[wujuan]

we still talk about collen slemmer here.

[cheekymarls]

Originally Posted by wujuan ↗

we still talk about collen slemmer here.

huh what about her?

[cheekymarls]

A 57 year old male patient was referred by colorectal surgeons for assistance in reconstructing the peri-anal defect and closure of colo-anal fistula. This patient was diagnosed a year ago with a low rectal carcinoma and from the onset was keen on retaining the anal sphincter function. An ultra low sphincter sparing abdomino-perineal resection resulting in coloanal anastomosis with a diversion loop colostomy was undertaken. Subsequently, the patient became septic and sustained an anastomotic breakdown in the 12 to 3 o’clock position with the development of a neo-recto perineal fistula. Recurrent efforts to repair this fistula using both an intra- anal approach and mobilisation of the peri-anal skin flap were unsuccessful and resulted in persistent fistula with an approximately 6cm x 4cm peri- anal defect extending intra-anal



hows the markings of the proposed Dartos flap with patient in Lithotomy position. The two blue dots inside the circle indicate the point of entry of blood vessels and the central line indicates the midline raphae.


Shows the position of the flap after complete mobilisation and closure of the donor defect.


The patient was shifted to Jack-Knife position to aid in the inset of the flap. The tip of the flap was anastomosed intra-anal to the edges of the colon between the 10 and 2 o’clock position using 4-0 poliglecaprone, 25(monocril) and 4-0 polyglactin vicryl rapide sutures (Figure 4). Thus both the intra and peri-anal defects were closed with healthy vascular tissue. The donor site was closed in 3 layers primarily without tension.
Shows the flap inset and the closure of the defect in Jack-Knife position.


Shows the position of the flap and the healed wound at 3 months duration. As seen the flap is bulky and the patient was offered debulking



Dartos bipedicled myocutaneous flap is a simple, robust and thin flap and should be considered in cases of shallow peri and intra anal defects.

[cheekymarls]

Around five am hours of the morning of Tuesday (04 Nov 2014), we received information that there was a charred body in the Flemish dam barrier in Groaíras. The victim, a woman, but not yet identified, was found by a farmer who passed through the barrier, which is part of a road, and saw the body on the ground, it immediately triggered the Military Police of Groaíras.

After the arrival of expertise to the site, found 2 projectiles (bullets), remains to be seen on the rating, which means that the victim was shot before being burned, so that she had no chance of escape. The expert along with Dr. Viera Junior, Civil Chief of the Regional Sobral, found a key with keychain, and remains of a portfolio of work, the portfolio was just a name that remained, Tereza. Part of the victim face was not affected by the fire. sorry for translation

[cheekymarls]

eye ear and nose infections

[Politkovskaja]

Originally Posted by cheekymarls ↗

eye ear and nose infections

[Politkovskaja]

Nice collection to post! I always wondered about the maggots in the eye, what happened there?
Any information on the tongue by the way?

[cheekymarls]

Originally Posted by Politkovskaja ↗

Nice collection to post! I always wondered about the maggots in the eye, what happened there?
Any information on the tongue by the way?

the tongue is lingual hematoma - mouth cancer
the maggots in the eye - apparently Cutaneous myiasis - they thrive in our eyes, nose ears etc
our bodies are a feast for parasites

heres a closer photo

[Politkovskaja]

Originally Posted by cheekymarls ↗

the maggots in the eye - apparently Cutaneous myiasis - they thrive in our eyes, nose ears etc
our bodies are a feast for parasites
ACH]

Definitely!
He looks so clean apart from the eye though, like if he's alive.. People with myiasis often look a bit more bloated, even around the areas that get affected first!
Thanks

[mord95]

apparently this is to do with the swine flu
Attachment 585040[/QUOTE]

...l disn't read the description above and just clicked the bottom image and thought they were gutting a morbidly obese person...