2. sheath of the vascular-nervous bundle is triangular in shape
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Anatomical & Physiological Substantiations of Operative Interventions on the Vessels Associate-professor Slabyy O.B. Three Topographic Rules 1. Vascular-Nervous Bundle Sheath is Formed by Solid & Fibers Connective Tissue. 2. Sheath of the Vascular-Nervous Bundle is Triangular in Shape. - PowerPoint PPT PresentationTRANSCRIPT
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Anatomical & Physiological Substantiations of Operative Interventions on the Vessels Associate-professor Slabyy O.B.
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Three Topographic Rules 1.Vascular-Nervous Bundle Sheath is Formed by Solid & Fibers Connective Tissue
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2.Sheath of the Vascular-Nervous Bundle is Triangular in Shape.
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3. Apex of Sheath Directs to Bone & Closely Attaches to Periosteum.
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Vascular Ramification Depends on Limb Skeleton
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Lesghafts Rules of Vascular-Nervous Bundle Organization All main arterial trunks are situated on the concave or flexion surfaces of the body & limbs. Vascular ramification depends on limb skeleton structure & is connected by arterial archers on peripheral part of limb.All arterial trunks ramify on their way.Moveable parts of body have dense arterial net & roundabout collaterals.
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Arterial Supply of Upper Limb (schemes)
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Variants of Subclavian Artery Ramification (Roentgen Image)
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Axillary & Partly Brachial Artery (Roentgen Image)
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Exposure of the First Portion of Axillary Artery
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Collateral CirculationR. Descendens A.Transversa colli-A. Subscapularis (A.Circumflexa Scapulae)A.Transversa Scapulae (A.Subclavia)-A.A.Circumflexae Scapulae et Humery Posterior
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Exposure of Brachial Artery
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Collateral CirculationA.Profunda Brachii-A.recurrens RadialisA.A.Collaterales Ulnaris Superior et Inferior-A.Recurens Ulnaris
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Exposure of the Brachial Artery in the cubital fossa
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Collateral CirculationRete Articularis CubitiA.Collateralis RadialisA.A.Collateralis Ulnaris Superior et InferiorA.A.Recurrens RadialisA.A.Recurrens UlnarisA.A.Recurrens Interossea
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Brachial Artery Ramification (Roentgen Image on the Level of Cubital Fossa)
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Variants of Brachial Artery Bifurcation (Roentgen Image)
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Collateral CirculationAfter A.Ulnaris LigationA.Radialis, A.Interossea Anterior,Arcus Palmaris ProfundusAfter A.Radialis LigationA.Ulnaris, A. Interossea Anterior,Arcus Palmaris Superficialis
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Artery of Hand (Angioroentgen Image)
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Lower Limb Arterial Supply (schemes)
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Femoral Artery (Angioroentgen Image & Schemes)
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Exposure of the Femoral Artery under the Inguinal Ligament
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Collateral CirculationA.Glutea Inferior-A.Circumflexa Femoris LateralisA.Pudenda Externa-A.Pudenda InternaA.Obturatoria-A.Circumflexa Femoris MedialisA.Circumflexa Ilii Superficialis-A.Circumflexa Ilii ProfundaA.Epigastrica Inferior-A.Epigastrica Superficialis
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Exposure of the Femoral Artery in the Adductor Canal
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Collateral CirculationA.Profundae Femoris-Rete Articularis Genus (a.genus superior lateralis, a.genus superior medialis, a. genus inferior lateralis, a. genus inferior medialis, a.recurrens tibialis anterior)
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Popliteal Artery (Angioroentgen Image)
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Exposure of the Popliteal Artery in the Popliteal Fossa
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Artery of the Leg & Foot(Angioroentgen Image)
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Exposure of the Anterior Tibial Artery in the Leg Middle Third
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Exposure of the Posterior Tibial Artery in the Middle Third
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Lower Limb Venous System
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Superficial & Deep Femoral Veins
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Superficial Leg Veins
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Thank You for Attention