Browsing by Author "Stimec, Bojan V. (7003411337)"

Background: Human gross anatomy is one of the cornerstones of a medical curriculum and cannot be performed without adequate cadaver procurement, which is a particular challenge for medical schools with a large student enrolment. The authors present the situation in a country with a low public awareness for willed body donor programmes and the prior absence of adequate legislation. Aim: Against this background, a comprehensive proposition of a whole-body procurement procedure was elaborated in the health-care law. Resolving the problem: The main goals of the proposition were: (a) identification of options for cadaver procurement (body bequeathal programme, unclaimed bodies and body donated with the permission of the next-of-kin); (b) defining the chain of order and responsibility of institutions In informing the medical school of the possible candidate for body procurement; (c) body storage and related procedures; (e) confidentiality of the deceased's personal data; (f) burial procedure of the deceased's remains. Conclusions: The authors are convinced that the willed programme for whole-body donation is a definite aim of such a legislation. However, we suggest that the acquisition of unclaimed bodies is maintained as a temporary solution, until a satisfactory level of public awareness of the problem has been reached.

Background: Human gross anatomy is one of the cornerstones of a medical curriculum and cannot be performed without adequate cadaver procurement, which is a particular challenge for medical schools with a large student enrolment. The authors present the situation in a country with a low public awareness for willed body donor programmes and the prior absence of adequate legislation. Aim: Against this background, a comprehensive proposition of a whole-body procurement procedure was elaborated in the health-care law. Resolving the problem: The main goals of the proposition were: (a) identification of options for cadaver procurement (body bequeathal programme, unclaimed bodies and body donated with the permission of the next-of-kin); (b) defining the chain of order and responsibility of institutions In informing the medical school of the possible candidate for body procurement; (c) body storage and related procedures; (e) confidentiality of the deceased's personal data; (f) burial procedure of the deceased's remains. Conclusions: The authors are convinced that the willed programme for whole-body donation is a definite aim of such a legislation. However, we suggest that the acquisition of unclaimed bodies is maintained as a temporary solution, until a satisfactory level of public awareness of the problem has been reached.

[No abstract available]

BACKGROUND: The jejunum has a wide lymphatic drainage field, making radical surgery difficult. OBJECTIVE: Extrapolate results from 2 methodologies to define jejunal artery lymphatic clearances and lymphovascular bundle shapes for radical bowel-sparing surgery. DESIGN: Two cohort studies. SETTINGS: The first data set comprised dissections of cadavers at the University of Geneva. The second data set incorporated preoperative 3-dimensional CT vascular reconstructions of patients included in the "Surgery with Extended (D3) Mesenterectomy for Small Bowel Tumors"clinical trial. PATIENTS: Eight cadavers were dissected. The 3-dimensional CT data set included 101 patients. MAIN OUTCOME MEASURES: Lymph vessels ran parallel and interlaced with jejunal arteries. Lymphatic clearance was minimal at the jejunal artery's origin, radially spreading thereafter. Jejunal arteries were categorized into 3 groups based on position to the middle colic artery origin on 3-dimensional CT: group A: jejunal artery origins lie cranially and caudally to the middle colic artery; group B: jejunal artery origins lie caudal to the middle colic artery; and group C: jejunal artery origins lie cranial to the middle colic artery. Jejunal veins were classified into 3 groups based on their trajectories to the superior mesenteric artery (dorsally/ventrally/combined). RESULTS: Lymph vessel clearances were 1.5 ± 1.0 mm at jejunal artery origins. Group A was present in 81 cases (80.2%), group B in 13 cases (12.9%), and group C in 7 cases (6.9%). Jejunal artery median was 4. Fifty-seven jejunal veins (56.4%) ran dorsally to the superior mesenteric artery, 16 (15.8%) ran ventrally, and 28 (27.8%) had a combined course. LIMITATIONS: Lymph nodes were not counted during dissection because the main observation was the position of lymph vessels. CONCLUSIONS: Minimal jejunal artery lymphatic clearance implies ligating tumor-feeding vessels at the origin. The intermingled jejunal artery lymphatics imply lymph node dissection along the proximal and distal vessels to the level of the first arcade. Classifying jejunal arteries and veins could simplify the anatomy for surgeons. Copyright © 2025 The Author(s).

This paper reports on a case of an omental diaphragmatic hernia revealed during routine anatomical dissection of an obese 85-year-old male with plethoric appearance of the upper body. The hernial mass, with a size of 12 cm x 9 cm, was detected in the anterior mediastinum. It had a long peduncle originating from the transverse colon and passing through the right sternocostal diaphragmatic opening of Morgagni-Larrey. The whole greater omentum was tightly packed and tumid within the serous hernial sac, but without signs of torquation. To our knowledge, this is the first systematic analysis of the omental hernial anatomy by a step-by-step iconography. © 2008 Wiley-Liss, Inc.