SlideShare a Scribd company logo
1 of 33
Download to read offline
Sesión 13
Irrigación e inervación de abdomen y pelvis.
Unidad de Anatomía Veterinaria UST. Santiago
Anatomía II (Comparativa)
Dr. Ismael Concha .
Dr. Charif Tala.
1. Ileum
2. Cecum
3. Colon ascendente
4. Colon transverso
5. Colon descendente
6. Recto
7. Aorta
8. Tronco celiaco
9. Arteria mesentérica craneal
9’. Arteria mesentérica caudal
Dyce 4th ed. Fig. 3-45
Carnivore
Pig
Ruminant
Horse
Aporte sanguíneo al tracto digestivo
• Tronco celiaco
– Aporta irrigación a estómago, páncreas, bazo,
hígado, duodeno, esophagus, omentum
• Arteria mesentérica craneal
– Aporta a intestino delgado y grueso, páncreas
• Arteria mesentérica caudal
– Aporta a intestino grueso
Irrigación estómago
Canino
T Celiaco
A. Gástrica izquierda
A. Hepática (4)
A. Pancreáticoduodenal
A. Gástrica derecha
A. Gastromental Izq.
A. Esplenica
1
2
3
4
5
6
7
8
A. Gastromental Der.
T. Celiaco
A. Mesentérica Craneal
A. Mesentérica Caudal
Irrigación intestino
Tronco celiaco en el equino
Constantinescu Fig. H3.18
• Splenic a.
– Pancreatic brs.
– Splenic brs.
– Short gastric aa.
– Left gastroepiploic a.
• Left gastric a.
– Esophageal brs.
• Hepatic a.
– Pancreatic brs.
– Hepatic brs.
– Right gastric a.
– Gastroduodenal a.
• Cranial
pancreaticoduodenal a.
• Right gastroepiploic a.
Constantinescu Fig. R3.15
• Splenic a.
– Right ruminal a.
– +/- Reticular a.
• +/- Left ruminal a.
• Hepatic a.
– Pancreatic brs.
– Hepatic brs.
– Cystic a.
– Right gastric a.
– Gastroduodenal a.
• Cranial pancreaticoduodenal a.
• Right gastroepiploic a.
• Left gastric a.
– +/- Left ruminal a.
– Left gastroepiploic a.
Tronco celiaco en Ruminantes
Constantinescu Fig. R3.15
Irrigación de proventrículos y estómago
en Ruminantes
• Right ruminal a.
• Left ruminal a.
• Reticular a.
• Left gastric a.
• Right gastric
• Left gastroepiploic a.
• Right gastroepiploic a.
Arteria hepática en rumiantes
• Hepatic a.
– Pancreatic brs.
– Hepatic brs.
– Cystic a.
– Right gastric a.
– Gastroduodenal a.
• Cranial pancreaticoduodenal
a.
• Right gastroepiploic a.
Orsini & Morrison Fig. 2-14
Cranial mesenteric artery in the Horse
• Caudal pancreatico-
duodenal a. (46)
• Jejunal aa. (47)
– Last jejunal a. is ileal
a. (48)
• Common trunk
– Right colic a. (54)
– Middle colic a. (55)
• Ileocolic a. (49)
– Mesenteric ileal br.
(53)
– Medial and lateral
cecal aa. (51, 52)
– Colic br. (50)
Budras, Sack & Rock Pg. 65
Cranial mesenteric artery in the
Ruminant
Constantinescu Fig. R3.10
• Caudal pancreaticoduodenal a.
• Middle colic a.
• Ileocolic a.
– Right colic aa.
– Colic brs.
– Mesenteric ileal br.
– Cecal a.
• Antimesenteric ileal a.
• Collateral br. (ox)
• Jejunal aa.
• Ileal aa.
Caudal mesenteric artery in the Horse
• Caudal mesenteric a. (56)
• Left colic a. (57)
• Cranial rectal a. (58)
Budras, Sack & Rock Pg. 65
Arteria mesenteric caudal en Ruminantes
• Left colic a.
• Cranial rectal a.
Constantinescu Fig. R3.10
Blood supply to the colon
Dyce Fig. 3-44
 Initial half of ascending colon
 Colic br. (from ileocolic a. from cranial mesenteric a.)
 Terminal half of ascending colon
 Right colic a. (from cranial mesenteric a.)
 Transverse colon
 Middle colic a. (from cranial mesenteric a.)
 Descending colon
 Left colic a. (from caudal mesenteric a.)
Sistema portal hepático del Equino
• La sangre de los siguientes órgnos es drenada hígado (hepatic) portal
vein:
– Spleen, stomach, pancreas, small intestine, majority of large intestine
Konig Fig. 12-39
Autonomic plexuses and ganglia of the
abdomen
• Adrenal plexus
• Celiacomesenteric plexus and celiac and cranial mesenteric ganglia
– Abdominal aortic plexus (horse)
– Gastric plexus (horse)
– Hepatic plexus (horse)
– Splenic plexus (horse)
• Aorticorenal ganglia
• Renal plexus
• Testicular plexus and ganglion/ovarian plexus
• Caudal mesenteric plexus and ganglion
– Colic plexus (horse)
• Abdominal aortic (intermesenteric) plexus
Sympathetic nerves and ganglia in the
horse
Konig Fig. 14-80
Vagal innervation of the Ruminant
stomach
Orsini & Morrison Fig. 2-17 & 2-18
Vagal innervation of the Ruminant
stomach is involved in:
• Ruminoreticular contraction cycle
• Omasal cycle
• Eructation
• Regurgitation of the cud in rumination
• Reflex closure of the reticular groove in the suckling
animal (and in the adult)
• Some abomasal motility and secretion
Deriva de arteria
femoral profunda, del
tronco pudendo
epigástrico. Esta sale de
abdomen por el anillo
inguinal y se divide en
dos: Arteria Labial
Ventral (o Mamaria
Caudal en Ru y Eq) y
Art. Epigástrica caudal
superficial (o Mamaria
Craneal en Ru y Eq).
GLANDULA MAMARIA: IRRIGACION
Art,. Mamaria caudal (o
labial ventral)
A. Perineal
Además desde A. Iliaca Interna,
deriva la A. Pudenda Interna, la que
origina a la A. Perineal, que se
anastomosa con a. mamaria caudal.
Art. Pudenda Externa
Art,. mamaria craneal (o
epigástrica caudal
superficial)
Drenaje profundo es
similar a la irrigación
(venas femoral profunda,
tronco pudendo
epigástrico, pudenda
externa, venas mamarias
caudal y craneal). Además
existe un importante
drenaje superficial, donde
la v. epigástrica caudal
superficial se continúa
cranealmente, en forma
subcutánea para
anastomosare con la vena
GLANDULA MAMARIA: DRENAJE
Vena Mamaria caudal
Vena Perineal
epigástrica craneal superficial, la que
continua con de la vena epigástrica craneal,
que a su vez drena hacia la vena torácica
interna
Venas Pudenda Externa
Vena mamaria craneal (o
epigástrica caudal sup)
Vena epigástrica craneal superficial
Vena epigástrica craneal
Drenaje venoso de la ubre del bovino
König Fig. 18-31
Deriva de nervios lumbares y
sacrales.
N. Iliohipogástrico (L1)
N. Ilioinguinal (L2)
N. Génitofemoral (L2-L3)
N. Pudendo (S2/3/4)
INERVACION DE GLANDULA MAMARIA
Nervio pudendo está formado por:
Caninos (S1 a S3), Felino y cerdo
(S2-3), Equino S3-4
N. perineal
Anillo inguinal
Anestesia del flanco del rumiante
• Anesthesia of dorsal and
ventral branches of T13, L1
and L2 spinal nerves
• Ventral brs.
– T13 – costoabdominal n.
– L1 – iliohypogastric n.
– L2 – ilioinguinal n.
– L3 – genitofemoral n.
Constantinescu Fig. R3.3 B
Paravertebral block
• T13 spinal n.
– Palpate last rib and transverse
processes of L1 and L2
– Insert needle vertically 5 cm in ox
(3 cm in sheep and goat) from
dorsal midline in a transverse
plane at the cranial angles of the
tips of the transverse process of
L1.
– Inject both dorsal and ventral
branches of T13
• L1 and L2 spinal nn.
– Make similar injections at the
transverse planes at the caudal
borders of the transverse processes
of L1 and L2
Orsini & Morrison Fig. 2-2
Bloqueo paravertebral
• Nerves are infiltrated close to the vertebrae
• Advantages:
– Uniform anesthesia of all structures of the paralumbar fossa
including the peritoneum
– Good muscle relaxation
• Disadvantages:
– Technique important to avoid puncturing the aorta, caudal vena
cava or azygous v.
– Paralyzes back muscles on the side of the operation causing a
convexity of the trunk
• Viscera may bulge out of the incision
• Closure is more difficult
Bloqueo paralumbar
• T13 spinal n.
– Dorsal and ventral to the tip of
L1 transverse process and
between last rib and transverse
process
• L1 spinal n.
– Dorsal and ventral to the caudal
edge of L2 transverse process
• L2 spinal n.
– Dorsal and ventral to the caudal
edge of L4 transverse process
• May need additional injection
midway between L3 and L4
Constantinescu Fig. R3.3 A
Bloqueo paralumbar
• Nerves are blocked at the tips of the transverse processes
• Advantages:
– Uniform anesthesia of all structures of the paralumbar fossa
including the peritoneum
– Good muscle relaxation
– Back muscles are not paralyzed
• Disadvantages:
– Possible individual variation in position of spinal nerves may
necessitate additional injections
Additional procedures for anesthesia
of the flank region
• Lumbar epidural anesthesia
– Block T13, L1, L2 spinal nerves
– Site of injection – between L1 and L2 vertebrae
• Anesthesia of the udder
– Cow - block ventral brs of L1-L4 spinal nerves
– Ewe and doe - block ventral brs of L2-L4 spinal nerves

More Related Content

Similar to Abdominal and Pelvic Irrigation and Innervation

10.-Rectum-anal-canal-BS-Copy.pdf
10.-Rectum-anal-canal-BS-Copy.pdf10.-Rectum-anal-canal-BS-Copy.pdf
10.-Rectum-anal-canal-BS-Copy.pdfelphaswalela
 
esophagus-180311122136.pdf
esophagus-180311122136.pdfesophagus-180311122136.pdf
esophagus-180311122136.pdfAditya Raghav
 
2 female pelvic anatomy warda (part 2)
2 female pelvic anatomy warda  (part 2)2 female pelvic anatomy warda  (part 2)
2 female pelvic anatomy warda (part 2)Osama Warda
 
Anatomy of esophagus & Applied Aspects.pptx
Anatomy of esophagus & Applied Aspects.pptxAnatomy of esophagus & Applied Aspects.pptx
Anatomy of esophagus & Applied Aspects.pptxStephyJohnson10
 
CLINICAL ANATOMY OF PELVIS
CLINICAL ANATOMY OF PELVISCLINICAL ANATOMY OF PELVIS
CLINICAL ANATOMY OF PELVISNitesh Sharma
 
LARGE INTESTINE in the human body of a person
LARGE INTESTINE in the human  body of a personLARGE INTESTINE in the human  body of a person
LARGE INTESTINE in the human body of a personAtemJoshua
 
FEMALE PELVIC APPLIED ANATOMY BY DR SHASHWAT JANI
FEMALE PELVIC APPLIED ANATOMY BY DR SHASHWAT JANIFEMALE PELVIC APPLIED ANATOMY BY DR SHASHWAT JANI
FEMALE PELVIC APPLIED ANATOMY BY DR SHASHWAT JANIDR SHASHWAT JANI
 
Abdomen Presentation anat.ppt
Abdomen Presentation anat.pptAbdomen Presentation anat.ppt
Abdomen Presentation anat.pptWinstonM3
 
temporalbone-141009084034-conversion-gate02 (1).pdf
temporalbone-141009084034-conversion-gate02 (1).pdftemporalbone-141009084034-conversion-gate02 (1).pdf
temporalbone-141009084034-conversion-gate02 (1).pdfjoanluciya
 
Temporal bone radiology
Temporal bone radiologyTemporal bone radiology
Temporal bone radiologySatish Naga
 
Pelvic anatomy
Pelvic anatomyPelvic anatomy
Pelvic anatomyMahesh Raj
 
Maternal anatomy, 2019
Maternal anatomy, 2019Maternal anatomy, 2019
Maternal anatomy, 2019OBGYN Notes
 

Similar to Abdominal and Pelvic Irrigation and Innervation (20)

10.-Rectum-anal-canal-BS-Copy.pdf
10.-Rectum-anal-canal-BS-Copy.pdf10.-Rectum-anal-canal-BS-Copy.pdf
10.-Rectum-anal-canal-BS-Copy.pdf
 
Esophagus
EsophagusEsophagus
Esophagus
 
esophagus-180311122136.pdf
esophagus-180311122136.pdfesophagus-180311122136.pdf
esophagus-180311122136.pdf
 
Cme pancreas2
Cme pancreas2Cme pancreas2
Cme pancreas2
 
2 female pelvic anatomy warda (part 2)
2 female pelvic anatomy warda  (part 2)2 female pelvic anatomy warda  (part 2)
2 female pelvic anatomy warda (part 2)
 
Pancreas
PancreasPancreas
Pancreas
 
Anatomy of esophagus & Applied Aspects.pptx
Anatomy of esophagus & Applied Aspects.pptxAnatomy of esophagus & Applied Aspects.pptx
Anatomy of esophagus & Applied Aspects.pptx
 
CLINICAL ANATOMY OF PELVIS
CLINICAL ANATOMY OF PELVISCLINICAL ANATOMY OF PELVIS
CLINICAL ANATOMY OF PELVIS
 
2. ureter
2. ureter2. ureter
2. ureter
 
LARGE INTESTINE in the human body of a person
LARGE INTESTINE in the human  body of a personLARGE INTESTINE in the human  body of a person
LARGE INTESTINE in the human body of a person
 
pelvic.pdf
pelvic.pdfpelvic.pdf
pelvic.pdf
 
FEMALE PELVIC APPLIED ANATOMY BY DR SHASHWAT JANI
FEMALE PELVIC APPLIED ANATOMY BY DR SHASHWAT JANIFEMALE PELVIC APPLIED ANATOMY BY DR SHASHWAT JANI
FEMALE PELVIC APPLIED ANATOMY BY DR SHASHWAT JANI
 
hernia.pptx
hernia.pptxhernia.pptx
hernia.pptx
 
Abdomen Presentation anat.ppt
Abdomen Presentation anat.pptAbdomen Presentation anat.ppt
Abdomen Presentation anat.ppt
 
temporalbone-141009084034-conversion-gate02 (1).pdf
temporalbone-141009084034-conversion-gate02 (1).pdftemporalbone-141009084034-conversion-gate02 (1).pdf
temporalbone-141009084034-conversion-gate02 (1).pdf
 
Temporal bone radiology
Temporal bone radiologyTemporal bone radiology
Temporal bone radiology
 
Intraperitoneal anatomy
Intraperitoneal anatomyIntraperitoneal anatomy
Intraperitoneal anatomy
 
Anatomy of spleen
Anatomy of spleenAnatomy of spleen
Anatomy of spleen
 
Pelvic anatomy
Pelvic anatomyPelvic anatomy
Pelvic anatomy
 
Maternal anatomy, 2019
Maternal anatomy, 2019Maternal anatomy, 2019
Maternal anatomy, 2019
 

Recently uploaded

Computed Fields and api Depends in the Odoo 17
Computed Fields and api Depends in the Odoo 17Computed Fields and api Depends in the Odoo 17
Computed Fields and api Depends in the Odoo 17Celine George
 
KSHARA STURA .pptx---KSHARA KARMA THERAPY (CAUSTIC THERAPY)————IMP.OF KSHARA ...
KSHARA STURA .pptx---KSHARA KARMA THERAPY (CAUSTIC THERAPY)————IMP.OF KSHARA ...KSHARA STURA .pptx---KSHARA KARMA THERAPY (CAUSTIC THERAPY)————IMP.OF KSHARA ...
KSHARA STURA .pptx---KSHARA KARMA THERAPY (CAUSTIC THERAPY)————IMP.OF KSHARA ...M56BOOKSTORE PRODUCT/SERVICE
 
ECONOMIC CONTEXT - LONG FORM TV DRAMA - PPT
ECONOMIC CONTEXT - LONG FORM TV DRAMA - PPTECONOMIC CONTEXT - LONG FORM TV DRAMA - PPT
ECONOMIC CONTEXT - LONG FORM TV DRAMA - PPTiammrhaywood
 
Interactive Powerpoint_How to Master effective communication
Interactive Powerpoint_How to Master effective communicationInteractive Powerpoint_How to Master effective communication
Interactive Powerpoint_How to Master effective communicationnomboosow
 
EPANDING THE CONTENT OF AN OUTLINE using notes.pptx
EPANDING THE CONTENT OF AN OUTLINE using notes.pptxEPANDING THE CONTENT OF AN OUTLINE using notes.pptx
EPANDING THE CONTENT OF AN OUTLINE using notes.pptxRaymartEstabillo3
 
Solving Puzzles Benefits Everyone (English).pptx
Solving Puzzles Benefits Everyone (English).pptxSolving Puzzles Benefits Everyone (English).pptx
Solving Puzzles Benefits Everyone (English).pptxOH TEIK BIN
 
Capitol Tech U Doctoral Presentation - April 2024.pptx
Capitol Tech U Doctoral Presentation - April 2024.pptxCapitol Tech U Doctoral Presentation - April 2024.pptx
Capitol Tech U Doctoral Presentation - April 2024.pptxCapitolTechU
 
CARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptxCARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptxGaneshChakor2
 
DATA STRUCTURE AND ALGORITHM for beginners
DATA STRUCTURE AND ALGORITHM for beginnersDATA STRUCTURE AND ALGORITHM for beginners
DATA STRUCTURE AND ALGORITHM for beginnersSabitha Banu
 
Presiding Officer Training module 2024 lok sabha elections
Presiding Officer Training module 2024 lok sabha electionsPresiding Officer Training module 2024 lok sabha elections
Presiding Officer Training module 2024 lok sabha electionsanshu789521
 
भारत-रोम व्यापार.pptx, Indo-Roman Trade,
भारत-रोम व्यापार.pptx, Indo-Roman Trade,भारत-रोम व्यापार.pptx, Indo-Roman Trade,
भारत-रोम व्यापार.pptx, Indo-Roman Trade,Virag Sontakke
 
Enzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdf
Enzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdfEnzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdf
Enzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdfSumit Tiwari
 
MARGINALIZATION (Different learners in Marginalized Group
MARGINALIZATION (Different learners in Marginalized GroupMARGINALIZATION (Different learners in Marginalized Group
MARGINALIZATION (Different learners in Marginalized GroupJonathanParaisoCruz
 
Meghan Sutherland In Media Res Media Component
Meghan Sutherland In Media Res Media ComponentMeghan Sutherland In Media Res Media Component
Meghan Sutherland In Media Res Media ComponentInMediaRes1
 
How to Configure Email Server in Odoo 17
How to Configure Email Server in Odoo 17How to Configure Email Server in Odoo 17
How to Configure Email Server in Odoo 17Celine George
 
Final demo Grade 9 for demo Plan dessert.pptx
Final demo Grade 9 for demo Plan dessert.pptxFinal demo Grade 9 for demo Plan dessert.pptx
Final demo Grade 9 for demo Plan dessert.pptxAvyJaneVismanos
 
Pharmacognosy Flower 3. Compositae 2023.pdf
Pharmacognosy Flower 3. Compositae 2023.pdfPharmacognosy Flower 3. Compositae 2023.pdf
Pharmacognosy Flower 3. Compositae 2023.pdfMahmoud M. Sallam
 

Recently uploaded (20)

Computed Fields and api Depends in the Odoo 17
Computed Fields and api Depends in the Odoo 17Computed Fields and api Depends in the Odoo 17
Computed Fields and api Depends in the Odoo 17
 
KSHARA STURA .pptx---KSHARA KARMA THERAPY (CAUSTIC THERAPY)————IMP.OF KSHARA ...
KSHARA STURA .pptx---KSHARA KARMA THERAPY (CAUSTIC THERAPY)————IMP.OF KSHARA ...KSHARA STURA .pptx---KSHARA KARMA THERAPY (CAUSTIC THERAPY)————IMP.OF KSHARA ...
KSHARA STURA .pptx---KSHARA KARMA THERAPY (CAUSTIC THERAPY)————IMP.OF KSHARA ...
 
ECONOMIC CONTEXT - LONG FORM TV DRAMA - PPT
ECONOMIC CONTEXT - LONG FORM TV DRAMA - PPTECONOMIC CONTEXT - LONG FORM TV DRAMA - PPT
ECONOMIC CONTEXT - LONG FORM TV DRAMA - PPT
 
Interactive Powerpoint_How to Master effective communication
Interactive Powerpoint_How to Master effective communicationInteractive Powerpoint_How to Master effective communication
Interactive Powerpoint_How to Master effective communication
 
EPANDING THE CONTENT OF AN OUTLINE using notes.pptx
EPANDING THE CONTENT OF AN OUTLINE using notes.pptxEPANDING THE CONTENT OF AN OUTLINE using notes.pptx
EPANDING THE CONTENT OF AN OUTLINE using notes.pptx
 
Solving Puzzles Benefits Everyone (English).pptx
Solving Puzzles Benefits Everyone (English).pptxSolving Puzzles Benefits Everyone (English).pptx
Solving Puzzles Benefits Everyone (English).pptx
 
9953330565 Low Rate Call Girls In Rohini Delhi NCR
9953330565 Low Rate Call Girls In Rohini  Delhi NCR9953330565 Low Rate Call Girls In Rohini  Delhi NCR
9953330565 Low Rate Call Girls In Rohini Delhi NCR
 
OS-operating systems- ch04 (Threads) ...
OS-operating systems- ch04 (Threads) ...OS-operating systems- ch04 (Threads) ...
OS-operating systems- ch04 (Threads) ...
 
Capitol Tech U Doctoral Presentation - April 2024.pptx
Capitol Tech U Doctoral Presentation - April 2024.pptxCapitol Tech U Doctoral Presentation - April 2024.pptx
Capitol Tech U Doctoral Presentation - April 2024.pptx
 
CARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptxCARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptx
 
DATA STRUCTURE AND ALGORITHM for beginners
DATA STRUCTURE AND ALGORITHM for beginnersDATA STRUCTURE AND ALGORITHM for beginners
DATA STRUCTURE AND ALGORITHM for beginners
 
Presiding Officer Training module 2024 lok sabha elections
Presiding Officer Training module 2024 lok sabha electionsPresiding Officer Training module 2024 lok sabha elections
Presiding Officer Training module 2024 lok sabha elections
 
भारत-रोम व्यापार.pptx, Indo-Roman Trade,
भारत-रोम व्यापार.pptx, Indo-Roman Trade,भारत-रोम व्यापार.pptx, Indo-Roman Trade,
भारत-रोम व्यापार.pptx, Indo-Roman Trade,
 
Enzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdf
Enzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdfEnzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdf
Enzyme, Pharmaceutical Aids, Miscellaneous Last Part of Chapter no 5th.pdf
 
MARGINALIZATION (Different learners in Marginalized Group
MARGINALIZATION (Different learners in Marginalized GroupMARGINALIZATION (Different learners in Marginalized Group
MARGINALIZATION (Different learners in Marginalized Group
 
Meghan Sutherland In Media Res Media Component
Meghan Sutherland In Media Res Media ComponentMeghan Sutherland In Media Res Media Component
Meghan Sutherland In Media Res Media Component
 
How to Configure Email Server in Odoo 17
How to Configure Email Server in Odoo 17How to Configure Email Server in Odoo 17
How to Configure Email Server in Odoo 17
 
Final demo Grade 9 for demo Plan dessert.pptx
Final demo Grade 9 for demo Plan dessert.pptxFinal demo Grade 9 for demo Plan dessert.pptx
Final demo Grade 9 for demo Plan dessert.pptx
 
Pharmacognosy Flower 3. Compositae 2023.pdf
Pharmacognosy Flower 3. Compositae 2023.pdfPharmacognosy Flower 3. Compositae 2023.pdf
Pharmacognosy Flower 3. Compositae 2023.pdf
 
ESSENTIAL of (CS/IT/IS) class 06 (database)
ESSENTIAL of (CS/IT/IS) class 06 (database)ESSENTIAL of (CS/IT/IS) class 06 (database)
ESSENTIAL of (CS/IT/IS) class 06 (database)
 

Abdominal and Pelvic Irrigation and Innervation

  • 1. Sesión 13 Irrigación e inervación de abdomen y pelvis. Unidad de Anatomía Veterinaria UST. Santiago Anatomía II (Comparativa) Dr. Ismael Concha . Dr. Charif Tala.
  • 2. 1. Ileum 2. Cecum 3. Colon ascendente 4. Colon transverso 5. Colon descendente 6. Recto 7. Aorta 8. Tronco celiaco 9. Arteria mesentérica craneal 9’. Arteria mesentérica caudal Dyce 4th ed. Fig. 3-45 Carnivore Pig Ruminant Horse
  • 3. Aporte sanguíneo al tracto digestivo • Tronco celiaco – Aporta irrigación a estómago, páncreas, bazo, hígado, duodeno, esophagus, omentum • Arteria mesentérica craneal – Aporta a intestino delgado y grueso, páncreas • Arteria mesentérica caudal – Aporta a intestino grueso
  • 4. Irrigación estómago Canino T Celiaco A. Gástrica izquierda A. Hepática (4) A. Pancreáticoduodenal A. Gástrica derecha A. Gastromental Izq. A. Esplenica 1 2 3 4 5 6 7 8 A. Gastromental Der.
  • 5. T. Celiaco A. Mesentérica Craneal A. Mesentérica Caudal Irrigación intestino
  • 6. Tronco celiaco en el equino Constantinescu Fig. H3.18 • Splenic a. – Pancreatic brs. – Splenic brs. – Short gastric aa. – Left gastroepiploic a. • Left gastric a. – Esophageal brs. • Hepatic a. – Pancreatic brs. – Hepatic brs. – Right gastric a. – Gastroduodenal a. • Cranial pancreaticoduodenal a. • Right gastroepiploic a.
  • 7. Constantinescu Fig. R3.15 • Splenic a. – Right ruminal a. – +/- Reticular a. • +/- Left ruminal a. • Hepatic a. – Pancreatic brs. – Hepatic brs. – Cystic a. – Right gastric a. – Gastroduodenal a. • Cranial pancreaticoduodenal a. • Right gastroepiploic a. • Left gastric a. – +/- Left ruminal a. – Left gastroepiploic a. Tronco celiaco en Ruminantes
  • 8.
  • 9.
  • 10. Constantinescu Fig. R3.15 Irrigación de proventrículos y estómago en Ruminantes • Right ruminal a. • Left ruminal a. • Reticular a. • Left gastric a. • Right gastric • Left gastroepiploic a. • Right gastroepiploic a.
  • 11. Arteria hepática en rumiantes • Hepatic a. – Pancreatic brs. – Hepatic brs. – Cystic a. – Right gastric a. – Gastroduodenal a. • Cranial pancreaticoduodenal a. • Right gastroepiploic a. Orsini & Morrison Fig. 2-14
  • 12. Cranial mesenteric artery in the Horse • Caudal pancreatico- duodenal a. (46) • Jejunal aa. (47) – Last jejunal a. is ileal a. (48) • Common trunk – Right colic a. (54) – Middle colic a. (55) • Ileocolic a. (49) – Mesenteric ileal br. (53) – Medial and lateral cecal aa. (51, 52) – Colic br. (50) Budras, Sack & Rock Pg. 65
  • 13. Cranial mesenteric artery in the Ruminant Constantinescu Fig. R3.10 • Caudal pancreaticoduodenal a. • Middle colic a. • Ileocolic a. – Right colic aa. – Colic brs. – Mesenteric ileal br. – Cecal a. • Antimesenteric ileal a. • Collateral br. (ox) • Jejunal aa. • Ileal aa.
  • 14. Caudal mesenteric artery in the Horse • Caudal mesenteric a. (56) • Left colic a. (57) • Cranial rectal a. (58) Budras, Sack & Rock Pg. 65
  • 15. Arteria mesenteric caudal en Ruminantes • Left colic a. • Cranial rectal a. Constantinescu Fig. R3.10
  • 16. Blood supply to the colon Dyce Fig. 3-44  Initial half of ascending colon  Colic br. (from ileocolic a. from cranial mesenteric a.)  Terminal half of ascending colon  Right colic a. (from cranial mesenteric a.)  Transverse colon  Middle colic a. (from cranial mesenteric a.)  Descending colon  Left colic a. (from caudal mesenteric a.)
  • 17.
  • 18. Sistema portal hepático del Equino • La sangre de los siguientes órgnos es drenada hígado (hepatic) portal vein: – Spleen, stomach, pancreas, small intestine, majority of large intestine Konig Fig. 12-39
  • 19. Autonomic plexuses and ganglia of the abdomen • Adrenal plexus • Celiacomesenteric plexus and celiac and cranial mesenteric ganglia – Abdominal aortic plexus (horse) – Gastric plexus (horse) – Hepatic plexus (horse) – Splenic plexus (horse) • Aorticorenal ganglia • Renal plexus • Testicular plexus and ganglion/ovarian plexus • Caudal mesenteric plexus and ganglion – Colic plexus (horse) • Abdominal aortic (intermesenteric) plexus
  • 20. Sympathetic nerves and ganglia in the horse Konig Fig. 14-80
  • 21. Vagal innervation of the Ruminant stomach Orsini & Morrison Fig. 2-17 & 2-18
  • 22. Vagal innervation of the Ruminant stomach is involved in: • Ruminoreticular contraction cycle • Omasal cycle • Eructation • Regurgitation of the cud in rumination • Reflex closure of the reticular groove in the suckling animal (and in the adult) • Some abomasal motility and secretion
  • 23. Deriva de arteria femoral profunda, del tronco pudendo epigástrico. Esta sale de abdomen por el anillo inguinal y se divide en dos: Arteria Labial Ventral (o Mamaria Caudal en Ru y Eq) y Art. Epigástrica caudal superficial (o Mamaria Craneal en Ru y Eq). GLANDULA MAMARIA: IRRIGACION Art,. Mamaria caudal (o labial ventral) A. Perineal Además desde A. Iliaca Interna, deriva la A. Pudenda Interna, la que origina a la A. Perineal, que se anastomosa con a. mamaria caudal. Art. Pudenda Externa Art,. mamaria craneal (o epigástrica caudal superficial)
  • 24. Drenaje profundo es similar a la irrigación (venas femoral profunda, tronco pudendo epigástrico, pudenda externa, venas mamarias caudal y craneal). Además existe un importante drenaje superficial, donde la v. epigástrica caudal superficial se continúa cranealmente, en forma subcutánea para anastomosare con la vena GLANDULA MAMARIA: DRENAJE Vena Mamaria caudal Vena Perineal epigástrica craneal superficial, la que continua con de la vena epigástrica craneal, que a su vez drena hacia la vena torácica interna Venas Pudenda Externa Vena mamaria craneal (o epigástrica caudal sup) Vena epigástrica craneal superficial Vena epigástrica craneal
  • 25.
  • 26. Drenaje venoso de la ubre del bovino König Fig. 18-31
  • 27. Deriva de nervios lumbares y sacrales. N. Iliohipogástrico (L1) N. Ilioinguinal (L2) N. Génitofemoral (L2-L3) N. Pudendo (S2/3/4) INERVACION DE GLANDULA MAMARIA Nervio pudendo está formado por: Caninos (S1 a S3), Felino y cerdo (S2-3), Equino S3-4 N. perineal Anillo inguinal
  • 28. Anestesia del flanco del rumiante • Anesthesia of dorsal and ventral branches of T13, L1 and L2 spinal nerves • Ventral brs. – T13 – costoabdominal n. – L1 – iliohypogastric n. – L2 – ilioinguinal n. – L3 – genitofemoral n. Constantinescu Fig. R3.3 B
  • 29. Paravertebral block • T13 spinal n. – Palpate last rib and transverse processes of L1 and L2 – Insert needle vertically 5 cm in ox (3 cm in sheep and goat) from dorsal midline in a transverse plane at the cranial angles of the tips of the transverse process of L1. – Inject both dorsal and ventral branches of T13 • L1 and L2 spinal nn. – Make similar injections at the transverse planes at the caudal borders of the transverse processes of L1 and L2 Orsini & Morrison Fig. 2-2
  • 30. Bloqueo paravertebral • Nerves are infiltrated close to the vertebrae • Advantages: – Uniform anesthesia of all structures of the paralumbar fossa including the peritoneum – Good muscle relaxation • Disadvantages: – Technique important to avoid puncturing the aorta, caudal vena cava or azygous v. – Paralyzes back muscles on the side of the operation causing a convexity of the trunk • Viscera may bulge out of the incision • Closure is more difficult
  • 31. Bloqueo paralumbar • T13 spinal n. – Dorsal and ventral to the tip of L1 transverse process and between last rib and transverse process • L1 spinal n. – Dorsal and ventral to the caudal edge of L2 transverse process • L2 spinal n. – Dorsal and ventral to the caudal edge of L4 transverse process • May need additional injection midway between L3 and L4 Constantinescu Fig. R3.3 A
  • 32. Bloqueo paralumbar • Nerves are blocked at the tips of the transverse processes • Advantages: – Uniform anesthesia of all structures of the paralumbar fossa including the peritoneum – Good muscle relaxation – Back muscles are not paralyzed • Disadvantages: – Possible individual variation in position of spinal nerves may necessitate additional injections
  • 33. Additional procedures for anesthesia of the flank region • Lumbar epidural anesthesia – Block T13, L1, L2 spinal nerves – Site of injection – between L1 and L2 vertebrae • Anesthesia of the udder – Cow - block ventral brs of L1-L4 spinal nerves – Ewe and doe - block ventral brs of L2-L4 spinal nerves