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Related Concept Videos

Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
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Lateralization01:28

Lateralization

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Brain lateralization refers to the division of mental processes and functions between the two hemispheres of the brain, a phenomenon that optimizes neural efficiency and underpins complex abilities in humans. This specialization allows each hemisphere to perform tasks where it has a comparative advantage, facilitating more refined cognitive capabilities across different domains.
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Cranial Bones: Lateral View01:27

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The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
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Modified Boxplots00:57

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A standard box and whisker plot informs us about the spread of the data in a given sample. One can identify the minimum value, maximum value, first quartile value, second quartile or median value, and third quartile.
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Arteries and Arterioles01:16

Arteries and Arterioles

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Arteries, the vasculature responsible for transporting blood from the heart, possess robust walls capable of enduring the elevated pressures exerted by the heartbeat. Arteries near the heart are especially thick-walled and enriched with elastic fibers across their three tunics, classifying them as elastic or conducting arteries. These arteries, usually with a diameter exceeding 10 mm, are characterized by their ability to dilate in response to the blood pumped from the heart's ventricles...
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Related Experiment Video

Updated: Jan 27, 2026

The Superficial Inferior Epigastric Artery Fascia Flap for Nerve Reconstruction in Rabbits
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The Modified Lateral Intercostal Artery Perforator Flap.

Farid Meybodi1, Annelise M Cocco1, David Messer1

  • 1estmead Breast Cancer Institute, Westmead Hospital; and University of Sydney.

Plastic and Reconstructive Surgery. Global Open
|March 19, 2019
PubMed
Summary

A modified lateral intercostal artery perforator (LICAP) flap offers a favorable oncoplastic solution for lateral breast cancer, minimizing visible scarring and improving axillary access without patient repositioning.

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Area of Science:

  • Oncoplastic surgery
  • Breast cancer treatment
  • Surgical reconstruction

Background:

  • Breast-conserving surgery (BCS) and mastectomy are primary breast cancer treatments.
  • Lateral breast tumor excision can lead to cosmetic deformities.
  • Lateral intercostal artery perforator (LICAP) flaps address volume replacement after tumor excision.

Purpose of the Study:

  • To evaluate the efficacy of a modified LICAP flap technique.
  • To assess outcomes of a modified LICAP flap for lateral breast cancer excision.

Main Methods:

  • A modified LICAP flap technique was used for breast cancer excision.
  • Ultrasound marked perforators; "lazy S" incisions defined the flap.
  • Flap was mobilized to fill defects after wide local excision and axillary surgery.

Main Results:

  • Twenty-two patients underwent the modified LICAP procedure over 14 months.
  • Low re-excision rate (18%) for positive margins.
  • No posterior axillary scarring, separate axillary incision, or intraoperative repositioning required.

Conclusions:

  • The modified LICAP flap shows early favorable outcomes with a low perioperative complication rate.
  • Further long-term follow-up is needed to determine post-radiotherapy appearance.
  • This technique offers an innovative approach to lateral breast cancer reconstruction.