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Related Concept Videos

Muscles of the Abdomen01:21

Muscles of the Abdomen

The abdominal wall encircles the abdominal cavity, providing flexible protection and shielding the internal organs from harm. It is bordered at the top by the xiphoid process and costal margins, at the back by the vertebral column, and at the bottom by the pelvic bones and inguinal ligament. The abdominal wall is divided into two regions — the anterolateral and posterior regions.
Anterolateral Region
The anterolateral region comprises five paired muscles classified into the lateral and anterior...
Gallbladder01:17

Gallbladder

The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins the common...
Peritoneum01:21

Peritoneum

The peritoneum is a vital membrane that lines the abdominal cavity and covers most of the organs within it. It plays a crucial role in protecting the organs, providing a smooth surface for their movement, and facilitating various physiological processes. Understanding the anatomy and function of the peritoneum is essential for comprehending the complexities of the abdominal region.
Anatomy of the Peritoneum
The peritoneum is divided into two layers: the parietal peritoneum and the visceral...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Abdominal Aorta01:25

Abdominal Aorta

Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
Veins of the Abdomen and Pelvis01:18

Veins of the Abdomen and Pelvis

The human body is a complex system of interconnected parts, and the circulatory system plays a crucial role in maintaining overall health. One key component of this system is the inferior vena cava, a large vein responsible for returning blood from the abdominopelvic viscera and abdominal walls to the heart.
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...

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Related Experiment Videos

Abdominal wall gossypiboma.

Tara L Huston1, Robert T Grant

  • 1New York-Presbyterian Hospital, 525 E 68th Street, K707, New York, NY 10065, USA. taa9002@nyp.org

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|August 18, 2009
PubMed
Summary
This summary is machine-generated.

A retained surgical sponge (gossypiboma) was discovered a year after vacuum-assisted closure (VAC) therapy for a wound complication. This highlights the importance of considering gossypiboma in chronic wound cases post-VAC treatment.

Related Experiment Videos

Area of Science:

  • Surgical complications
  • Wound healing
  • Medical imaging

Background:

  • Abdominoplasty and incisional hernia repair are common surgical procedures.
  • Vacuum-assisted closure (VAC) therapy is widely used for complex wound management.
  • Chronic draining sinuses can occur after abdominal surgery and wound treatment.

Observation:

  • A patient developed chronic peri-umbilical sinuses one year after abdominoplasty and hernia repair.
  • The initial surgical site infection was treated with VAC therapy, leading to complete wound closure.
  • Imaging revealed a thick-walled collection with air bubbles along the anterior abdominal wall.

Findings:

  • Surgical debridement identified a retained block of well-incorporated VAC foam (gossypiboma).
  • The gossypiboma measured 8x3x1.6cm within a cavity.
  • This finding occurred one year post-VAC therapy.

Implications:

  • Retained surgical materials, such as VAC foam, can lead to delayed complications like chronic sinuses.
  • Gossypiboma should be included in the differential diagnosis for patients with persistent wound issues after VAC therapy.
  • This case underscores the need for vigilance in identifying retained surgical foreign bodies, even after complete wound closure.