Total infralevator exenteration

Slides:



Advertisements
Similar presentations
Dissection of the distal ureter. (A) Urinary bladder
Advertisements

Acute irritant contact dermatitis on the hand due to an industrial solvent There is massive blistering on the palm. Source: Eczema/Dermatitis, Fitzpatrick's.
The dualistic pathways in the development of high-grade and low-grade serous carcinoma. Schematic illustration of type I and type II ovarian serous carcinoma.
3D and 4D ultrasound volume ultrasound can obtain image planes and provide depth far beyond the capability of 2D ultrasound. Source: VOLUME SONOGRAPHY:
The defect is converted to a parallelogram with angles of 60 and 120 degrees, and the flap is designed accordingly. (Adapted from Morrow CP, Curtin JP.
A. Schema of NSABP B-27 trial comparing neoadjuvant AC to neoadjuvant AC followed by neoadjuvant docetaxel and to neoadjuvant AC followed by adjuvant docetaxel.
Schema of the NSABP B-34 trial evaluating adjuvant oral clodronate in patients with resected stage I and II operable breast cancer (Chemo, adjuvant chemotherapy;
Transection of the utero-ovarian ligament
Incidence of CIN2 and 3 and cervical cancer
Preperitoneal repair of bilateral inguinal hernia using Stoppa technique (giant prosthetic repair of visceral sac). The synthetic mesh is placed between.
Methods for site-directed mutagenesis
Pathophysiology of esophageal reflux disease
A mild and inconsistent asymmetry of photic driving response is frequently seen in normal individuals. An asymmetry in photic driving response may result.
Perioral dermatitis Preferential location on the chin but also on the lower eyelids in a 64-year-old woman. At this age, differential diagnosis includes.
Cross-section of the abdominal wall demonstrating a “sublay “ or “Stoppa” incisional hernia repair with mesh (green) placed in the retrorectus position.
Nine patterns of inflammatory skin disease. (See also Table 8–1.)
Diagnostic algorithm for normocytic anemia.
Outcomes after surgery, cortical resection, or hemispherectomy in infants with catastrophic focal epilepsy are very good. About 75–78% are seizure-free.
Structures of antiestrogens and aromatase inhibitors
Radiograph of a giant cell tumor of the thumb
Staging of endometriosis
Schematic demonstrating placement of transfascial sutures lateral to the rectus muscle securing the mesh in place (Stoppa repair). (A) Upper abdominal.
Direct and indirect action of free electrons created by ionizing radiation. (Reproduced, with permission, from Hall EJ, Giaccia AJ. Radiobiology for the.
(Data from Rosenfeld RL. N Engl J Med 2005; 353:2578–2588.)
Midsagittal section through the brain of a patient with a brain stem tumor. Histologic findings showed the tumor to be an ependymoma. Source: Discussion.
A: High female anatomic anomaly. Low vaginal fistula
Correct position of the incontinence ring
(Data from Rosenfeld RL. N Engl J Med 2005; 353:2578–2588.)
Atopic dermatitis Figures 9-14 and 9-15 illustrate skin that is scaly and lichenified. The treatment of atopic dermatitis should include the establishment.
An AP view of the proximal right femur shows a healing stress fracture in the lateral cortex of the proximal right femoral diaphysis (arrowhead). This.
Epilepsy is an important predictor of poor intellectual outcome in the children with hydrocephalus with shunts. Epilepsy was significantly affected by.
Rodin, “The Kiss” (545 x 800). Accessed at
Varicose veins A. There are meandering and convoluted irregular varicose veins on the thigh of a 70-year-old man who also had lipodermatosclerosis and.
Sclerotherapy of telangiectasias using 0
Temporal patterns of headache
Illustration of ways regression lines can differ
Reaction mechanism of the Michael addition reaction between a nucleophile and a polarized double bond. Source: Nucleophilic Substitution, Addition, and.
Perineum of an elderly woman with multiple medical comorbidities and Bowen disease following radical vulvectomy and split-thickness skin graft reconstruction,
Afferent and efferent limbs of the bowel are placed parallel to each other with their antimesenteric borders. Stay sutures of a 3-0 delayed monofilament.
Outline of the process of TMA assembly
A standard epidural order form.
A 5-French sheath has been placed in the right radial artery in preparation for cardiac catheterization. A hemostatic valve on the sheath allows catheter.
A tension pneumothorax should have been suspected based on the clinical scenario and the absence of breath sounds on the left. Emergency needle decompression.
Age-standardized incidence and mortality rates across 20 years, and incidence, death and prevalence estimates for the year 2000, Canada. (Top) Age-standardized.
PET imaging can also be applied in the preclinical setting to increase our understanding of the underlying biology, as well as inform the design of clinical.
Diagnosis and surgical treatment of glomus tumor
B. Healthy extracellular matrix supports the growth of new capillaries as seen in this lateral ankle wound. The capillaries give the surface of the wound.
King of Hearts monitor. The device is attached to the patient and easily activated when symptoms arise. Record button is on top; out of view. The send.
Lichen Sclerosus—Chronic
Patients presenting with clinical features compatible with MAE but with seizure semiology consistent with focal seizure or focal abnormality seen in the.
Temporal patterns of headache
Hair growth cycle Diagrammatic representation of the changes that occur to the follicle and hair shaft during the hair growth cycle. A. Anagen (growth.
Radiograph of a solitary plasmacytoma in the proximal femur of a 46-year-old man. Source: Chapter 5. Musculoskeletal Oncology, Current Diagnosis & Treatment.
(Reproduced with permission from Afifi AK, Bergman RA
Paralysis or weakness of all extremities, plus all bulbar musculature: Corticobulbar and corticospinal tracts bilaterally Source: CEREBROVASCULAR DISEASES,
(Reproduced, with permission, from Emiliano Chavira, MD.)
Swelling of the phalanges of the right thumb and hemorrhagic rash in an adolescent girl. Her blood culture was positive for N. gonorrhea. (Photo contributor:
Incisional hernia repair using Stoppa technique
Prostate cancer. Classically, prostate cancer is described as hypoechoic nodules in the peripheral zone as seen here. In reality, prostate cancer is often.
Adapted with permission from Hsia, J et al
A. Solitary chest wall recurrence (CWR) in patient with previous transverse rectus abdominis musculocutaneous (TRAM) flap, B. resection of CWR, and C.
Testing the first MTP joint motion. (From Dutton M
Number of uninsured persons in the United States, 1980 to 2014 (U. S
Spina bifida occulta. The arrows point to a swelling above the buttocks. (From Waxman SG. Clinical Neuroanatomy. 26th ed.
Mammogram images (A, B) indicate an irregular mass in the upper outer left breast. Ultrasound of the left breast (C) shows this to be a solid, hypoechoic.
In the study of 120 patients with defective alpha activity by mental arithmetic at Mayo Clinic, 32 patients had Bancaud phenomenon. Associated focal slowing.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Presentation transcript:

Total infralevator exenteration Total infralevator exenteration. The extent of the perineal resection is tailored to the degree of lower vaginal or vulvar involvement with tumor. Source: Pelvic Exenteration, Gynecologic Oncology: Clinical Practice and Surgical Atlas Citation: Karlan BY, Bristow RE, Li AJ. Gynecologic Oncology: Clinical Practice and Surgical Atlas; 2015 Available at: http://hemonc.mhmedical.com/DownloadImage.aspx?image=/data/books/1381/kar_ch32a_f007.png&sec=75546860&BookID=1381&ChapterSecID=75546806&imagename= Accessed: November 09, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved