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Dissection is along the avascular alveolar plane between the presacral and mesorectal fascia, described as holy plane (Heald's "holy plane"). [3] Dissection along this plane facilitates a straightforward dissection and preserves the sacral vessels and hypogastric nerves and is a sphincter-sparing resection and decreases permanent stoma rates. [4]
The presacral fascia is limited postero-inferiorly, as it fuses with the mesorectal fascia, ... is known as the holy plane of dissection first coined by Bill Heald. [4]
The microscopic structure of the mesocolon and associated fascia is consistent from ileocecal to mesorectal levels. A surface mesothelium and underlying connective tissue is universally apparent. Adipocytes lobules within the body of the mesocolon are separated by fibrous septa arising from submesothelial connective tissue. Where apposed to the ...
Isolated superior mesenteric artery dissection (ISMAD) is a rare but potentially life-threatening condition that causes acute abdominal pain. It refers to a dissection that occurs solely in the superior mesenteric artery (SMA), typically spontaneously, and does not involve the aorta . [ 1 ]
Portal Exposure: The manoeuvre exposes the porta hepatis, allows dissection of the hepatoduodenal ligament, and provides access to the lesser sac by opening the foramen of Winslow. [2] Limitations: The Kocher manoeuvre has limitations, as only the first and proximal second parts of the duodenum and the head of the pancreas can be mobilized.
Fascial spaces (also termed fascial tissue spaces [1] or tissue spaces [2]) are potential spaces that exist between the fasciae and underlying organs and other tissues. [3] In health, these spaces do not exist; they are only created by pathology, e.g. the spread of pus or cellulitis in an infection.
Charles Estienne Does First Dissection Of The Clitoris. A French author and anatomist, Charles Estienne undertakes anatomical dissection on a massive scale. He publishes all of his findings in his book Dissection Des Parties Du Corps Humain, which translates to Dissection Of The Parts Of The Human Body.
Prosector and physician in a dissection. From "Anathomia", M. da Luzzi, 1459. A prosector is a person with the special task of preparing a dissection for demonstration, usually in medical schools or hospitals. Many important anatomists began their careers as prosectors working for lecturers and demonstrators in anatomy and pathology.