The Experts below are selected from a list of 24432 Experts worldwide ranked by ideXlab platform
Chen Mu-h - One of the best experts on this subject based on the ideXlab platform.
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Clinical application of thoraco-Umbilicus flaps in repairing degloving injury in foot
Journal of Traumatic Surgery, 2013Co-Authors: Chen Mu-hAbstract:Objective To discuss the clinical effect of thoraco-Umbilicus flaps in repairing degloving injury in foot.Methods A total of 31 patients,including 18 males and 13 females,were treated by thoraco-Umbilicus flaps.The patients aged from 15-50 years,with an average of 35 years.The wound area ranged from 16cm × 6cm to 28cm × 12cm.Results All thoraco-Umbilicus flaps were survived.Flaps were fat and clumsy in 3 cases which required re-operation.The appearance and functions of flaps in other cases were satisfactory.Conclusion Thoraco-Umbilicus flap is nourished by the inferior epigastric artery,which is highly vascularized,with a constant vascular anatomy and a long vascular pedicle.Moreover,the dissection of the thoraco-Umbilicus flap is easy,and can obtain a large area of flaps.The thoraco-Umbilicus flap is suitable for the repair of degloving injury in foot,especially for patients with foot skin defect.
Michael L. Pearl - One of the best experts on this subject based on the ideXlab platform.
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The relationship of the Umbilicus to the aortic bifurcation: implications for laparoscopic technique.
Obstetrics and gynecology, 1992Co-Authors: William W. Hurd, Ronald O. Bude, John O.l. Delancey, Michael L. PearlAbstract:Objective We evaluated the location of the Umbilicus relative to the aortic bifurcation and the left common iliac vein where it crosses the midline. Methods Abdominal computed tomography images from 35 reproductive-age women were retrospectively reviewed to determine the location of the Umbilicus. The results were correlated with body mass index using Pearson correlation coefficient and a two-tailed paired t test. Results The location of the Umbilicus, but not the aortic bifurcation, was more caudal in heavier women and negatively correlated with body mass index. In nonobese women, the mean location of the Umbilicus was 0.4 cm caudal to the aortic bifurcation, and was at or cephalad to the bifurcation in eight of 15 (53%). In overweight women, the mean umbilical location was 2.4 cm caudal to the bifurcation, and in obese women, 2.9 cm caudal to the bifurcation. In the last two groups of subjects, the Umbilicus was located at the level of the bifurcation in six of 20 (30%). In every case, the Umbilicus was located cephalad to where the common iliac vein crossed the midline. Conclusions The Umbilicus is often located at or cephalad to the aortic bifurcation, and consistently located cephalad to where the left common iliac vein crosses the midline. The laparoscopic approach should take these relationships into account to minimize injuries to major retroperitoneal vessels.
D. Efe - One of the best experts on this subject based on the ideXlab platform.
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The dome procedure: a new technique for the reconstruction of the Umbilicus
Hernia, 2016Co-Authors: S. Şentürk, A. Özkan, Kazım Gemici, D. EfeAbstract:Purpose The absence of the Umbilicus is, in essence, an aesthetic deformity of the abdominal wall. The goal of reconstructing the Umbilicus is to obtain a natural, three-dimensional appearance. In this study, we present a new technique called the “dome procedure” for the reconstruction of the Umbilicus. Methods This procedure can be applied under local anaesthesia on an outpatient basis and the drawing of the design is simple. The technique was applied to six patients who presented with an absence of the Umbilicus following repair of a large incisional and umbilical hernia. Results No major or minor complications were encountered. Patient satisfaction was high after surgical intervention. Conclusions The dome procedure, which enables the Umbilicus to have a natural appearance with sufficient depression and normal-appearing wrinkles, is simple, easy to perform, and safe.
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The dome procedure: a new technique for the reconstruction of the Umbilicus.
Hernia : the journal of hernias and abdominal wall surgery, 2015Co-Authors: S. Şentürk, A. Özkan, Kazım Gemici, D. EfeAbstract:Purpose The absence of the Umbilicus is, in essence, an aesthetic deformity of the abdominal wall. The goal of reconstructing the Umbilicus is to obtain a natural, three-dimensional appearance. In this study, we present a new technique called the “dome procedure” for the reconstruction of the Umbilicus.
Togas Tulandi - One of the best experts on this subject based on the ideXlab platform.
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anatomic relation between the Umbilicus aortic bifurcation and transverse colon in males
Surgical technology international, 2010Co-Authors: Fawaz Alharbi, David Valenti, Ayman Altalib, Carolin Reinhold, Sarkis Meterissian, Togas TulandiAbstract:To examine the relationship between the Umbilicus, major abdominal vessels, and transverse colon in males with differing body habitus, we conducted a prospective study including 91 male patients who underwent computerized tomography scan examinations. Of 91 males, 40 were normal weight, 27 overweight, and 24 obese. Compared with males of normal weight, the distance between the Umbilicus and peritoneum was significantly greater in those who were overweight and obese. In males in whom the Umbilicus was located cephalad to the aortic bifurcation, the distance was 1.4 to 2 cm. There was no significant difference in the distance among those who were normal weight, overweight, or obese. In males whose Umbilicus was caudal to the aortic bifurcation, the distance in obese males (2.3±0.3 cm) was significantly greater than in those with normal weight (1.2±0.2 cm; P<0.01). Compared with normal weight males (8.6±0.7 cm), the distance between the Umbilicus and transverse colon was significantly greater in the overweight males (10.7±0.7 cm, P: 0.02 CI -0.3 to -4.2) and obese males (11.5±1.0 cm, P: 0.01; CI-0.4 to -5.0). The location of the aortic bifurcation in relation to the Umbilicus in men varies. However, generally the Umbilicus is located caudal to the transverse colon.
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Location of aortic bifurcation and transverse colon in postmenopausal women: relevance to laparoscopy.
Surgical technology international, 2010Co-Authors: Ayman Al-talib, Fawaz Alharbi, David Valenti, Togas TulandiAbstract:This was a prospective study of postmenopausal women who underwent a computerized tomography (CT) examination of the abdomen and pelvis. We evaluated the location of the aortic bifurcation and transverse colon relative to the Umbilicus at midline axis. Of 66 women, 24 were of normal weight, 23 were classified as overweight, and 19 as obese. The ages of the women in all groups were comparable. In the normal weight and overweight women, the mean location of the Umbilicus was 0.6 cm +/- 0.4 cm and 0.4 cm +/- 0.3 cm cranial to the aortic bifurcation, respectively, and in obese women its mean location was 1.4 cm +/- 0.5 cm caudal to the aortic bifurcation. In approximately half of the normal weight and overweight women, the Umbilicus was located cranial to the aortic bifurcation, and in 62.2% of obese women it was located caudal to the aortic bifurcation. Compared to those with normal weight (0.3 cm +/- 1.1 cm), the distance between Umbilicus and transverse colon was greater in overweight (4.5 cm +/- 1.2 cm) and obese women (7.1 cm +/- 0.7 cm). In approximately one third of the normal weight women and over half of the overweight women, the Umbilicus was located caudal to the transverse colon. In contrast, the Umbilicus in 84.2% of the obese women was located caudal to transverse colon. There was a linear correlation between the distance of Umbilicus and transverse colon distance and body mass index (BMI; r = 0.54, p < 0.0001). Regardless of the BMI, there was a wide variability whether the Umbilicus was cranial or caudal to the aortic bifurcation or transverse colon. Similar to that in reproductive-aged women, in postmenopausal women the location of the aortic bifurcation and transverse colon varies. Proper insertion of the Veress needle and trocar is more important than a particular angle of insertion.
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Anatomic relation between the Umbilicus, aortic bifurcation, and transverse colon in males.
Surgical technology international, 2010Co-Authors: Fawaz Alharbi, Ayman Al-talib, David Valenti, Carolin Reinhold, Sarkis Meterissian, Togas TulandiAbstract:To examine the relationship between the Umbilicus, major abdominal vessels, and transverse colon in males with differing body habitus, we conducted a prospective study including 91 male patients who underwent computerized tomography scan examinations. Of 91 males, 40 were normal weight, 27 overweight, and 24 obese. Compared with males of normal weight, the distance between the Umbilicus and peritoneum was significantly greater in those who were overweight and obese. In males in whom the Umbilicus was located cephalad to the aortic bifurcation, the distance was 1.4 to 2 cm. There was no significant difference in the distance among those who were normal weight, overweight, or obese. In males whose Umbilicus was caudal to the aortic bifurcation, the distance in obese males (2.3±0.3 cm) was significantly greater than in those with normal weight (1.2±0.2 cm; P
William W. Hurd - One of the best experts on this subject based on the ideXlab platform.
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The relationship of the Umbilicus to the aortic bifurcation: implications for laparoscopic technique.
Obstetrics and gynecology, 1992Co-Authors: William W. Hurd, Ronald O. Bude, John O.l. Delancey, Michael L. PearlAbstract:Objective We evaluated the location of the Umbilicus relative to the aortic bifurcation and the left common iliac vein where it crosses the midline. Methods Abdominal computed tomography images from 35 reproductive-age women were retrospectively reviewed to determine the location of the Umbilicus. The results were correlated with body mass index using Pearson correlation coefficient and a two-tailed paired t test. Results The location of the Umbilicus, but not the aortic bifurcation, was more caudal in heavier women and negatively correlated with body mass index. In nonobese women, the mean location of the Umbilicus was 0.4 cm caudal to the aortic bifurcation, and was at or cephalad to the bifurcation in eight of 15 (53%). In overweight women, the mean umbilical location was 2.4 cm caudal to the bifurcation, and in obese women, 2.9 cm caudal to the bifurcation. In the last two groups of subjects, the Umbilicus was located at the level of the bifurcation in six of 20 (30%). In every case, the Umbilicus was located cephalad to where the common iliac vein crossed the midline. Conclusions The Umbilicus is often located at or cephalad to the aortic bifurcation, and consistently located cephalad to where the left common iliac vein crosses the midline. The laparoscopic approach should take these relationships into account to minimize injuries to major retroperitoneal vessels.
