By Jay Y. Gillenwater MD, John T. Grayhack MD, Stuart S. Howards MD, Michael E. Mitchell MD
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Prostate brachytherapy (transperineal interstitial implantation of the prostate with both everlasting or transitority radioactive assets) has developed right into a refined and definitive remedy modality, used both as monotherapy or together with exterior beam radiation remedy for the therapy of prostate melanoma.
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Additional info for Adult and Pediatric Urology (3-Volume Set)
36). 36. Exposure of the intrathoracic portion of the inferior vena cava. Approach to the Retrocrural Lymph Nodes Most positive suprahilar nodes are found in the retrocrural zone. 37 and Fig. 38). The lymphatic pathways traverse the diaphragm via the aortic hiatus. They first drain into the cisterna chyli and then into the posterior mediastinal nodes. 37. Path of lymph flow to the suprahilar region and the chest. 38. Transverse section. Location of retrocrural nodes in relation to the diaphragm and the aorta (schema).
Exposure of the Lumbodorsal Fascia After division of the subcutaneous fat, the thoracic fascia is divided, exposing the latissimus dorsi and external oblique muscles (Fig. 21). 21. Exposure of the latissimus dorsi and external oblique muscles. Incision of the Lumbodorsal Fascia The lumbodorsal fascia is incised at the tip of the twelfth rib, exposing the pararenal fat between the lumbodorsal fascia and Gerota's fascia. The lumbodorsal fascia can be opened over the fat by bluntly dissecting forward (Fig.
The inner longitudinal layer is delicate, thinning out toward the external meatus. The middle transverse layer is considerably thicker than the longitudinal layers (Fig. 76A, Fig. 76B and Fig. 76C). In serial transverse sections of the caudal urethra, there are abundant aspects, whereas dorsally there are mainly fibrous structures with only a few striated fibers. In transverse sections, the rhabdosphincter has an omega-like shape (Fig. 77). 76. A: Median sagittal section of pelvic floor in fetal specimen.