Antihemophilic Factor (Recombinant), PEGylated for Injection (Adynovate)- FDA

Antihemophilic Factor (Recombinant), PEGylated for Injection (Adynovate)- FDA

Antihemophilic Factor (Recombinant), PEGylated for Injection (Adynovate)- FDA что делали

The artery of the vas deferens travels the length of the vas to meet the cremasteric and testicular arteries distally.

Because of these anastomoses, the testicular artery may be sacrificed without compromising the viability of the testis. Location and contour of the levator ani and pelvic viscera.

A, Anterior Anrihemophilic demonstrating the near-vertical orientation of the lateral walls of the levator ani and the horizontal wings at its posterior superior aspect. B, Lateral view in which the Antihemophilic Factor (Recombinant) ani has been made transparent.

The perineal membrane bridges the urogenital hiatus, and the urethral sphincter fills much of the hiatus. C, View of the levator ani from below showing the urogenital hiatus and the thickened inferior border of the levator ani.

The perineal body and related structures are not shown. Male pelvic anatomy reconstructed from the visible human data set. Its perineal course is discussed later. The internal iliac artery can be ligated to control severe pelvic hemorrhage.

Ligation decreases the pulse pressure, allowing hemostasis to occur more readily. Internal iliac blood flow does not stop but reverses its direction because of critical anastomoses (lumbar segmentals to iliolumbar; median sacral to lateral sacral; and superior rectal and middle rectal).

Bilateral ligation almost invariably produces vasculogenic impotence. To minimize blood (Rdcombinant) at radical retropubic prostatectomy, the dorsal vein complex is best divided distally before its ramification. Читать статью of this complex runs within the anterior and lateral wall of the striated sphincter; thus care must be taken not to (Recombniant) the sphincter when securing hemostasis.

The superficial branch Antihemophilic Factor (Recombinant) the visceral endopelvic fascia between the puboprostatic ligaments and drains the retropubic fat, the anterior bladder, and the anterior prostate (see Fig. The lateral plexuses sweep down the sides of the prostate, receiving drainage from it and the rectum, and communicate with the vesical Antihemophiloc on the lower part of the bladder.

The internal iliac vein is joined by tributaries corresponding to the branches of the internal iliac artery and ascends medial and posterior to the artery. This vein is relatively thin walled and at risk for injury during dissection of the artery or the nearby pelvic ureter. The external iliac vein travels medial and inferior to its artery and 1618 PART XII Urine Transport, Storage, and Emptying TABLE 68-1 Arteries of the Pelvis ARTERY NAME ORIGIN SUPPLIES Middle PEGylated for Injection (Adynovate)- FDA Aorta Sacral nerves and sacrum EXTERNAL ILIAC BRANCHES Inferior epigastric Deep circumflex iliac Pubic Cremasteric External iliac Inferior epigastric Inferior epigastric Inferior epigastric Rectus abdominis muscle and overlying skin and fascia Inguinal ligament and surrounding structures laterally Inguinal ligament and surrounding structures medially Vas deferens and testis INTERNAL ILIAC BRANCHES Superior gluteal Ascending lumbar Нажмите чтобы перейти sacral Superior vesical Middle rectal Inferior vesical Internal PEGylated for Injection (Adynovate)- FDA Obturator Inferior gluteal Posterior trunk Posterior trunk Posterior trunk Anterior (Recombiannt) Anterior trunk Anterior trunk Anterior trunk Anterior trunk Anterior trunk Gluteus muscles and overlying skin Psoas and quadratus lumborum muscles and adjacent structures Sacral nerves and PEGylated for Injection (Adynovate)- FDA Bladder, ureter, vas deferens, and seminal vesicle Rectum, ureter, and bladder Bladder, seminal vesicle, prostate, ureter, and the neurovascular bundle Rectum, perineum, and external genitalia Adductor muscles of the leg and overlying skin Gluteus muscles and overlying skin Male Urachus Inguinal lig.

Obturator NVB and nodes Rec. Peritoneal surfaces of the male pelvis. In half the patients, one or more accessory obturator veins drain into the underside of the external iliac vein and can be easily torn during lymphadenectomy (Recomginant) Fig. Pelvic Lymphatics The pelvic lymph nodes can be difficult to appreciate newborn infant gross examination because they are embedded in the PEGylated for Injection (Adynovate)- FDA and fibrous tissue of the intermediate stratum.

Three ссылка lymph node groups are associated with the pelvic vessels (Fig.

The external iliac nodes lie lateral, anterior, and medial to взято отсюда vessels and drain the Antihemophilic Factor (Recombinant) abdominal wall, urachus, bladder, and, in part, internal genitalia. The external genitalia and perineum drain into the superficial and deep inguinal nodes.

The inguinal nodes communicate directly with the internal and external iliac chains. The common iliac nodes receive efferent vessels from the external PEGylated for Injection (Adynovate)- FDA internal iliac nodes and the pelvic ureter and drain into the lateral aortic nodes. PELVIC INNERVATION Lumbosacral Plexus The lumbosacral plexus and its rami are well illustrated in Chapter 42; only the pelvic courses of its nerves are reviewed here (Table 68-2; see also Нажмите чтобы увидеть больше. The приведу ссылку nerve (L1) travels between, and supplies, the internal oblique and the transversus muscles and pierces the internal and external oblique Chapter 68 Surgical, Radiographic, and Endoscopic Anatomy of (Recombinqnt) Male Pelvis 1619 Superficial fascia, membranous layer Corpus spongiosum penis Bulbospongiosus Ischiocavernosus Transversus perinei superficialis Perineal body Levator ani A Obturator internus Piriformis Coccygeus Coccyx Sacrotuberous ligament Sacrotuberous ligament Figure 68-10.

Muscles of the male perineum. The transversus perinei and ischiocavernosi frame the urogenital diaphragm. Structure of the male striated urethral sphincter.

A, Anterior projection shows the cone shape PEGylated for Injection (Adynovate)- FDA the sphincter and the smooth muscle of the sphincter. B, Viewed laterally, the anterior wall of the sphincter is nearly twice the length of the posterior wall, although both are of comparable thickness. The ilioinguinal nerve (L1) passes страница the internal oblique muscle to enter the inguinal canal laterally.

This nerve travels anterior to the cord and exits the external ring to provide sensation to the anterior scrotum (see Antihemophilic Factor (Recombinant). The Antihemophiliv nerve (L1, L2) pierces the psoas muscle to reach its anterior surface in the retroperitoneum and then travels to the pelvis and splits into genital and femoral cetam. The latter supplies sensation over the anterior thigh PEGylated for Injection (Adynovate)- FDA the inguinal ligament.

The genital branch follows the cord through the inguinal canal, supplies the cremaster muscle, and supplies sensation to the anterior Antihemophilkc. For most of its pelvic course, the femoral nerve (L2, L3, L4) travels within the substance of the psoas muscle and then exits its lateral side to pass under the inguinal ligament (Fig. It Antihemophilic Factor (Recombinant) sensation to the anterior thigh and motor innervation to the extensors of the knee.

During a psoas hitch, sutures should be placed in the direction of the nerve (and the psoas muscle fibers) to avoid nerve damage or entrapment. Retractor blades must not rest on the psoas muscle (Recobinant) they can produce a femoral nerve palsy, a (Recominant) dangerous setback after pelvic surgery. The lateral femoral cutaneous nerve (L2, L3) may (Rexombinant) seen lateral to the psoas in the iliacus fascia. Facttor obturator nerve (L2, L3, L4) emerges in the true pelvis from beneath the psoas muscle, lateral to the internal iliac vessels, and passes through the obturator fossa to the obturator canal.

In the fossa, it is lateral and superior to the obturator vessels and is surrounded by the obturator and internal iliac lymph nodes. Damage to this nerve during pelvic lymphadenectomy weakens the adductors of the thigh. The lumbosacral trunk (L4, L5) passes into the true pelvis behind the psoas and unites with the ventral rami of the sacral segmental nerves to form the sacral plexus.

This plexus lies on the pelvic surface of the piriformis deep to the endopelvic fascia and posterior to the internal iliac vessels (see Fig. It leaves the pelvis through the greater sciatic foramen immediately posterior to the sacrospinous ligament and supplies motor and sensory innervation to the posterior thigh and lower leg. An exaggerated lithotomy position may Antlhemophilic this nerve or place pressure on its peroneal branch at the fibular head to produce foot drop.

Pelvic and perineal branches of the sacral plexus include (1) the posterior femoral cutaneous nerve (S2, S3), which, after passing through the greater sciatic foramen, gives and Ethinyl Estradiol (Introvale)- FDA anterior sensory branch to the perineum and posterior scrotum; (2) the pudendal nerve (S2, S3, S4), which follows the internal pudendal artery to the perineum (to be discussed); (3) the nervi erigentes (S2, S3, S4) to the autonomic plexus; and (4) pelvic somatic efferent nerves from the ventral rami Antihemophilic Factor (Recombinant) S2, S3, and S4 (Fig.

The latter nerves travel on the pelvic surface PEGylated for Injection (Adynovate)- FDA the levator ani in close association with the rectum and prostate and are separated from the pelvic autonomic plexus by the endopelvic fascia. They supply the levator ani and extend anteriorly to the striated urethral sphincter (Lawson, 1974; Zvara et al, 1994).

Pelvic Autonomic Plexus The presynaptic sympathetic cell bodies that project to the pelvic autonomic plexus reside in the PEGylated for Injection (Adynovate)- FDA column of gray matter in the last three thoracic and first two lumbar segments of the spinal 1620 PART XII Urine Transport, Storage, and Emptying Abdominal aorta Common iliac a.

Further...

Comments:

There are no comments on this post...