Gray’s Anatomy: The Anatomical Basis of Clinical Practice

Hirsch, Bruce Elliot

doi:10.1001/jama.2009.594

Cited by 51 publications

(63 citation statements)

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“…[7] The periosteum of the iliac crest derives its rich innervation from the local nerves supplying the muscles attached to it. [5,8] The outer lip of the AIC provides attachment to the iliotibial band, tensor fascia lata, and lower fibres of the external oblique as well as latissimus dorsi muscles. The intermediate part of the iliac crest allows attachment to the internal oblique muscle while the transversus abdominis muscle attaches to the inner lip of the anterior iliac crest.…”

Section: Discussionmentioning

confidence: 99%

“…The lateral femoral cutaneous nerve supplies the skin overlying the antero lateral thigh and may contribute to the innervation. [5] Though there are multiple ways to block these nerves, the quadratus lumborum block (QLB) which was recently introduced seems to be very effective in blocking these nerves and thereby provide optimal analgesia. [6] Hence we conducted this study to evaluate the effectiveness of quadratus lumborum block in alleviating post operative pain at iliac crest bone graft site.…”

Section: Introductionmentioning

confidence: 99%

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Quadratus Lumborum Block for Post-Operative Analgesia Following Anterior Iliac Crest Bone Graft Harvesting.

S¹,

Rajalakshmi²

2019

AAN

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Background: The anterior iliac crest is the most common site used for harvesting autologous bone graft. This can lead to acute and chronic iliac crest donor site pain leading to significant morbidity. Quadratus lumborum block is a newer advanced block which may help to alleviate this pain. This study aims to evaluate the effect of quadratus lumborum block on post operative analgesia in iliac crest bone graft patients. Subjects and Methods: A total of 60 patients aged between 18 yrs to 65 yrs were randomised into two equal groups. Group A received wound infiltration with local anesthesia. Group B received ultrasound guided quadratus lumborum block. Pain scores and opioid consumption were recorded in both groups. Results: Demographic profile was comparable in both the groups. The VAS score was significantly less in group B when compared to group A at 4th, 8th and 12th hrs (p <0.0001). The opioid consumption was 250.28±40.65 in group A and 100.57±25.48 group B. Conclusion: Ultrasound guided Quadratus lumborum block effectively reduces post operative pain in anterior iliac crest bone graft site when compared to local anesthetic wound infiltration.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Quadratus Lumborum Block for Post-Operative Analgesia Following Anterior Iliac Crest Bone Graft Harvesting.

S¹,

Rajalakshmi²

2019

AAN

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“…This atlas has become a universal landmark in anatomy and is possibly the most complete anatomical atlas (Hirsch, 2009). One limitation of this atlas is that inter-subject bin wa wath ml map A B C Fig.…”

Section: Creation Of the Wm Atlasmentioning

confidence: 99%

White matter atlas of the human spinal cord with estimation of partial volume effect

et al. 2015

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“…4 The development of breast shape and contour are dependent on many factors; however, the skin and connective tissue complement represent the most important factor: the natural skin pliability that allows the breast to reshape and become ptotic with increased glandular volume and with age. 5 …”

Section: Introductionmentioning

confidence: 99%

Lower Pole Breast Reconstruction Using Muscle-sparing Latissimus Dorsi Flap in Postburn Breast Deformity

Hussein

Abdelkader

Elhenawy

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Background: Full-thickness burns of the anterior chest wall during childhood are a devastating problem that results in significant distortion of the developing breast. This deformed burnt breast represents a serious aesthetic problem, and can lead to functional impairment as well as severe emotional trauma for patients. Methods: Patients with postburn scarring affecting the lower pole of the breast were included. Only patients with small to medium-sized breasts were targeted. The lower breast pole was reconstructed using muscle-sparing latissimus dorsi flap. All patients had been subjectively assessed, including overall patient satisfaction regarding breast aesthetics, donor site morbidity, and functional deficits of latissimus dorsi muscle, 3 months postoperatively. Results: Six patients (seven breasts) were included in this study. Muscle-sparing latissimus dorsi flap was used to reconstruct lower breast pole in all patients. A horizontally-oriented skin paddle was used in five patients, whereas a vertically oriented skin paddle was used in one patient. Average patient satisfaction was 9.1 (SD 0.6) for the reconstructed lower breast pole. For the donor site, average overall satisfaction was 9.1 (SD 0.8). Latissimus dorsi muscle function was objectively confirmed in 90% of cases after 3 months postoperatively. Patients had an average score of 3.9 (SD 0.4) for the activity score as well. Conclusions: The muscle-sparing latissimus dorsi flap is a good reconstructive tool for lower breast pole in postburn breast reconstruction. It has a reliable versatile skin paddle that can resurface the whole lower breast pole, while avoiding many of the latissimus flap morbidities.

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Gray’s Anatomy: The Anatomical Basis of Clinical Practice

Cited by 51 publications

References 0 publications

Quadratus Lumborum Block for Post-Operative Analgesia Following Anterior Iliac Crest Bone Graft Harvesting.

Quadratus Lumborum Block for Post-Operative Analgesia Following Anterior Iliac Crest Bone Graft Harvesting.

White matter atlas of the human spinal cord with estimation of partial volume effect

Lower Pole Breast Reconstruction Using Muscle-sparing Latissimus Dorsi Flap in Postburn Breast Deformity

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