Spigelian hernia occurs through slit like defect in the anterior abdominal wall adjacent to the semilunar line. Most of spigelian hernias occur in the lower abdomen where the posterior sheath is deficient. The hernia ring is a well-defined defect in the transverses aponeurosis. The hernial sac, surrounded by extraperitoneal fatty tissue, is often interparietal passing through the transversus an...

 ABSTRACT Background: The transverse rectus abdominis musculocutaneous (TRAM) flap remains the gold standard for postmastectomy reconstruction either immediate or delayed. However, transfer of TRAM flap can be associated with donor site morbidities and complications in flap. A successful reconstruction consists of careful patient selection, surgical technique and meticulous preoperative plannin...

AIMS The Thebesian valve (TV) can be a significant obstacle to coronary sinus (CS) cannulation. The aim of this study was to evaluate the characteristic features of the CS valve--TV anatomy. In particular, emphasis was placed on identifying specific structures of the TV that could potentially complicate CS cannulation. METHODS AND RESULTS We examined 273 autopsied human hearts. The height of ...

The thalamus is the part of the calcaneus that supports the posterior articular facet and continues forward, becoming thinner towards the groove of the sinus tarsi. The main displacements after fracture depend on 1) a primary fracture line dividing the bone into anterior and posterior fragments, and 2) a semilunar fragment in the thalamic region. In the operation advised the sinus tarsi is expo...

SUMMARY A step-by-step approach to cardiac diagnosis utilizing a chest X-ray and echocardiography is described and used to study a normal infant and six infant patients with angiocardiographically-proven complex congenital heart malformations. The heart is divided into three major anatomical segments in order to localize the atrial and ventricular chambers and determine the relationship of the ...

During the recent war it became apparent that the results of removing a semilunar cartilage varied considerably both with regard to immediate freedom from effusion and ultimate function of the joint. In the first year, many end-results were unsatisfactory, but subsequently much more satisfactory results were obtained when better selection of cases before operation was enforced. Such selection, ...

One hundred and sixty five cases of various types of transposition complexes were studied. Based on this and on recent studies of the embryology of the conotruncus, the following observations were made. Regardless of their relations with the ventricles, the semilunar valves may show d-transposition or i-transposition. In the situs solitus heart, the d-type of semilunar transposition is found in...