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LECCIONES UNIVERSIDAD

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LECTION
The Soft Skeleton of Man, its Applied Value. Cellular
Spaces and their Relationships with the Spaces of
Neighboring Areas. Ways of Distribution of Purulent
Process.
I. P. M a t u s h e n k o v. Soft skeleton of the human
body or the total system of fibrous-cellular spaces of
tissues. MSU archive, the case of the medical faculty
№ 24 for 1848 " on the exam for the degree of doctor
of
medicine
Matushenkov.”
and
surgery
medico-surgeon
Professor
N. K. Lysenkov
Andreas
Vesalius
Professor
P. F. Lesgaft
Professor N. I. Pirogov
"Surgical anatomy of arterial trunks and
fascias", Saint Petersburg, 1837.
Academician
V. V. Kovanov
Academician
V. V. Kovanov,
Professor T. I. Anikina
Professor I. D. Kirpatovsky
"Fascias and cellular
spaces of the foot",
Kand. Thesis, M., 1954
Professor
V. F. Voyno-Yasenetsky
Archbishop Luka of
Simferopol and Crimea
Professor
V. K. Gostishchev
(in center)
Academician
V. I. Struchkov
FASCIA (Lat.«fascia» – ribbon, bandage) is a sheath of
dense fibrous connective tissue covering the muscles,
blood vessels, nerves, some internal organs.
TYPES OF FASCIA
1. Surface
2. Propria
3. Muscular
4. Organ
5. Intracavitary
SUPERFICIAL FASCIA (SYN. The saphenous fascia) - is
a thin fascia, the superficial component of the fascial
covering of the body, closely associated with
subcutaneous adipose tissue, forming the skeleton
located in the subcutaneous layer blood vessels,
nerves, lymph vessels and nodes.
PROPRIA FASCIA (fascia propria) - a dense fascia that
covers the muscles of the topographic and anatomical
region and forms a fascial bed for muscle groups.
MUSCLE FASCIA — fascia covering the individual muscle
and its fascial forming a vagina.
ORGAN FASCIA — visceral fascia that covers the internal
body and having its fascial sheath
INTRACAVITARY FASCIA (fascia coelomic type) — fascia
that lines the inside wall of the body cavity; secrete
intracutaneal, intrathoracic, intra-abdominal, intrapelvical
fascia.
FIBER is a layer of more loose (compared to fascia)
connective tissue that contains different number of fat
cells.
Subcutaneous fat is located throughout the surface layer
of the human body under the skin.
Visceral fiber cellular spaces fills the gap between the
internal organs (muscles, vascular-nervous formations)
and their fascial sheaths.
Megfelelne fiber fills the cellular spaces of the space
between the fascial sheaths of the anatomical structures
TYPES OF FASCIAL AND INTERFASCIAL
CONTAINERS
1. Fascial cases (bone-fibrous cases)
2. Fascial vaginas
(a) muscular
b) tendons
с) vascular-nervous
3. Cellular spaces
4. Cellular fissure
FASCIAL LODGE is a receptacle for a group of muscles
formed by its own fascia, its intermuscular and deep
plates.
BONE-FIBROUS LODGE - fascial box, in the formation
of which takes part, in addition to its own fascia and its
spurs, periosteum bone.
CELLULAR SPACES (spatium cellulosum, textus
cellulosus ) is a large accumulation of tissue between
the fascia the same or neighboring areas.
FASCIAL VAGINA - receptacle for muscle, tendon,
neurovascular bundle formed by one or more fascia.
Tendon vagina - fascial vagina surrounding the tendon.
Muscle vagina - the fascial vagina surrounding the
muscle.
Neurovascular vagina - fascial vagina, and surrounding
major blood vessel or neurovascular bundle.
Cellular fissure is elongated in one direction or the flat
space between the fascia of adjacent muscles, contains
loose tissue
Fascial Formations of Pirogov Sections of
Hip and Shoulder
Scheme Fascial Formations of the Limbs
The Fascia of the Axillary Fossa and
Thigh
Organ and Intracavitary Fascia
The Palmar and Plantar aponeurosis
Aponeurosis m. biceps brachii (Pirogov aponeurosis)
Subcutaneous Fat of Fingers
and Toes
I
III
II
IV
Bone-fibrous channels of the fingers and the cellular fissures of
median fasciale-muscle case of hand
Pirogov-Parona Cellular
Space
Fascia and Fascial Neck Receptacles
Fascial knot (junction) –
white neck line
Subfascial Edema of the Shin
Compartment Syndrome
Panaritiums and Phlegmons of Hand
ANATOMICAL WAYS OF DISTRIBUTION
OF PURULENT PROCESSES
1. PRIMARY WAY
non-destructive (melting) fascia
at the fascial cases of certain muscles
at the fascial cases of the muscle groups
along the aponeurosis
2. SECONDARY WAY
by destroying (melting) fascia
Ways of distribution of pus in the areas
of the fingers and hand
Hidradenitis and Ways of
Distribution of Pus in it
Post-injection Abscess
of the Gluteal Region
Possible Ways of Distribution Pus
from the Gluteal Region
Ways of Distribution of Pus in the
Abscesses of the Maxillofacial Region
Purulent Leakages in the Areas of
the Upper Limb, Shoulder and Thigh
Purulent Leakages in the Areas of
the Hip, Knee and Thigh
REQUIREMENTS INCISIONS IN
PURULENT PROCESSES
1. Anatomical feasibility of real-time access:
performing a cut in the zone of greatest
fluctuation;
preservation of the integrity of the
neurovascular bundles;
ensuring the gaping of the wound.
2. Sufficient size of the cut - the length of the
cut should exceed its depth by 2 times.
3. Gentle attitude to the edges of the wound.
4. Ensuring free outflow of pus from the wound
(applying contra-pertures, drainage).
Abscessed Furuncle
and Cuts it
Incisions in Purulent Processes in
the Area of the Hand, Fingers and
Foot
Drainage of Purulent Wounds
of Fingers and Hand
The Incision Phlegmon of theThigh
Suturing Purulent Wounds.
Donati Seam.
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