Download e-book for kindle: Adult and Pediatric Urology (3-Volume Set) by Jay Y. Gillenwater MD, John T. Grayhack MD, Stuart S.

By Jay Y. Gillenwater MD, John T. Grayhack MD, Stuart S. Howards MD, Michael E. Mitchell MD

ISBN-10: 0781732204

ISBN-13: 9780781732208

The completely up to date Fourth variation of this vintage three-volume paintings is a entire, basic reference on all surgical and scientific facets of urology. the 1st volumes conceal grownup urology; the 3rd quantity focuses solely on pediatric urology. All chapters keep on with a constant, easy-to-read form of presentation.This version good points new chapters on bladder melanoma, office-based urology, and substitute drugs in urology. extended insurance of prostate affliction comprises PSA checking out and nerve-sparing surgical procedure for prostate melanoma. different Fourth variation highlights comprise accelerated assurance of male sexual disorder, imaging stories, and an absolutely reorganized and up-to-date quantity on pediatric urology.A CD-ROM certain into the published text presents one-click entry to the whole textual content and illustrations within the 3 volumes--plus videos displaying dynamic perspectives of surgeries.

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The thoracic duct begins at the upper end of the cisterna chyli in the retroperitoneal space. The cisterna receives the lumbar and intestinal lymphatic trunks and is situated in front of the first and second lumbar vertebral bodies, behind and to the right of the abdominal aorta. The normally positioned cisterna chyli is found between the aorta and inferior vena cava, just below the left renal vein. After a short intraabdominal course, the thoracic duct enters the thorax through the aortic aperture, passing behind the aorta, and ascends through the posterior mediastinum.

Schematic drawing showing the sympathetic trunk, ganglia, and nerve fibers. The sympathetic fibers can be identified with the help of magnifying lenses; the efferent fibers can be seen distally where they cross the common iliac artery. By reflecting the lymphatic tissue off the psoas muscle, the surgeon can identify the sympathetic trunk and trace the fibers distally from their origin at the sympathetic trunk. The sympathetic fibers are placed in vessel loops (Fig. 53). Subsequently, the lymphatic tissue is split over the aorta and rolled off.

74. Anatomy and Innervation of the Rhabdosphincter: Female On macroscopic examination, the sphincteric muscle is encountered on the ventral and lateral aspects of the urethra. Microscopically, this muscle corresponds to the omega-shaped rhabdosphincter in the male. On histologic examination, in the cranial two-thirds of the urethra, three smooth muscle layers can be identified forming an outer and an inner longitudinal and a middle transverse layer. The inner longitudinal layer is delicate, thinning out toward the external meatus.

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Adult and Pediatric Urology (3-Volume Set) by Jay Y. Gillenwater MD, John T. Grayhack MD, Stuart S. Howards MD, Michael E. Mitchell MD

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