) Primary Care Medicine, p. 431-4 Stevens (2013) Crit Dec Emerg Med 27(9): 2 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Inguinal Hernia." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Hernia

2018 FP Notebook

7. Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication

Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication - Journal of Vascular Surgery Email/Username: Password: Remember me Search JVS Journals Search Terms Search within Search Access provided by Volume 61, Issue 3 (...) , Supplement, Pages 2S–41S.e1 Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: Management of asymptomatic disease and claudication Society for Vascular Surgery Lower Extremity Guidelines Writing Group , x Michael S. Conte Affiliations University of California, San Francisco, San Francisco, Calif Correspondence Reprint requests: Michael S. Conte, MD, 400 Parnassus Ave, San Francisco, CA 94143 , MD ((Co-Chair)) a , ∗ , x Michael S. Conte

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2015 Society for Vascular Surgery

8. Management of Venous Leg Ulcers: Clinical Practice Guidelines of the Society for Vascular Surgery and the American Venous Forum

Management of Venous Leg Ulcers: Clinical Practice Guidelines of the Society for Vascular Surgery and the American Venous Forum Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery® and the American Venous Forum - Journal of Vascular Surgery Email/Username: Password: Remember me Search JVS Journals Search Terms Search within Search Access provided by Volume 60, Issue 2, Supplement, Pages 3S–59S Management of venous leg ulcers: Clinical practice (...) guidelines of the Society for Vascular Surgery ® and the American Venous Forum x Thomas F. O’Donnell , MD , x Marc A. Passman , MD , x William A. Marston , MD , x William J. Ennis , DO , x Michael Dalsing , MD , x Robert L. Kistner , MD , x Fedor Lurie , MD, PhD , x Peter K. Henke , MD , x Monika L. Gloviczki , MD, PhD , x Bo G. Eklöf , MD, PhD , x Julianne Stoughton , MD , x Sesadri Raju , MD , x Cynthia K. Shortell , MD , x Joseph D. Raffetto , MD , x Hugo Partsch , MD , x Lori C. Pounds , MD , x Mary

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2014 American Venous Forum

9. Vascular Anatomy of the Abdomen

of the Abdomen Vascular Anatomy of the Abdomen Aka: Vascular Anatomy of the Abdomen , Abdominal Vascular Anatomy , Abdominal Vessel , Abdominal Artery , Abdominal Vein II. Anatomy Related Vessels s Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th ed (in at or ) Cecum Lewis (1918) Gray's Anatomy 20th ed (in at or ) Muscle Wall See Lewis (1918) Gray's Anatomy 20th ed (in at or ) and Inguinal Region Lewis (1918) Gray's Anatomy 20th ed (in at or ) Lewis (1918) Gray's Anatomy 20th (...) Vascular Anatomy of the Abdomen Vascular Anatomy of the Abdomen 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 Vascular Anatomy

2015 FP Notebook

10. The care of patients with varicose veins and associated chronic venous diseases: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum

. The Pacific Vascular Symposium 6: the Venous Ulcer Summit in perspective. J Vasc Surg . 2010 ; 52 : 1S–2S | | | | | Anatomy During the past decade, new venous terminology has been developed and adopted by vascular societies around the world. x 47 in: P. Gloviczki (Ed.) Handbook of venous disorders: guidelines of the American Venous Forum . 3rd ed. Hodder Arnold , London ; 2009 , x 49 Caggiati, A., Bergan, J.J., Gloviczki, P., Eklof, B., Allegra, C., Partsch, H. et al. Nomenclature of the veins (...) The care of patients with varicose veins and associated chronic venous diseases: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum The care of patients with varicose veins and associated chronic venous diseases: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum - Journal of Vascular Surgery Email/Username: Password: Remember me Search JVS Journals Search Terms Search within Search Access provided by Volume

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2011 Society for Vascular Surgery

11. Inguinal Hernia

Inguinal Hernia risk) Normal weight (lower risk in obese men) Women Tall height Older age IV. Types Background: Anatomy See See Indirect Inguinal Hernia (most common in men and women) Course sac passes outside tes via Enters through (Lateral to inferior epigastric artery) See for anatomic course Canal carries spermatic cord in men and round ligament in women May result in Scrotal Hernia in males More commonly on right in males (due to right migration lags the left in development) Pathophysiology (...) emergency with vascular compromise and high risk of infarcted bowel XII. References Degowin (1987) Diagnostic Examination, p. 489-96 Goroll (2000) Primary Care Medicine, p. 431-4 Stevens (2013) Crit Dec Emerg Med 27(9): 2 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Inguinal Hernia." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Hernia

2015 FP Notebook

12. Abdominal Vascular Injuries (Treatment)

=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTk4NDYzOS10cmVhdG1lbnQ= processing > Abdominal Vascular Injuries Treatment & Management Updated: Oct 06, 2016 Author: Stephen A Tonks, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF Share Email Print Feedback Close Sections Sections Abdominal Vascular Injuries Treatment Approach Considerations Essential to the successful management of these injuries is a thorough knowledge of intra-abdominal vascular anatomy and a familiarity with the techniques of proximal and distal control combined with selective application (...) with arterial injuries can be salvaged. Before performing a nephrectomy, assess the viability of the contralateral kidney. Lateral pelvic hematoma or hemorrhage Lateral pelvic hematoma or hemorrhage suggests injury to the iliac artery, the iliac vein, or both. Obtain vascular control at the aortic bifurcation proximally and close to the inguinal ligament distally. If an injury to the right common iliac vein is present, it may require a division of the overlying right common iliac artery. For best

2014 eMedicine Surgery

13. Abdominal Vascular Injuries (Follow-up)

=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTk4NDYzOS10cmVhdG1lbnQ= processing > Abdominal Vascular Injuries Treatment & Management Updated: Oct 06, 2016 Author: Stephen A Tonks, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF Share Email Print Feedback Close Sections Sections Abdominal Vascular Injuries Treatment Approach Considerations Essential to the successful management of these injuries is a thorough knowledge of intra-abdominal vascular anatomy and a familiarity with the techniques of proximal and distal control combined with selective application (...) with arterial injuries can be salvaged. Before performing a nephrectomy, assess the viability of the contralateral kidney. Lateral pelvic hematoma or hemorrhage Lateral pelvic hematoma or hemorrhage suggests injury to the iliac artery, the iliac vein, or both. Obtain vascular control at the aortic bifurcation proximally and close to the inguinal ligament distally. If an injury to the right common iliac vein is present, it may require a division of the overlying right common iliac artery. For best

2014 eMedicine Surgery

14. Embolization, Vascular Lesions

artery) has been replaced and to demonstrate patency of the portal vein. Then, the celiac truncus and, subsequently, the common hepatic artery are catheterized and studied to exclude the replaced hepatic arteries and to outline the vascular anatomy (see the image below). Chemoembolization. Contrast agent injection in the common hepatic artery. A tumoral stain is identified within the region of the porta hepatis. The involved lobar hepatic artery or, more commonly, the first- or second-order branches (...) LE, Hwang BY, et al. Adjuvant embolization with N-butyl cyanoacrylate in the treatment of cerebral arteriovenous malformations: outcomes, complications, and predictors of neurologic deficits. Stroke . 2009 Aug. 40(8):2783-90. . . Cil BE, Vargel I, Geyik S, Peynircioglu B, Cavusoglu T. Venous vascular malformations of the craniofacial region: pre-operative embolisation with direct percutaneous puncture and N-butyl cyanoacrylate. Br J Radiol . 2008 Dec. 81(972):935-9. . Elhammady MS, Farhat H

2014 eMedicine Radiology

15. Oncologic imaging

indications ? MRI foot and MRI ankle for pain indications ? Bilateral exams, particularly comparison studies There are certain clinical scenarios where simultaneous ordering of multiple imaging studies is consistent with current literature and/or standards of medical practice. These include: ? Oncologic imaging – Considerations include the type of malignancy and the point along the care continuum at which imaging is requested ? Conditions which span multiple anatomic regions – Examples include certain (...) morphology, size, and location. CT is less prone to motion artifact than MRI, and is useful for evaluation of bones and soft tissue. Improved techniques such as multi-slice technology and enhanced image processing refine image quality and resolution. Helical CT may be preferable to conventional axial CT for oncologic imaging due to increased speed of image acquisition and ability to perform computed tomography angiography (CTA), which is useful to assess vascular structures associated with tumors

2019 AIM Specialty Health

16. Appropriate Use Criteria: Imaging of the Abdomen and Pelvis

and/or standards of medical practice. These include: ? Oncologic imaging – Considerations include the type of malignancy and the point along the care continuum at which imaging is requested ? Conditions which span multiple anatomic regions – Examples include certain gastrointestinal indications or congenital spinal anomalies Repeated Imaging In general, repeated imaging of the same anatomic area should be limited to evaluation following an intervention, or when there is a change in clinical status (...) radiation required for image acquisition, which is of particular concern in younger patients and those who require multiple scans over time. CT may be performed with or without contrast; contrast provides additional detail to delineate vascular and gastrointestinal structures and is recommended in certain settings, such as infection, tumor, hemorrhage and visceral lesions. However, contrast increases scan acquisition time, and confers risk in cases of impaired renal function, pregnancy, metformin use

2019 AIM Specialty Health

17. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures

hypertrophy, abnormal anatomy [eg, mandibular hypoplasia], high Mallampati score [ie, ability to visualize only the hard palate or tip of the uvula]) to determine whether there is an increased risk of airway obstruction , – ; physical status evaluation (ASA classification [see Appendix 2]); and name, address, and telephone number of the child’s home or parent’s, or caregiver’s cell phone; additional information such as the patient’s personal care provider or medical home is also encouraged (...) drills of the facility’s emergency protocol to ensure proper function of the equipment and coordination of staff roles in such emergencies. , – It is recommended that at least 1 practitioner be skilled in obtaining vascular access in children. Monitoring and Documentation Baseline Before the administration of sedative medications, a baseline determination of vital signs shall be documented. For some children who are very upset or uncooperative, this may not be possible, and a note should be written

2019 American Academy of Pediatrics

18. Paediatric Urology

. Laparoscopic versus open orchiopexy in the management of peeping testis: a multi-institutional prospective randomized study. J Pediatr Urol, 2014. 10: 605. 91. Kirsch, A.J., et al. Surgical management of the nonpalpable testis: the Children’s Hospital of Philadelphia experience. J Urol, 1998. 159: 1340. 92. Fowler, R., et al. The role of testicular vascular anatomy in the salvage of high undescended testes. Aust N Z J Surg, 1959. 29: 92. 93. Koff, S.A., et al. Treatment of high undescended testes by low (...) of the testis: an artery and lymphatic sparing technique. J Urol, 1992. 148: 1808. 300. Hopps, C.V., et al. Intraoperative varicocele anatomy: a microscopic study of the inguinal versus subinguinal approach. J Urol, 2003. 170: 2366. 301. Kocvara, R., et al. Lymphatic sparing laparoscopic varicocelectomy: a microsurgical repair. J Urol, 2005. 173: 1751. 302. Riccabona, M., et al. Optimizing the operative treatment of boys with varicocele: sequential comparison of 4 techniques. J Urol, 2003. 169: 666. 303

2019 European Association of Urology

19. ACC/AHA/SCAI/SIR/SVM 2018 Appropriate Use Criteria for Peripheral Artery Intervention: a report of the American College of Cardiology Appropriate Use Criteria Task Force, American Heart Association, Society for Cardiovascular Angiography and Interventions

for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, and Society for Vascular Medicine Peripheral Artery Intervention Writing Group Steven R. Bailey, MD, FACC, MSCAI, FAHA, Chair* Joshua A. Beckman, MD, FACC, MSVM* Timothy D. Dao, MD, FACC* Sanjay Misra, MD, FSIR, FAHAy Piotr S. Sobieszczyk, MD, RVT, FSVMz Christopher J. White, MD, FACC, MSCAIx Peripheral Artery Intervention Rating Panel L. Samuel Wann, MD, MACC, Moderator* Steven R. Bailey, MD, FACC, MSCAI, FAHA, Writing Group (...) , MD, FACR, FAHA# *American College of Cardiology Representative. ySociety of Interventional Radiology Representative. zSociety for Vascular Medicine Representative. xSociety for Cardiovascular Angiography and Interventions Representative. kSociety for Vascular Surgery Representative. {Society for Vascular Ultrasound Representative. #American College of Radiology Representative. ISSN 0735-1097/$36.00 https://doi.org/10.1016/j.jacc.2018.10.002 This document was approved by the American College

2019 Society of Interventional Radiology

20. Urological Trauma

, anatomic distribution, associated injuries, and outcomes. Urology, 2010. 76: 977. 35. Shariat, S.F., et al. Evidence-based validation of the predictive value of the American Association for the Surgery of Trauma kidney injury scale. J Trauma, 2007. 62: 933. 36. Santucci, R.A., et al. Validation of the American Association for the Surgery of Trauma organ injury severity scale for the kidney. J Trauma, 2001. 50: 195. 37. Malaeb, B., et al. Should blunt segmental vascular renal injuries be considered (...) of major blunt renal lacerations: surgical or nonoperative approach? Eur Urol, 1996. 30: 335. 97. Nash, P.A., et al. Nephrectomy for traumatic renal injuries. J Urol, 1995. 153: 609. 98. Gonzalez, R.P., et al. Surgical management of renal trauma: is vascular control necessary? J Trauma, 1999. 47: 1039. 99. Rostas, J., et al. Intraoperative management of renal gunshot injuries: is mandatory exploration of Gerota’s fascia necessary? Am J Surg, 2016. 211: 783. 100. Davis, K.A., et al. Predictors

2019 European Association of Urology

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