By Jay Y. Gillenwater MD, John T. Grayhack MD, Stuart S. Howards MD, Michael E. Mitchell MD
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Case Western Reserve Univ. , Cleveland, OH. entire textual content makes a speciality of important info wanted for educating rounds, scientific events on the bedside, and in oral assessments. beneficial properties concise solutions, information, bulleted lists, extra chapters on biopsy and vasectomy, and an in depth index. Softcover.
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Additional resources for Adult and Pediatric Urology (3-Volume Set)
This enables it to function as an expansile urinary reservoir that is mobile with respect to the peritoneum. Only a greatly distended bladder is fixed by its peritoneal covering (Fig. 59). 59. Midsagittal section through the pelvis. The parietal peritoneum is continued from the anterior abdominal wall onto the bladder apex and covers the posterior surface of the bladder to the level of the tips of the seminal vesicles, sometimes extending to the level of the ureteral orifices. There the peritoneum is reflected onto the anterior wall of the rectum to form the rectovesical pouch, which is the lowest point of the peritoneal cavity.
The transverse rami connect the two sympathetic trunks. Only rarely are the two trunks arranged symmetrically in the lumbar region. Furthermore, fusions of ganglia occasionally are encountered. The lumbar splanchnic nerves are the continuation of postganglionic fibers of the lumbar ganglia. They travel to the large paraaortic nervous plexus and eventually reach the superior hypogastric plexus, a continuation of the abdominal aortic plexus, located on either side of the abdominal aorta between the origins of the superior and inferior mesenteric arteries.
36). 36. Exposure of the intrathoracic portion of the inferior vena cava. Approach to the Retrocrural Lymph Nodes Most positive suprahilar nodes are found in the retrocrural zone. 37 and Fig. 38). The lymphatic pathways traverse the diaphragm via the aortic hiatus. They first drain into the cisterna chyli and then into the posterior mediastinal nodes. 37. Path of lymph flow to the suprahilar region and the chest. 38. Transverse section. Location of retrocrural nodes in relation to the diaphragm and the aorta (schema).
Adult and Pediatric Urology (3-Volume Set) by Jay Y. Gillenwater MD, John T. Grayhack MD, Stuart S. Howards MD, Michael E. Mitchell MD