Bashkir state medical University The department of operative surgery and topographic anatomy The theme : derivatives of the peritoneum Fulfilled: student. - презентация

1 Bashkir state medical University The department of operative surgery and topographic anatomy The theme : derivatives of the peritoneum Fulfilled: student P B group Shlykova.O.N 2017

2 Contents: Derivatives of the peritoneum: Bundles Mesentery Oil seal Folds

3 To the derivatives of the peritoneum include: 1) peritoneal Ligaments,( ligamenta peritonei) 2) Mesentery,( mesenteria ) 3) Seals, (omenta) 4) Folds, (plicae) 1)Ligaments of the peritoneum are areas of the peritoneum in places of transition of the parietal to the visceral rusiny or in places of transition between visceral peritoneum from one organ to another. Distinguish odnolistovoe and dvuhmetrovye ligament. Odnolistovoe have only one do not adhere to the surface. These include: renal and Hepatic ligament,( ligamentum hepatorenale) Duodenal-renal ligament, (ligamentum duodenorenale) Coronary ligament( ligamentum coronarium). Dvuhmetrovye the ligament both surfaces are free. These include:The falciform ligament, (lig. Falciforme) Hepatic duodenal ligament,( lig. Hepatoduodenale) The gastro-splenic ligament,( lig. gastrolienaleGastro- diafragmalna ligament, lig. gastrophrenicumThe gastro- colonic ligament, lig. gastrocolicumBroad ligament,( lig. Latum uteri) The peritoneum and its derivatives

4 2)of the Mesentery dvuhmetrovye bundles, providing a transition peritoneum from the abdominal wall into the body. There are mesentery: transverse colon, jejunum and ileum intestine, sigmoid colon, upper rectum, vermiform Appendix, uterus, fallopian tubes and the ovaries. In the composition of the mesentery between the sheets contains: Connective tissue. Adipose tissue. Vessels Nerves. Lymph nodes. The peritoneum and its derivatives

5 3)the Seal is an elongated mesentery of the stomach, between the leaf where there is accumulation of adipose tissue in the form of slices and a plexus of blood vessels. Distinguish between small and large seal Small omentum omentum minus duplicator of the peritoneum, stretched between the liver, diaphragm, small curvature of the stomach and upper part of the duodenum. Lesser omentum consists of two ligaments: Hepatic duodenal ligament, lig. Hepatoduodenale and hepatic - gastric ligamentum hepatogastricum. Omentum majus omentum dorsal mesentery of the stomach, duplicator brusini that starts from the greater curvature down to the pubic bone, tucks and goes up. In the course adheres to the transverse colon and fixed to the back wall of the abdomen. Consists of three ligaments: the gastro-colonic ligament, the gastro- splenic ligament, gastro - phrenic ligament.

6 4)Pleat fold is duplicator of the peritoneum formed by passing beneath the vessels, ducts, bundles or clusters of fatty klekotki.On the anterior abdominal wall there are five folds: The median umbilical foldMedial umbilical fold (Finnish)Lateral umbilical ligament (steam)

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8 1)Удаление большого сальника 2) Существует такое понятие, как первичные опухоли сальника. Они бывают доброкачественными (кисты, дермоиды, липомы, ангиомы, фибромы и прочие) и злокачественными (саркомы, эндотелиомы, рак). 3)Киста сальника 4) Удаление мезентериальных лимфатических узлов. При этом простом вмешательстве, обычно производимом в качестве биопсии

9 Postoperative complications: 1. Complications from the nervous system and mental disorders: 2. Acute cardiovascular failure may occur during surgery and after it. 3. Postoperative 4. Postoperative pulmonary complications 5. Complications from the abdominal cavity – peritonitis, paresis of the intestine and dynamic violation of patency of the digestive tract 6. Gastrointestinal bleeding Baby features Unusual species has the greater omentum, short, gathered into transverse folds, stretches to the left along the bottom edge of the transverse colon, covers the intestines. The gland increases slightly in size for 2-3 years and 6-7 years to almost fully covers the loops of the small intestines. Mesentery, is very thin in newborns, is significantly increased in length during the first year of life and descends together with the intestine. This, apparently, makes the child relatively frequent inversions of the intestines and intussusception.

10 1. Agenesis (aplasia) of the greater omentum is a rare anomaly. 2. The mesentery of the ascending colon long – leads to mobility of the cecum. 3. The mesentery of the General preservation of the dorsal mesentery all over. 5. Hypoplasia gastrointestinal ligament and the greater omentum is observed in paraumbilical the abdominal wall defect. The greater omentum is a rudimentary the fringe attached along the greater curvature of the stomach. 6. The defect of the greater omentum can be single or multiple. Occurs with equal frequent in all parts of the gland. Large defects in the gastro-colonic ligament may be accompanied by internal hernia and displacement of the intestine in the omental bag. 7. Nezareatmene vaginal process of the peritoneum – the communication between the peritoneal cavity and the serous cavity between the parietal and visceral sheets of the vaginal sheath of the testicle. Is a cause of scrotal and inguinal hernias. 8. A fold of peritoneum plus: A) the Fold of peritoneum Lane – going from the mesentery to the uterus. B) the Fold of peritoneum Jecksoni is coming from the rear of the abdominal wall to the hepatic flexure of the colon. C) the Fold of peritoneum Payr – coming from the rear of the abdominal wall to the splenic flexure of the colon. 9. The fusion of the greater omentum pathological – attachment of the greater omentum in an unusual location of the abdominal cavity. Attachment of the lower edge of the omentum to the transverse colon while malrotation bowel is rare. The seal may be attached to the ascending colon and in some cases to reach the cecum. In cases of malrotation intestines, the omentum, if it is saved, can freely flatironing in the peritoneal cavity, have adhesions, with one bend of the colon, or only the right half of the colon, attaching, thus, only to the caecum and ascending colon. 10. Doubling the greater omentum is very rare.