Relation between the suitability of the pancreas for transplantation and the structure of its blood vessels

The pancreas from 111 corpses of persons, male and female, at the age of 16-92 years with various pathology has been investigated. The pancreatic blood vessels are injected with protacryl and undergone subsequent corrosion. The correlative and regressive analyses of the measurements reveal that age, height, character of pathology influence the state of the pancreatic blood vessels. It is recommended to observe the following conditions for choosing the donor of the pancreas graft: age under 35, middle height (especially for women), absence of corporal comotion and vast trauma, that essentially influence the vessels (causing spasm, disturbed integrity of the vascular wall), angiographic control conducted during washing or perfusion of the graft vascular bed.     

Anatomy and topography of the common iliac lymph nodes in human beings in the 1st period of maturity

The investigation of common iliac lymph nodes has been performed in 20 corpses of the first mature age of both sex (5 male and 5 female corpses) of persons died from causes not connected with the lymphatic system diseases, the lower extremities and the pelvic organs. The common iliac lymph nodes with their afferent and efferent lymphatic vessels are revealed by means of interstitial injection into the lower extremities and the pelvic organs and with direct injection into the lymphatic vessels. The form, amount, size and topography of the common iliac lymphatic vessels have been studied. The lymphatic vessels, that go from certain body parts and organs to various subgroups of the common iliac lymph nodes, as well as the lymphatic vessels that connect the nodes both within the subgroup and also between the subgroups. The amount and size of the lymphatic nodes of the lateral subgroup predominate over the nodes of other subgroups of the common iliac lymph nodes; the amount of the common iliac lymph nodes predominates in men, and their size--in women. Amount of these nodes in the right and their size in the left predominate in both sex. Among the common iliac lymph nodes there are no teniform nodes, and efferent lymphatic vessels of the lateral and medial subgroup of the common iliac lymph nodes in 15% of cases run towards the lumbar nodes in the opposite side.     

Applied aspects of anatomy of the lumbar lymph nodes and their vessels

Using anatomical and roentgenoanatomical methods in 132 corpses of persons (from newborns up to 83 years of age) the anatomy of the lumbar lymph nodes and their vessels has been studied. Their topography, skeletotopy , amount, dimensions and form have been determined. Afferent and deferent lymphatic vessels in various groups of the lumbar lymph nodes, collateral pathways of lymph outflow to by-pass the lumbar lymph nodes are described. Certain data on the types of the thoracic duct formation are presented.     

So-called muscular "bridges" and their interrelationship with blood vessels]

Fifty hearts of corpses of humans of different age groups were studied by means of macro-microscopical anatomical dissection of muscle fibres and cardiac blood vessels. The muscle bridges were found over the coronary arteries in all preparations of the heart. They were most frequently met on the anterior interventricular branch of the left coronary artery. The topography of muscle bridges is described and the miocardium muscle bundles participating in their formation are revealed. The character of the course of fibres in the muscle bridge is related to the course of the fibres of the muscle bundle forming it.     

Individual and sexual characteristics of the common iliac lymph nodes in elderly persons

The common iliac lymph nodes (CILN) have been investigated on 24 preparations from corpses of elderly persons (5 male and 7 female corpses), died from the causes not connected with the lymphatic system diseases, lower extremities and pelvic organs. The CILN with their afferent and deferent lymphatic vessels are revealed by means of interstitial injection into the lower extremities and pelvic organs, as well as by means of direct injection into lymphatic vessels. The form, amount, size and topography of CILN are studied. Lymphatic vessels, running from certain parts of the body and organs to various subgroups of CILN are described, as well as lymphatic vessels, connecting the nodes both within each subgroup and between the subgroups. There is a tendency in prevalence of amount and size of the lateral subgroup of the lymph nodes over the nodes of other subgroups of CILN; tendency in prevalence of amount of the lymph nodes in men, and their size--in women; prevalence of amount of right CILN and their size in the left--in persons of both sex; in 70% of the cases the amount of afferent lymphatic vessels to CILN prevails over that of the deferent lymph nodes.     

Morphologic mechanisms of blood flow regulation in the hemomicrocirculatory system of the human heart during ontogenesis

Hearts of 220 human corpses, who had not any cardiovascular system disease during their life, have been distributed into age groups, beginning from fetuses up to old age. By means of injection, silver nitrate impregnation and scanning electron microscopy methods, applied to corrosive preparations, morphological mechanisms of the blood stream regulation in the hemomicrocirculatory bed of the human heart have been revealed in ontogenesis. The first group of the regulation mechanisms includes proper mechanisms inherent in the links of the microbed: spatial orientation of microvessels, precapillary sphincters, anastomoses between these vessels, sequence in arrangement of the endothelial cell nuclei, length, diameter and number of links in the microcirculatory bed. The second group embraces those mechanisms, that depend on structure of the myocardial wall, influencing the microcirculatory bed.     

Intraorganic venous bed of the stomach cardia in children during the first 3 years of life

The intraorganic venous bed of the gastric cardial part has been studied in 27 organs, obtained from children corpses of both sex beginning from birth up to three years of life. They died from causes that were not connected with gastric or vascular system pathology. The results of the investigation prove the presence of mucous, submucous, muscular and serous-subserous venous plexuses in the wall of the gastric cardial part in children of the first three years of life. Every membrane of the stomach wall has its specific structure of the venous link in the microcirculatory bed. In the stomach mucous membrane already in a newborn there are complexly built microcirculatory pathways. Age changes are mostly expressed in the venous link of the gastric mucous membrane; this is probably connected with functional activity of the given layer of the organ. The largest venous vessels are situated in the gastric submucous base. By the end of the newborn period and, especially fully, during the successive age periods immune protection of the gastric wall is formed as an accumulation of lymphoid tissue to an antigenic effect of food. In these age groups certain structural mechanisms of blood outflow from the gastric wall appear.     

Microarchitectonics and microtopography of blood vessels of the human rectum

By means of injecting the vessels with 0.2% solution of silver nitrate after Ranvier, solutions of Indian ink and gas soot, impregnation after V.V. Kuprianov, the blood vessels of the rectal wall have been studied. The material has been obtained from 50 corpses of persons of various age, not suffering from any diseases of the gastrointestinal tract. The structural organization of the microcirculatory tract has been studied layer-by-layer, at all levels by means of atraumatic lamination of the tunics. Terminal links of the microcirculatory bed form zonal functional complexes of microvessels specific for each part of the rectum. They regularly repeat in a certain tunic and owing to this the whole organization of the microcirculatory bed acquires features of a definite polymeric structure which consists of homonomic complexes of microvessels. Their regularity, as regards their topography and quantity, definitely differs in each tunic and layer of the rectal wall. Precapillary sphincters and arteriolovenular anastomoses are revealed; they perform an active regulation of blood circulation in the organ. Diameters of the microvessels and density of the microcirculatory network have some slight fluctuations (differences) in functionally poorly active tunics of the rectal wall--the serous and submucous, especially in its rectosigmoid part. Differences of these parameters are especially expressed within the limits of the rectal ampule and its mucous and muscular tunics.     

Microcirculatory bed of the bulbar conjunctiva in 3- to 9-month-old fetuses

In 32 corpses of 3-9-month-old fetuses the diameter, length amount of the microcirculatory bed vessels and their wall thickness have been studied in different areas of the eye bulb conjunctiva by means of impregnation after Kuprianov. General morphofunctional vascular peculiarities have been revealed. They are connected with age and structure of the developing tissues in the eye bulb conjunctiva. Two stages of development have been defined: 3-6 and 7-9 months.     

The relationship between the lymphatic vessels of the nerves of the human lower extremity and the perineural spaces]

The lymphatic vessels and perineural spaces of superficial and profound nerves of the extremity were studied on the material of 50 lower extremities of corpses of humans by the method of intratissue and direct injection. Initial lymphatic capillaries and extraorganic lymphatic vessels and their paravasal plexuses were found. It is concluded that closed lymphatic capillaries having no immediate connection with the perineural space are the roots of the lymphatic bed in the nerve.     

Anatomical variants of the lymphatic vessels connecting the inguinal lymph nodes]

The study of anatomical variants of lymphatic vessels connecting inguinal lymph nodes was carried out on 56 corpses of adult persons of both sex whose deaths were not connected with lesions in the lymphatic system of the pelvis and lower extremities. The inguinal lymph nodes and their afferent and efferent lymphatic vessels were detected by the method of intradermal injection and by the method of direct injection into the lymphatic vessels. It was stated that groups of the inguinal lymph nodes, as well as the nodes in every group determined, can serve as nodes of different stages for afferent lymphatic vessels running from different parts of the body and organs.     

Anatomy and topography of the lymphatic vessels and regional lymph nodes of the rectum in newborn infants and children to 3 years of age

In 30 corpses of newborns and children up to 3 years of age, by means of the intratissue and direct injection of the modified Gerota's mass, certain increase in number and size of the superficial inguinal lymph vessels belonging to the superior-medial group, as well as the pararectal and superior rectal lymph nodes has been noted. The diameter of both afferent and efferent lymphatic vessels in the nodes mentioned in children of 1-3 years of age is greater than in the newborns. The number of the afferent vessels running towards these nodes in most cases, regardless the age, prevail over the efferent ones, and the diameter of the latter is greater than in the afferent vessels. The pararectal lymph nodes in 80% of cases are the nodes of the first step for the lymph flowing from the rectum, in 15% - the nodes of the first and second steps, simultaneously, and in 5% - of the third and fourth steps. The superior pararectal lymph nodes in 80% of cases are the nodes of the third and fourth steps, and in 20% of cases - those of the first and second steps for the lymph flowing from the rectum.     

The anatomy and topography of the human axillary lymph nodes]

The anatomy and topography of the right and left axillary nodes were studied by the method of polychrome injections in 25 corpses of adult people dead from trauma or illnesses not related to lesions of axillary lymph nodes. Injections were made into the skin of fingers, palm and back of the hand, in the delta-shaped area, lateral surface of the chest and exterior half of the mamillary gland and also immediately into the lymph vessels of the upper extremity found with the help of interstitial injections. Detailed data on the topography of axillary lymph nodes relative to the walls, blood vessels and nerves of the axillary fossa were obtained, and the relations between the nodes were specified. From the topography of the axillary lymph nodes under study and approaching the lymph vessels as well as from literature data it is expedient to divide the axillary lymph nodes into 6 groups: lateral, medial, posterior, inferior, central and apical.     

Age and variability in the inguinal lymph nodes of adult humans]

Lymphatic nodes on the anterior surface of the femur, in the region of the femoral triangle were studied in 56 corpses of humans of either sex from 31 to 82 years of age, dead of accidental causes or of diseases not related to lymphatic nodes. The investigation was carried on by the method of interstitial and direct injection of the Gerota's mass to some regions of foot skin, external genitalia and the skin of the anterior wall of the abdomen. It has been established that the size of inguinal lymphatic nodes (both superficial and profound) in humans of either sex, are in direct dependence on the age of the person. The amount of inguinal lymphatic nodes in young people prevails over that in old people. The external diameter of the afferent and efferent vessels in elderly humans is greater than in young ones. The amount of afferent lymphatic vessels to inguinal lymphatic nodes in most cases prevails over the amount of efferent ones, independent of age and sex. The external diameter of the former is greater than that of the latter.     

Lymphatic bed of layers of the abdominal wall in the human inguinal area]

Lymphatic bed in the layers of the inguinal area was studied in connection with age in 70 human corpses. Polychromic injection of arteries, veins and lymphatic bed, staining of preparations after van Gieson, Weigert, with hematoxylin-eosin and morphometry were the methods applied. It was stated that lymphatic capillaries penetrate through all the layers forming the abdominal wall of the human inguinal area; they arrange interconnected networks in dermis, in external and internal oblique and transversal muscles and in their aponeuroses, as well as in fasciae and in the peritoneum. The lymphatic bed in question changes during ontogenesis. Age transformations of the lymphatic capillaries are in connection with functional loading on the anterior abdominal wall. Intraorganic connections existing between the lymphatic vessels of the anterior abdominal wall and the organs of the small pelvis (urinary bladder, uterus, rectum, etc.) are revealed, they are of a rather great interest for physicians.     

Causes of variations in the pathway of the basilar and vertebral arteries

Artery loops at the root exit zones of cerebral nerves are regarded as causes of certain diseases, e.g. trigeminal neuralgia or hemifacial spasm. The factors, which may cause such loops and displacements of arteries, however, are still not known sufficiently. In order to find out more about such causes, 60 corpses were examined. We recorded the variations in the positions of vertebral and basilar arteries and correlated them with the respective age at the time of death. We found that those showing atypical artery positions and loops were generally of older age. We further examined possible influences of blood flow factors on variations of artery positions. Our sample indicated such influence of flow factors on displacements of basilar artery, but they seemed to be of lesser importance than the effect of ageing.     

Individual variation in the structure of the infratemporal fossa and its contents]

The subarcuate fossa was studied in 150 turtles. The enclosed muscles, fasciae and cellular tissue spaces, vessels and nerves -- in 145 heads of corpses of adult humans by the methods of dissecting, making Pirogov's sections and histotopograms. Extreme forms in the structure of the subarcuate fossa were revealed as well as interrelations between the structure of the fossa and enclosed anatomical formations.     

Regularities in the distribution of sweat glands and the principles of their grouping in man]

Under study were skin pieces from 80 regions of the body of 41 human fetuses and embryos, 5 corpses of newborns and 43 corpses of people of different age. Series of paraffin sections stained by conventional methods as well as total preparations and thick sections stained with methylene blue were examined. The laying of eccrine and apocrine sweat glands in the skin covered or not with hair was shown to occur repeatedly. Basing on the succession of their appearance they are called the glands of the first, second and third generations. The principle of grouping of eccrine sweat glands is shown both in the composition of glandular-hair complexes and in the groups independent of hair. The author proposes using of letter and figure symbols to signify variations of their disposition in formulars. The appocrine sweat glands are also laid repeatedly in the sites of their typical localization.     

Evaluation of structure of the large arteries in man as elements of a hydraulic system]

The study of large arteries carried out in 30 corpses and the comparison of the parameters and outlines of these vessels with those recommended in applied hydraulics have shown correspondence between the arteries structure and the principles used for criation of optimal conditions of the liquid current in hydraulics.     

Anatomical basis for a technic of cutting flaps out of the musculus rectus femoris for creating a rectal sphincter apparatus

As demonstrate the surgical anatomy investigations of the m. rectus femoris performed in 100 preparations, obtained from corpses of persons belonging to various age periods, in connection with sphincteroplasty the vascular-nervous hilus of the muscle is projected at the level of the upper third of its medial part. The ascending branch of the lateral femoral circumflex artery with the vein of the same name and the muscular branch of the femoral nerve get into their composition. The intramuscular course of the vessels and nerves of the I-III orders of branching and that of the muscular fasciculi coincide. For the sphincteroplasty it is expedient to use muscular-tendinous flaps, cut out from the medial part of the musculus.