Atlas Of Surgical Anatomy

[Elly Garnand]

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The use of lateral mass atlas screws is an important technique to achieve fusion and stability at the craniocervical region affected by different pathologies (degenerative, traumatic, inflammatory, neoplastic, or congenital). This paper describes the anatomy and techniques necessary for proper insertion of posterior C1 lateral mass screws, using anatomic dissection and intraoperative pictures. Knowledge of the anatomy and the surgical technique of insertion of C1 lateral mass screws are of paramount importance to have good surgical results.

The author of a number of acclaimed, best-selling surgical atlases has collaborated again with an award-winning artist to produce another invaluable surgical resource. This highly regarded team provide a master-class in the demonstration of surgically relevant anatomy. Masquelet has attained world-renown in particular for his innovative flaps for reconstructive plastic surgery of the limbs, in this book he displays his unrivalled knowledge of surgery of the trunk, head, and neck. Every point of entry in required surgical procedures is described, and every procedure is illustrated with a sequence of drawings, displayed as the surgeon would see them, together with anatomical cross-sections.

The book features over 300 drawings illustrating all the approaches used in modern pelvic surgery, offering a rich repertoire ranging from minimally invasive approaches to standard ones and those for treating traumatic injuries. It comprises numerous detailed anatomical illustrations that faithfully reproduce the anatomy of the pelvic region at various stages of surgical intervention, with particular attention to risks and complications. This comprehensive and ambitious text aims to enrich the training of young surgeons and support experienced surgeons in their daily practice

SpecializationPlastic SurgeryDermatologyEndocrinologyPharmacyPhysiatryPhysiotherapySports MedicineAesthetic MedicineLegal MedicineNeurosurgeryDentistryOrthopedics and TraumatologyOtolaryngologyPediatricsPodiatryRadiologyGynecologyHealth Worker

The Rhoton Neurosurgery and Otolaryngology Surgical Anatomy Program at Mayo Clinic, Rochester, Minnesota offers theoretical and practical training, research fellowships and educational programs in surgical anatomy to improve the teaching-learning process in Neurosurgery, Otolaryngology, and related fields in the US and across the world.

Microscopic and endoscopic dissections as well as fiber tract dissections are performed in the laboratory. Three-dimensional printing, photogrammetry and virtual reality are increasingly important capabilities of our laboratory.

The understanding of the surgical anatomy of the region to be operated and its surrounding structures is extremely important. This knowledge will aid in choosing the correct surgical approach for a patient and minimize complications. Improvement of approaches, indications, and techniques are one of our goals along with surgical training.

Endoscopic Endonasal Approaches are important procedures in certain regions of the skull base that are accessible through the nose and paranasal sinuses. It is essential for the surgical team have an in-depth knowledge in this region and to develop surgical skills to navigate this complex anatomy.

In cooperation with the 3D Anatomy Printing Laboratory directed by Jonathan J Morris, MD the surgical cases and anatomical dissections can be rendered and translated into virtual reality, where the individual anatomy can be studied from any device in a three-dimensional representation or stereoscopic reality. This has improved training and preparation for surgical cases.

Our Research Fellowship Program is offered throughout the year and we accept fellows for a minimum length of stay of 6 months. The lab does not offer personal funding, but we provide the anatomical and technical material needed to complete your training and research projects. The fellowship is mainly directed to neurosurgeons and otolaryngologists but anatomists and other medical professional who perform surgeries in the head, neck and brain areas might be considered.

Those interested in applying for our Research Fellowship position should fill out this form, stating your goals and fields of interest, period of time planned to be attended as a fellow in our lab, your filiation, academic titles, updated curriculum vitae and one letter of recommendation. Generally, we take no more than one or two business days to reply our emails.

This program is an extended training format dedicated to trainees and neurosurgeons or otolaryngologists who intend to spend from 2-4 weeks developing, improving, and refining their dissection skills and practicing specific and complex neurosurgical or otolaryngology approaches inside our laboratory.

The lab offers openings for those planning to attend and perform dissections under guidance of our lab staff. No requirement prior experience regarding dissection, photography techniques or post-processing of images will be necessary.

A comprehensive atlas style text, this volume includes 41 chapters presenting hepatobiliary repair techniques using open and laparoscopic methods. Expert surgeons provide detailed, step-by-step instruction using a combination of video, illustration, and intraoperative photos to clarify specific points of the procedure.

The text opens with an illustrated anatomy outline including segmental anatomy of the liver, portal venous anatomy, arterial anatomy, biliary anatomy, and hepatic vein anatomy. The reader will also learn about specific biliary complications such as cancers and stones along with options for imaging and repair techniques. A significant portion of the text is devoted to surgical treatment of liver disease and injury.

Research in surgical education has demonstrated the superiority of interactive and experiential educational approaches over traditional didactic educational methods. This has resulted in the development and use of a spectrum of new and innovative educational programs and products that involve multimedia and simulation. The Internet offers a special platform for delivery of these educational programs and also enhances access.

The ACS Multimedia Atlas of Surgery series has been developed by the American College of Surgeons (ACS) Division of Education with Horacio J. Asbun, MD, FACS, as Editor-in-Chief. This multimedia program is especially designed to address the cognitive elements of surgical procedures. Each procedure is presented in a step-wise fashion, and the technical steps are described through text, narration, illustrations, and videos. The format of the program permits the learner to progress through the entire procedure or to focus on a specific step. Expert commentaries highlight special nuances, error-prone situations, and actions that should be taken to prevent errors. The emphasis on the delivery of surgical care of the highest quality and on specific elements to promote patient safety is especially noteworthy. The chapters are authored by internationally renowned experts in the field. The program has proven to be of immense value to practicing surgeons, surgery residents, and members of the surgical team.

Please note that the statements and content expressed in this volume, including the descriptions of surgical techniques, illustrations, and video clips, reflect the opinions of the authors and the consensus of the editors, but not necessarily the opinions or official position of the American College of Surgeons. Certain limitations of the ACS Multimedia Atlas of Surgery are worthy of note. The Atlas is a learning tool and is not recommended for formal, summative evaluation. Although the items and the critiques have been thoroughly reviewed by the authors and editors, the content does not necessarily reflect all relevant material or points of view.

We are delighted to present the ACS Multimedia Atlas of Surgery, which covers liver surgery. Editors of this volume are Horacio J. Asbun, MD, FACS, and David A. Geller, MD, FACS. I would like to extend to them my profound gratitude for their outstanding leadership, commitment, and willingness to share their expertise with others. I am also grateful to Olivier Petinaux, Senior Manager of Distance Education and E-Learning in the ACS Division of Education, for his exceptional support of this superb educational program.

In addition to anteroposterior (AP) and lateral views, radiographs of the upper cervical spine include the open-mouth view. This view may identify spreading or widening of the lateral masses or asymmetry of the separation of the odontoid (dens) from the lateral masses, which, in an appropriately centered radiograph, may be consistent with spreading of the C1 ring or a C1 fracture. Increased overhang of the lateral masses over the C2 facet totaling more than 6.9 mm suggests a fracture with disruption of the transverse odontoid ligament that may otherwise constrain displacement.

Fractures of the ring of C1 may be associated with an odontoid fracture; thus, the combination of the two fractures should be considered. [2, 3, 4] Furthermore, congenital anomalies of the arch (eg, agenesis of the posterior ring) may be present. Anterior subluxation of C1 on C2 may be present and, if so, often indicates a disruption of the transverse odontoid ligament.

The upper cervical spine is defined by the two most cephalad cervical atypical vertebrae, C1 (atlas) and C2 (axis). This region is distinct in anatomic shape and is more mobile than the lower cervical spine (ie, the subaxial cervical spine). The occipital condyles of the head (or the globe) rest upon the lateral masses of C1. These articular facets allow most of the flexion and extension of the head on the neck as the occipital condyles articulate on the atlas. [6, 7, 8, 9]

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