المؤلفون: Nho V. Tran, Franklin H. Sim, David G. Lewallen, Stephen W Carmichael

المصدر: Clinical Orthopaedics and Related Research. 452:270-273

مصطلحات موضوعية: medicine.medical_specialty, business.industry, General Medicine, Thigh, musculoskeletal system, Surgery, body regions, medicine.anatomical_structure, Muscle dysfunction, Orthopedic surgery, medicine, Foramen, Orthopedics and Sports Medicine, Gluteus maximus muscle, Surgical Flaps, Gluteal muscles, business, Rectus abdominis muscle

الوصف: Tumors of the gluteal region are rare. Defects from resection often can be closed primarily. Some patients require local flaps such as a gluteus maximus V-Y advancement flap. Such flaps typically result in some muscle dysfunction. In addition, the use of local irradiated tissue may lead to wound complications and prolonged hospitalization. Avoiding local radiated tissue, such as the gluteal muscles, can be beneficial. We report our experience using a novel route by passage through the transsciatic foramen to transpose a pedicle vertical rectus abdominis myocutaneous flap. This regional option avoids gluteal muscle dysfunction and potential wound complication from irradiated tissue.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_________::8331ca5d3169f985ebaa185a4b32d441
https://doi.org/10.1097/01.blo.0000229303.59771.6d

المؤلفون: Uldis Bite, Stephen W. Carmichael, Toshiyuki Shimizu, Dean R. Fisher

المصدر: Annals of Plastic Surgery. 38:604-610

مصطلحات موضوعية: Male, musculoskeletal diseases, Microsurgery, medicine.medical_specialty, Thigh, Anastomosis, Posterior thigh flap, Medial compartment of thigh, Surgical Flaps, Reference Values, Cadaver, medicine, Humans, Aged, Aged, 80 and over, business.industry, Anatomy, Middle Aged, Anterolateral thigh, musculoskeletal system, Thigh flap, eye diseases, Surgery, Femoral Artery, body regions, Plastic surgery, medicine.anatomical_structure, Female, business

الوصف: Various free flaps have been utilized in the thigh region, however there are few systematic clinicoanatomic studies of the thigh region. The purpose of this study is to clarify the clinicoanatomic characteristics of the free septocutaneous thigh flap. Forty-two dissections were carried out in unenbalmed cadavers. The pedicle was observed in all specimens in the anterolateral thigh (ALT), medial thigh, gluteal thigh, and lateral thigh flaps. The pedicle was observed in 46% of the specimens in the anteromedial thigh flap. The pedicle was observed in 86% of the specimens in the posterior thigh flap. The pedicle length (153 +/- 23 mm) of the ALT flap was the longest pedicle in the thigh flaps. The internal diameter of the pedicle of the ALT flap (3.0 +/- 1.0 mm), which could be used for anastomosis, is the largest in the septocutaneous thigh flaps. The clinicoanatomic characteristics of thigh flaps are clarified.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7a21eb9866348305669159c9450cfc77
https://doi.org/10.1097/00000637-199706000-00007

المؤلفون: Darrell G. Kirch, Stephen W. Carmichael, Robert S. McCuskey

المصدر: Academic Medicine. 80:349-351

مصطلحات موضوعية: Male, Faculty, Medical, Economic shortage, Education, Risk Factors, ComputingMilieux_COMPUTERSANDEDUCATION, Humans, Medicine, Curriculum, Schools, Medical, Training grant, Medical education, ComputingMilieux_THECOMPUTINGPROFESSION, business.industry, Compensation (psychology), General Medicine, Anatomy, Health professions, Incentive, Health Occupations, Gross anatomy, Female, business, Administration (government), Education, Medical, Undergraduate

الوصف: The current shortage of faculty qualified to teach anatomy in U.S. medical schools is reversible. Sufficient numbers of individuals are in the pipeline to provide a future cadre of well-trained faculty members educating students in gross anatomy. The challenge is to realign departmental, institutional, and federal training grant priorities and resources, creating incentives for graduate students, postdoctoral fellows, and faculty members to stay the course and become the teachers needed to educate the next generation of health professionals. These strategies include (but are not limited to) team-teaching gross anatomy, thereby distributing the time commitments of a laboratory-based course more widely within a department; funds made available from the administration of medical schools to allow postdoctoral fellows to participate in teaching and providing compensation for the research activities; using "mission-based budgeting" to specifically compensate for faculty teaching time; and, finally, re-instituting federally funded training grants that solved this same teaching crisis in the not-too-distant past.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cb02f3273ea2abea0c593eeb8e367641
https://doi.org/10.1097/00001888-200504000-00008

المؤلفون: John R. Halliwill, Mark A. Warner, Riobert E. Wells, Jon P. Litwiller, Stephen W. Carmichael

المصدر: Anesthesiology. 96:A1076

مصطلحات موضوعية: Anesthesiology and Pain Medicine, business.industry, medicine, Strain (injury), Anatomy, medicine.disease, business, Lithotomy position

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_________::72a2185edb5ca22b37fa082de239b850
https://doi.org/10.1097/00000542-200209002-01076