• Title/Summary/Keyword: anatomical

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Setting the Stomach Transection Line Based on Anatomical Landmarks in Laparoscopic Distal Gastrectomy

  • Hosogi, Hisahiro;Kanaya, Seiichiro;Nomura, Hajime;Kinjo, Yousuke;Tsubono, Michihiko;Kii, Eiji
    • Journal of Gastric Cancer
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    • v.15 no.1
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    • pp.53-57
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    • 2015
  • Laparoscopic distal gastrectomy has become widespread as a treatment for early gastric cancer in eastern Asia, but a standard method for setting the stomach transection line has not been established. Here we report a novel method of setting this line based on anatomical landmarks. At the start of the operation, two anatomical landmarks along the greater curvature of the stomach were marked with ink: the proximal landmark at the avascular area between the last branch of the short gastric artery and the first branch of the left gastroepiploic artery, and the distal landmark at the point of communication between the right and left gastroepiploic arteries. Just before specimen retrieval, the stomach was transected from the center of these two landmarks toward the lesser curvature. Then, about two-third of the stomach was reproducibly resected, and gastroduodenostomy was successfully performed in 26 consecutive cases. This novel method could be used as a standard technique for setting the transection line in laparoscopic distal gastrectomy.

Clinical anatomic consideration of the superficial layer of the masseter muscle for botulinum toxin injection (보툴리눔 톡신 주사를 위한 깨물근 얕은층의 임상해부학적 고찰)

  • Lee, Hyung-Jin;Kim, Hee-Jin
    • The Journal of the Korean dental association
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    • v.55 no.5
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    • pp.365-369
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    • 2017
  • In clinical dentistry, botulinum toxin is generally used to treat the square jaw, bruxism, and temporomandibular joint diseases. Recently, this procedure has been expanded and applied for cosmetic purposes, and it is becoming a key task to be aware of the precise anatomical structure of the target muscles to be cautious during treatment and how to prevent side effects. Therefore, the purpose of this study is to observe the anatomical structure of the superficial layer of masseter muscle and to provide a most effective botulinum toxin injection method through clinical anatomical consideration. It was observed that the muscle belly of superficial part of the superficial layer was originated from the deep to the aponeurosis of masseter muscle and descend, then changed gradually into the tendon structure attaching to the inferior border of the mandible. In this study, we named this structure deep inferior tendon. This structure was observed in all specimens. We conclude that the use of superficial layer and deep layer injection should be considered to prevent paradoxical masseteric bulging in consideration of the deep inferior tendon of superficial part of superficial layer of masseter muscle.

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Inadvertent Dural Puncture during Caudal Approach by the Introducer Needle for Epidural Adhesiolysis Caused by Anatomical Variation

  • Kim, Si Gon;Yang, Jong Yeun;Kim, Do Wan;Lee, Yeon Ju
    • The Korean Journal of Pain
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    • v.26 no.2
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    • pp.203-206
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    • 2013
  • There have been reports of abnormalities in the lumbosacral region involving a lower-than-normal termination of the dural sac, which is caused by disease or anatomical variation. Inadvertent dural puncture or other unexpected complications can occur during caudal epidural block or adhesiolysis in patients with these variations, but only a small number of case reports have described this issue. We report a case of dural puncture by the introducer needle before attempting caudal epidural adhesiolysis, which occurred even though the needle was not advanced upward after penetrating the sacrococcygeal ligament. Dural puncture was caused by a morphological abnormality in the lumbosacral region, with no pathological condition; the dural sac terminal was located more distally than normal. However, dural puncture could have been prevented if we had checked for such an abnormality in the magnetic resonance imaging (MRI) taken before the procedure.

Studies on the Development of Traditional Korean Golden Varnish(Hwangchil)(I) - Anatomical Characterisitics and Chemical Composition of Wood and Exudates of Hwangchil-namu(Dendropanax morbifera)- (전통 황칠 도료 개발에 관한 연구(I) - 황칠나무와 황칠액의 해부학적 특성과 화학적 조성-)

  • Lim, Kie-Pyo;Kim, Yoon-Soo;Chung, Woo-Yang
    • Journal of the Korean Wood Science and Technology
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    • v.25 no.3
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    • pp.24-28
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    • 1997
  • As a way to revive the traditional technology of Korean golden varnish(Hwangchill), the exudates of D. morbifera, this study was carried out at first to investigate the anatomical characteristics and the chemical composition of D. morbifera stems and their exudates. Trees of more than 20 years old were harvested at Wando and Jejudo islands in the southwestern part of Korean peninsula during different physiological seasons of winter, spring, and summer, The results obtained are as follows: 1. In the anatomical aspect of wood, Hwangchil woods is ring-porous wood, has alternate inter-vessel pittings and horizontal intercellular canal in xylem. 2. In the chemical aspect of wood and bark, the general compositions appeared hot to differ from those of other hardwoods, and ash and alcohol-benzene extractives showed little increase with the increase of atmospheric temperature of harvesting season. 3. In the solvent-sequential extraction of bark, wood and exudate, the exudates was extracted up to 80% by ether, but the bark and wood contained a very small amount of ether extractives, about 2% in the bark and 0.5% in the xylem.

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Studies on the Application of Arrowroots for the Use of Paper Fiber (Part 1) - Anatomical and Chemical Properties of Arrowroots - (칡뿌리의 섬유 자원화에 관한 연구(제 1보) - 칡뿌리의 해부학적 및 화학적 특성 -)

  • Jo, Hyun-Jin;Yoon, Seung-Lak;Hwang, Byung-Ho
    • Journal of Korea Technical Association of The Pulp and Paper Industry
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    • v.43 no.1
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    • pp.57-64
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    • 2011
  • The purpose of this research is to investigate the anatomical and chemical properties of arrowroots for the use of paper fibers. The cells consisting of arrowroots showed certain affinities with those in the fibers and vessels of hardwood. Its parenchyma cells showed different shapes with those of hardwood. It was observed that starch was filled in the multi-shape cells. The average width and length of arrowroot fibers were $15.2{\mu}m$ ($11.1-20.3{\mu}m$) and 1.9 mm (1.49 mm-2.31 mm), respectively. In the chemical characteristics of arrowroots, the contents of cold- and hot-water, alcohol-benzene, and alkali extractives were 12-17%, 15.6%, and 38.8%, respectively. Its chemical composition was 61.3% holocellulose, 15.5% lignin and 2.0% ash.

Radionuclide (Tc-99m) Hysterosalpingography for Evaluation of Fallopian Tube Patency (동위원소(Tc-99m HAM)를 이용한 난관 조영술)

  • Park, Won;Kim, Chong-Soon;Park, Chang-Seo
    • The Korean Journal of Nuclear Medicine
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    • v.21 no.2
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    • pp.207-211
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    • 1987
  • A prospecitive study was performed to evaluate the efficacy of Radionuclide Hysterosalpingography (RNHSG), that was modified by McCalley, et al. for the evaluation of fallopian tube. Using spontaneous migration of Tc99m labelled human albumin microsphers (HAM) and images got with Gamma camera, the study was made in 20 gynecological patients (44 tubes) in an effort to confirm the anatomical patency or obstruction as well as functional one at the Department of Obstetrics and Gynecology, National Medical Center from January 1, 1986 to July 31, 1986. The efficacy was also compared with that of contrast hysterosalpingography and surgical observation. Results obtained were as follows; 1) The Radionuclide Hysterosalpingography appeared to be a simple and accurate procedure as a mean with which anatomical tubal patency, as well as functional patency can be detected, although it's some limit in showing anatomical details of uterine cavity and tubes in comparison with contrast hysterosalpingography. 2) The predicted value of tubal obstruction was 82.4%. and that of tubal patency was 88.9% respectively. Overall efficacy (percent of tube correctly classified) of Radionuclide Hysterosalpingography was 88.6%. 3) There was no nuclide related complication during and after the procedure.

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Anatomical study of Atractylodes japonica Koidz. ex Kitam. and A. macrocephaza Koidz. (삽주(Atractylodes japonica Koidz. ex Kitam.)와 큰꽃삽주(A. macrocephala Koidz.)의 해부학적 연구)

  • 정규영;김미숙
    • Korean Journal of Plant Resources
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    • v.14 no.3
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    • pp.188-195
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    • 2001
  • The anatomical characteristics of rhizome, lateral root, stem, leaf, petiole, ovary and leaf epidermis about Atractylodes japonica Koidz. ex Kitam. and A. macrocephala Koidz. were investigated to estimate these taxonomic values. The cross sections of stem and ovary were very similar to two species, therefore these characters were not useful for delimitation of two species, but the size and distribution numbers per 100${\mu}{\textrm}{m}$$^2$of oil cavites in rhizome, the shape of leaf and petiole in cross section, the size of leaf epidermal cell and distribution numbers per 100 ${\mu}{\textrm}{m}$$^2$of stomata were differ from two species, therefore these were thought to be useful characters for delimitation of two species.

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Surgical Procedures for Chronic Lateral Ankle Instability (만성 외측 발목 불안정증의 수술적 치료)

  • Young, Ki Won;Lee, Hong Seop;Hwang, Ji Sun
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.1
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    • pp.17-24
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    • 2021
  • Surgical treatments for chronic lateral ankle instability include anatomic repair, anatomic reconstruction using an auto or allograft, non-anatomic reconstruction, and arthroscopic repair. Open anatomic repair using the native ligament with or without reinforcement of the inferior extensor retinaculum is commonly performed in patients with sufficient ligament quality. Non-anatomical reconstruction using the adjacent peroneus brevis tendon is typically used only in patients with poor-quality ligament remnants or when previous repair failed. Anatomical reconstruction can be considered in patients in whom anatomical repair is expected to fail and when performed using auto or allografts can provide good to excellent short-term results, although the long-term outcomes of these methods remain unclear. Arthroscopic repair can provide good to excellent short-term clinical outcomes, but evidence supporting this technique is limited. The advantages and disadvantages of various surgical methods should be compared, and appropriate treatment should be implemented based on patient characteristics.

Evaluation of morphometric features of fossa navicularis using cone-beam computed tomography in a Turkish subpopulation

  • Magat, Guldane
    • Imaging Science in Dentistry
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    • v.49 no.3
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    • pp.209-212
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    • 2019
  • Purpose: Fossa navicularis is a bone defect in the clivus. Familiarity with this anatomical variant is important because it is close to vital anatomical structures in the base of the skull. The aim of this study was to determine the prevalence and morphometric properties of fossa navicularis within the clivus in a Turkish subpopulation using cone-beam computed tomography (CBCT). Materials and Methods: A total of 168 CBCT scans (female: 96, male: 71) were evaluated. High-quality CBCT images of patients without a syndromic condition or a history of neurological disease or surgery were included in the study. The prevalence, depth, length, and width of the fossa navicularis were performed. Results: The prevalence of fossa navicularis was 27.5% (n=46 patients). Sex was not associated with the depth, length, or width of the fossa navicularis (P>0.05). A significant positive correlation was found between age and length of the fossa navicularis(P>0.05). Conclusion: Fossa navicularis was found to be rare (27.5%). Anatomical variants of the skull base can also be clearly identified on CBCT images. The results of this study may be useful to radiologists, anatomists, and surgeons interested in the skull base.

Surgical Treatment of Chronic Lateral Ankle Instability: Repair versus Reconstruction (만성 족관절 외측 불안정성의 수술적 치료: 봉합술과 재건술의 비교)

  • Kim, Keun Soo;Park, Young Uk
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.1
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    • pp.1-5
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    • 2019
  • Surgical treatment to restore stability in the ankle and hindfoot and prevent further degenerative changes may be necessary in cases in which conservative treatment has failed. Anatomical direct repair using native ligament remnants with or without reinforcement of the inferior retinaculum is the so-called gold standard operative strategy for the treatment of lateral ankle instability. Non-anatomical lateral ligament reconstruction typically involves the use of the adjacent peroneus brevis tendon and applies only those with poor-quality ligaments. On the other hand, anatomic reconstruction and anatomic repair provide better functional outcomes after the surgical treatment of chronic ankle instability patients compared to a non-anatomic reconstruction. Anatomical reconstruction using an autograft or allograft applies to patients with insufficient ligament remnants to fashion direct repair, failed previous lateral ankle repair, high body mass index, or generalized ligamentous laxity. These procedures can provide good-to-excellent short-term outcomes. Arthroscopic ligament repair is becoming increasingly popular because it is minimally invasive. Good-to-excellent clinical outcomes have been reported after short and long-term follow-up, despite the relatively large number of complications, including nerve damage, reported following the procedure. Therefore, further investigation will be needed before widespread adoption is advocated.