Search PubMedSearch

Biomedical subjects

E A Holyoke

Publications and source records attributed to E A Holyoke.

12 recordsLinked to original sources

Re-evaluation of the surgical anatomy of the mesocaval shunt.

On the basis of these findings, we have concluded that the surgeon contemplating the construction of a mesocaval shunt can expect to find ideal or nearly ideal conditions in approximately one third of the population. Another two thirds can be expected to present anatomical variations which may complicate the procedure in varying degrees. In approximately one tenth of the cases, the construction of a shunt would probably prove impossible.

Humans

Stereoscopic anatomy: evaluation of a new teaching system in human gross anatomy.

Traditionally, human gross anatomy teaching has revolved around anatomical dissection. Unfortunately, during the last decade a number of medical schools have experienced a decrease in the number of hours allotted to gross anatomy instruction compounded by a shortage of anatomical donors. This, in turn, has served to increase the difficulties of providing students with truly effective anatomical instruction. To help overcome this problem, a stereoscopic slide-based auto-instructional program has been developed as a substitute for dissection. Evaluation data suggest that this program, while having minor limitations in terms of anatomical orientation, does provide a viable alternative to dissection.

Anatomy

Surgical anatomy of the mesocaval shunt.

Having encountered wide variations in the surgical trunk of the superior mesenteric vein and its arterial relationships during the performance of mesocaval shunts, we believed it would be rewarding to evaluate this vessel in a series of 36 cadavers. In two of these 36 instances, we determined that the anatomic findings precluded the performance of a mesocaval shunt. In ten other instances, even though a shunt could be performed, a knowledge of these variations could prevent operative complications. The most common variation was a bifurcation of the superior mesenteric vein at or proximal to the site of the surgical trunk. Another variation which could cause operative difficulties was unusual positions of the superior mesenteric artery and its major branches in relation to the vein at the level of the surgical trunk. A knowledge of these variations in the surgical anatomy of the superior mesenteric vein should make mesocaval shunts easier and safer to perform.

Humans