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Anterior cutaneous nerve entrapment syndrome (ACNES) is a nerve entrapment condition that causes chronic pain of the abdominal wall. [1] It occurs when nerve endings of the lower thoracic intercostal nerves (7–12) are 'entrapped' in abdominal muscles, causing a severe localized nerve (neuropathic) pain that is usually experienced at the front of the abdomen.
The primary symptom is pain and it may be localized to the distribution of one or more of the intercostal nerves, manifesting as chest and abdominal pain. [18] No treatment modality prior to neurectomy (e.g. systemic medications, cryoablation, therapeutic nerve blocks, and radioablation) has given effective pain relief and none have been curative.
Diastasis recti, or rectus abdominis diastasis, is an increased gap between the right and left rectus abdominis muscles. [1] The increased distance between the muscles is created by the stretching of the linea alba , a connective collagen sheath created by the aponeurosis insertions of the transverse abdominis , internal oblique , and external ...
A Pfannenstiel incision for a caesarian section closed with surgical staples.The superior aspect of mons pubis and pubic hair are seen at bottom of the image.. A Pfannenstiel incision / ˈ f ɑː n ɪ n ʃ t iː l /, Kerr incision, Pfannenstiel-Kerr incision [1] or pubic incision is a type of abdominal surgical incision that allows access to the abdomen.
A rectus sheath hematoma is an accumulation of blood in the sheath of the rectus abdominis muscle. It causes abdominal pain with or without a mass. The hematoma may be caused by either rupture of the epigastric artery or by a muscular tear. Causes of this include anticoagulation, coughing, pregnancy, abdominal surgery and trauma. With an ageing ...
It is defined by the following structures: Medial border: Lateral margin of the rectus sheath. [1] [2]Superolateral border: Inferior epigastric vessels. [1] [2]Inferior border: Inguinal ligament.
He became a professor of surgery in 1619 and was the first to describe this rare hernia in 1627. [14] The history of the Spigelian hernia was acknowledged in 1645, twenty years after Spiegel's death. In 1764, almost a century later, the Flemish anatomist, Josef Klinkosch , was acknowledged for recognizing and describing a hernia located in the ...
A positive test indicates the increased likelihood that the abdominal wall and not the abdominal cavity is the source of the pain (for example, due to rectus sheath hematoma instead of appendicitis). [ 3 ] [ 4 ] A negative Carnett's sign is said to occur when the abdominal pain decreases when the patient is asked to lift the head; this points ...