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The lateral mesorectum plays a crucial role in local excision for rectal cancer; the presence of the lateral mesorectum has long been considered a favorable prognostic factor for patients undergoing a total mesorectal excision. Therefore, the lateral mesorectum must be preserved in rectal cancer surgery. To elucidate the lateral mesorectum and mesorectal fascia (LMF), we performed an anatomic study on the cadaveric abdominal and pelvic walls. We examined cadaveric specimens from the supine and lateral decubitus positions, using 20 halothane-anesthetized fresh-frozen cadavers. LMF was clearly identified as a continuous layer between the subcutaneous fascia of the lateral abdominal wall and the perirectal fascia. LMF was recognized in 9 specimens (45%), and its width varied from 5 to 20 mm. LMF was continuous in 9 specimens (45%) and discontinuous in one specimen (5%). No significant change in LMF width was detected between the supine and lateral decubitus positions. Subcutaneous fascia, which is frequently dissected to define the lateral mesorectum, was clearly identified in all specimens. In this study, LMF was found in all 20 cadaveric specimens. LMF could be an important prognostic factor for patients undergoing low anterior resection.Psychiatry Risks of the “Tender Age” in Early Childhood.
What is the risk of having psychiatric illness in children during the tender age? The presence of psychiatric illness in childhood may negatively affect the child’s overall and physical health and development. A systematic review is presented, outlining various risk factors associated with mental and physical health in early childhood. Literature on the subject was obtained from several databases, including PubMed, PsychINFO and Google Scholar. A wide range of factors might be associated with the development of pediatric psychiatric disease, including age, sex, genetics, family social structure, the experience of early maltreatment, family social structure and other childhood risk factors. Overall, the literature suggests that such factors as child maltreatment, poverty, poor family cohesion and neglect/abuse can increase risk
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