Analysis of surgical errors associated with anatomical variations clinically relevant in general surgery. Review of the literature

Kowalczyk, Katarzyna A.; Majewski, A

doi:10.1016/j.tria.2020.100107

Cited by 32 publications

(36 citation statements)

References 76 publications

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“…La distancia entre los orígenes del TC y la AMS es un rasgo anatómico importante a tener en cuenta en los procedimientos que comprometan estas estructuras, dado que los orígenes de estos vasos se hallan rodeados de los ganglios y linfonodos celíaco y mesentérico superior, las intervenciones quirúrgicas, especialmente de urgencia, en pacientes en donde el TC y la AMS se hallan a una distancia menor a un centímetro, sumado a un campo de operación hemorrágico y edematizado, puede conducir a complicaciones iatrogénicas por ligadura o lesión de la inervación de las vísceras que se ubican en los sectores supra e inframesocólico de la cavidad abdominal (Kowalczyk & Majewski, 2021).…”

Section: Resultados Y Discusiónunclassified

Evaluación Anatómica del Tronco Celíaco y sus Ramas en una Muestra de Población Mestiza Colombiana

Saldarriaga-Tellez

Ballesteros-Acuña

2021

Int. J. Morphol.

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RESUMEN:El tronco celíaco (TC) es la rama de la arteria aorta abdominal (AA) que aporta la irrigación a la porción distal del esófago, parte media del duodeno, al estómago, páncreas, bazo y suple adicionalmente al hígado; sus diferentes expresiones anatómicas son reportadas en los diferentes grupos poblacionales con incidencia variable. Se evaluó las características morfológicas del TC y sus ramas en 26 bloques del piso supramesocólico de cadáveres masculinos adultos no reclamados, del grupo poblacional mestizo, a quienes se les practico autopsia en el Instituto de Medicina Legal de Bucaramanga -Colombia. Se observo el tipo I del TC en 23 especímenes (88,4 %), del cual correspondió 16 muestras (61,5 %). Al subtipo Ia con bifurcación y formación de tronco hepatoesplénico. Hubo un caso (3,8 %) en donde las ramas del T se originaron de manera independiente de la AA. El TC presentó una longitud promedio de 18,6 DE 7,53 mm y un diámetro externo de 7 DE 1,24 mm. De las ramas del TC, la AE presentó un diámetro promedio de 5,89 DE 1,04 mm sin diferencias estadísticamente significativa con relación al diámetro de la AHC, pero si con relación al diámetro de la AGI (P= 0,70; p<0,001 respectivamente). La gran mayoría de la muestra avaluada muestra la presencia de tronco hepatoesplénico seguido de la trifurcación en una verdadera configuración de trípode. El conocimiento de los patrones de ramificación del TC debe ser tomado en cuenta por cirujanos gastroenterólogos, radiólogos intervencionistas y oncólogos para evitar complicaciones durante los procedimientos quirúrgicos abdominales.

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Section: Resultados Y Discusiónunclassified

Evaluación Anatómica del Tronco Celíaco y sus Ramas en una Muestra de Población Mestiza Colombiana

Saldarriaga-Tellez

Ballesteros-Acuña

2021

Int. J. Morphol.

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“…Surgical errors contribute a significant burden to health systems worldwide 1 . A large proportion of this burden is a result of patient‐related complexities, which include “difficult or unusual anatomy” otherwise referred to as anatomical variations 2 . Anatomical variations are deviations from the typical arrangement of anatomical structures 3 .…”

Section: Introductionmentioning

confidence: 99%

Exploring the inclusion of anatomical variation in medical education

Nzenwa

Iqbal

Bazira

2023

Anatomical Sciences Ed

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Surgical errors contribute a significant burden to health systems worldwide. 1 A large proportion of this burden is a result of patient-related complexities, which include "difficult or unusual anatomy" otherwise referred to as anatomical variations. 2 Anatomical variations are deviations from the typical arrangement of anatomical structures. 3 These variations are present within populations, and no two individuals have exactly the same anatomy. 4 Although the cause is still unclear, it is thought that humans are susceptible to a higher degree of anatomical variability more than most species. 5,6 Anatomical variation is likely the result of a combination of genetic and environmental factors interfering with the embryological development of anatomical structures. 6,7 However, such disruption is also the cause of pathological congenital abnormalities like structural cardiac defects and organ atresia. It is, therefore, important to distinguish an anatomical variation from other pathologic aberrations, as the former does not result in a demonstrable impairment in normal functioning. 7

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“…A thorough understanding of relevant anatomy is a prerequisite for good surgical management in any patient 16 . The anatomical relationship between the calcaneal bursae has been described in the horse, where it has been found that the ICB always communicates with the GCB, and in 39% of cases with the SCB 2 .…”

Section: Introductionmentioning

confidence: 99%

“…14,15 A thorough understanding of relevant anatomy is a prerequisite for good surgical management in any patient. 16 The anatomical relationship between the calcaneal bursae has been described in the horse, where it has been found that the ICB always communicates with the GCB, and in 39% of cases with the SCB. 2 This anatomical relationship has, to the authors knowledge, not been determined in the bovine, and the sparse literature on bovine septic calcaneal bursitis assumes an identical communication pattern as to that of the horse.…”

Section: Introductionmentioning

confidence: 99%

Anatomy of the congenital calcaneal bursae in the bovine

et al. 2023

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Objective: The objective of this study was to determine the anatomical relationship of the congenital calcaneal bursae in the bovine, and describe the computed tomography (CT), endoscopic and gross anatomy of these bursae. Study design: Ex vivo experimental.Sample population: Eighteen clinically normal cadaver bovine hindlimbs. Methods: Intrasynovial injection of iodinated contrast and methylene blue into the intertendinous calcaneal bursa (ICB) (n = 16) or gastrocnemius calcaneal bursa (GCB) (n = 2). Limbs were imaged post-contrast injection using multidetector CT. Endoscopic examination of the ICB was performed on two randomly selected limbs. All limbs underwent gross anatomical dissection. Results:The anatomy of the congenital calcaneal bursae was consistent between CT imaging, endoscopic examination and gross dissection. The ICB and GCB were two separate synovial structures with no communication in all limbs. The distal and proximal extent of the ICB, defined as the distance from the point of tuber calcanei to the distal/proximal aspect of the ICB, was (median [IQR]) 7.4 (7.4 to 7.8) cm distally and 5.4 (4.7 to 6.0) cm proximally. Conclusion:Positive contrast CT and gross anatomical dissection revealed no communication between the congenital calcaneal bursae in any limb.Routine bursoscopy allowed complete endoscopic examination of the ICB.The proximal extent of the ICB is shorter than the distal extent. The use of a collective term for these bursae should be avoided in the bovine, as the ICB and the GCB are two separate synovial structures with no communication.

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Analysis of surgical errors associated with anatomical variations clinically relevant in general surgery. Review of the literature

Cited by 32 publications

References 76 publications

Evaluación Anatómica del Tronco Celíaco y sus Ramas en una Muestra de Población Mestiza Colombiana

Evaluación Anatómica del Tronco Celíaco y sus Ramas en una Muestra de Población Mestiza Colombiana

Exploring the inclusion of anatomical variation in medical education

Anatomy of the congenital calcaneal bursae in the bovine

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