yoounus8 efepone m9 ayeon) 9 404 0 9) 3H topte N ‘ pando remo) sd 238 fa fr epanjond ean) fe eaungg. 2s. gtepa promou prnjunai> seuied (8 a2 [eolanppe a las eaiopuuu) pieo) u) e1ecoworseue ojeusue uM fs ye spunjond uejeosen. aun 1p syeauo} was 31 QL 40LMPpO.2p31 edo : puestounoal “nSSnut " or fone) uruun ejagu andy noe weredosd a sseoueysod fey ad eaap snuuos won 1 sode 16 saiqdod erase ad ‘given einer muguu “temedand yy ex Sue) no “fou quajes tan sp oe 96 kpinjond puyuyuE mye Jey “RAEI spoiop Ist Oi rn odd tom toed 18 etme eZemorboas 28 “yep aap 8 ap aon ‘wud ap sey wounsodang foie ete jared nse oe ‘ore Busy aerial “auajes EOD 3f20 fy sns up 2 ‘pon papuuoy ‘jestasven gop apo aun ig. denian “rom fide ‘Joyplod coud qhs sop fate equed od. gjsonsney Beouy enop e £19} SHDa5p ef 3p foo Sm fxc)weotodas eeu ‘ote rojes eon sped jem ep sore pe seo nd “ma nse aseimqau 29 0810 aaLrTdod TaLLyas 18 1asavoo ¥ yavoruassod LV26 te formes planul profund vom vedea cum muschii sdductori i mai seam cel mars, Teqiunt Sau ma ine 2&,plal separa ine re: poplitea extern (nervul peronier_comun). ‘sm tnt, dias se ise. pe care per vem ‘ejs Cunoseuh, sural cblaat Is ‘Seo-teral' game 5 gastrocnemi ot) region oss; disectmy pnd laine i poplitea. Din cauza fom de rombol popites, El este fr ih pales supero-me a inferorlaterala 8 ‘exle dus capete ale gastrocne Scoperit deo PPrepararea organior Con strocneien ee wyureaes prepa Siem gaa acum Shain dsc fombei end on pl fe Ratnule artriale se vom vedes st eleaua sntstonotiel, stein cope. 2 Spt ten x cot aT8 TcFATA POSTERIOARA A GAMBEL $1 A GATULUI PICIORULUL Organe ce trebuiese gate Facem o incizie iv Tui eu gamba gi unim aceasta deja eut, diand longitudinala LH. Se Tormesz4 asiel do ‘a lambour, pe'care Te vom rastange lateral ca s& gasim organele subcutanat, aie, 6) cea superioars junilor superfcile. Studi! formaliyailor superficale so f rica supetioard 2 repiunil noastre. Incepem cu diseclia re pleacd din pes a. este Organe Tn paren tera it iooa on sont plantar si solear. C tasironemieni sunt id ates nferoard spol Se{ionind ibeie i unese #h {laf milocal arcade soleai inde profunds 2 fuszimen tibial, cordon gros st ugor de ‘pes much “2 Se trece acum Ia prepararea vaselor Se observa cum aster. py biferck in dows mad ramae = una anterioa, oar a gambei, taversind dinapoi forii-germaai ca afters sbiald poste- ata woe 9 ey aetput Seti) A tnlgns 299} 18 apouia ‘aseoran) aueiqursar somn yqunyfou ayeot pst Wapas “eos grofuoous sopsWad 2}ou4opH>) FY “otooqe eodeuy torloas y rode seaop fop 1, ssouindsact Sse} guste op aiopmadop Poe 0 SEN uy "Hee ini aop ey fe gueouoque ele ad aan) 2 “easeoybedsap gorafd sued ate%t} 9p 2 9pan "tl ‘purses 18 Bot o-pur *m potgted a eu wwBUSE90) ie 25 leovotod eoued af jeer ted bs 34po1 ipsa0ig 9 sidnse en 80) » an slop ye s0xay qn 4, “eau eed onsen apt “peouods taped ant ‘wpe 940 emir P puoouayut eoved tip wip a OV “eunjend soyypinu easesedsng uwPrepararen arlerel peroniere. Preptrtes acces} atere se incepe de la sonier a jou tfind, pe meu ce inaatam, mmgeial exor iar le ghogi er, Umaim anen af tnleronn peMoceael meibane inernort technd i resmes sleiou complet au sts priveste ini fate, Sind pe scaun, poate lucra, fi sh oboseascs, © ides de iol ealaat,aderent de mar i de_grea, din cauzs unor ‘eam de existene 3) numinal lor didn feu veoh planar. Acca ote hp fare. Prepatatea aponevto7e! pl se prezis fs fone tein noapeg cl pe dept ea 8 told Tr sponevross milo: iervolate ea cxle'de ts mina), eae Te tne {oat ipsa fa Se vom orm a postin aponevrone plntae sense uni EQ tistm.accas”poxiune la Mids a Sea poner pe om ‘apocevrh, spate much Forse! degetlor Ds toute aponevotc_ pe ‘edi chin ele peach nige espatonre, care merg In wa en centile one {le art loi plantare. (Spaliom rat il scot flexor ese in vecaaiatea ste din aces ramus le ne Vor Ser ul pach tragem scurtal Mexor al degetelo in afar si ctutim tioath a gin, gasim ern! si ertera planard: medialt fire 3 that eupericioa decst ner). ToL allel procedaim gt peatma aflarea nerve frre plantare laera naan de ramurle mera spajarel mediate, 3." Mugeil scart doe'dater gi nerve! planar loot In afar acest mu a rasidogem ling flexor al degecion de care sm sexs ful flexor sav carves pairata is Syliaswre et four au <3eweyd soxay yonae tiud’ Sp osip ery “ao Peto} “xeon Su an 19 ynatop horonpge 2199 8 sop a9p apo 7 foam ‘op389p Te aiedio sissy" 20324 " id eouy apsn. In partes posteroars gi med re face st comanice re i el superior face sf ‘inguin Profind & nr planar exter plantar lateral i fone dere prin sil ste de gee Gu accesrul Tui §t eu lombneait (adeseon ching us 9“{exasp ap osu ape asd 21 yuna yeanfuonal ne 29 dnp 31 od iningNneaa vuioasia ’s yb 3 asym ans py souawus FunLNss VAaYD ‘Heooe sdursim es nid aay oye oooma 48 opesorey auepueyd yaxoun sonst ‘worfuge-oseu 16 ronson suo} ais aumilioda burselor pl la coecy ddubieaza, inconjurindul Pe ea ‘ad perpendicular ‘AB ci si uhesle cele dou se. perineul Ttecare pare, este dous labour NOP, dust ia ‘vel pre at, ei succes PERINEUL POSTERIOR Prepararea perinelui_ posterior se reduce a disectia sei ischiorectale. cul este dato ch aceasta fost conline foarte ischeaza clemenele, TcSni-le evideifietea Toate. anevo 23ssc rst osvoustns 2josen 18 outins ‘p> ‘atedjed ton ou unas ojoueousoy nan Dotaied 4resis dows cm dest exter). 4. Ti spermaticd ferns), 6. Naost ‘ie qn 10 3p noo] 21ds soppy 16 gseosEsF jousjue imjaaunod © pueouTsod io 00 pyiodns teu 2 jna1oN) “njnatiad ynqiog. 2p Wen “o> yrinsef m9 apunjuoa 26 FS 2% P au2s 0 teutinogas 3 ‘ag repupodas 20 mop aisoy sojasing yaa id pupan, ad ad 9p am voroundedas peur ew 324 Speausds (iBarco se pt gts pp ase exleme (rant 261 260ew otfep algo (Imp) nye. mnopieo © pote aur wm (geeinons ‘gas Huu 9p pugiedss “ens ul wApIpHr oS eplona nd EseOIg oqm nest jun © pieousyue eley 2don, de cote aici, cre ncn " oe pst seput 4M fascia perineal s am tuto daveros, algun cy in ae. ‘nae te svcd rang ppenisului. Penisul este forma cavernos si corpul spongies. Corpurie er reo depe seg ut Ivey cellos, Ih care se aMa.vasle Sireul poten Prin preparaia. ee, am sia (Gosterioaas 4 penis ise teva ramscale Tuaint, cf uebuiese cond pina la avemios, cll al chal tnvelg fos fwzioueand. Dupa' ce am disecat aceswt1 fost i fascie a caracierele unei mucosse ce s alipe ‘de dartos), se giseste un fesut cel act unmarim inapoiaceasté A tece pe sub ligament suspensor gi se tenn, fe la coapst salena inter, fie tn venele pere care alunect p ‘un fascical muscular, Pentru aceasta se lula, se secjioneazd ligament bo-eavernosul de-a hn fe asifelrddacina corpulul caverns. ‘Col eavernos se teeunoaste foarte usor dup culoarea prin ful cB, dacs or, lash si se vad 0 serie dem Pau aspecti orterele peniene) si uste glande, nunite glandele bulbo.uretrol 4a? Cowper. Acest disiragm cote stabant de ‘url, Fecare din aceste formation! trebuie disecatt gi examina separa ‘Dezinserarea corpuluicavernos gi puncrea in evidenta a diafragmul ‘genial. Mergind cu scalpel indem co i c, dapt ridicarea corpului spongios ogi Prepararea ureiei membranoase. Uretra membranossh s© mumegle aces por- ie din ure care strabate datragmil uro-gen interior diatrag: ‘sub-ialtgmaticy, nant ceaslh porine, id desprindem de pe re uretra membranoas, Ni fupe oetra say di pentasu ayeucesuen 21g wean fo sey of pugne Sif pieouawe tthe) a dur aun 1s pungoud pas Uy ound. 3e"ostogpe oeoy asta 09 a Guo soba “ uyues pp gos !uupmpy 8 eomgnd-onos eines od 9p mS OC] Tooph atau orvnf oroubdaty “issn Paya 2310 IPR ‘peo! jemamen papi 8969 2 ‘98 ageorouun 2p smeqgns 2189 mS 1s298 issu) pain ad 16 Noo oqeouuad fase) © Iwd-onost ene 2p 23 puryaad ssoasuey (nme, i) mynsod # gpunjoud owe Uy sroasues suns © dag. iment no pant ® saan sorenstos Jeg ats mynsiuad fue fe 1S mnaou jou e| gap “uaIgnd-onst ‘wep ts oboe frd0> svouniquiot saan 1 apoopseo] 1 eA wqvorToos IMME e roousisod eoued uy eordueysp m> puptunly “ewus8-can jnuifeerp 23] nu © fumiad "sofiuods yao ad feos usa Inara od deur wznp Jouejsod ruuouros ses! ut IPL pro UI Yofdaloo aund w aaquad aoe] 2s seeds I ‘sypsop gee EseoNEqUB ean EO) pe ‘uN FEU aizEA 30% SIE fueiuoy“seoonur afd aif pa a8 JONDgR pital!" ‘pounor) tayo 9p aioe 0 eovouase 9p 20 femdyens ceo 2c) ap puny) veep 0 (Buods wan onain ed soyored yang ‘0 me auriy atsone a}eoy Jojaopsoard eee in Cra jad erp ea 1 ag_uuseg It (eet ss) tues 9 yan ede beatayecton pute sete Sent |263 ad qojodioe wrote ‘2p Bpe eopaid ID 1D ropes ra 308 2 wea ote Ns) lod iyo uma moe jpud no ‘weneD 18 qenuay-omts8 jad Imogum op ese) dearap th 31 ep pupard “injouuod inden 18 tole uduansey “eo[ud gop wap mt Re A pea ysqs 1 ‘(seus wzng 2d jouodns 18. gIe0UD}ut feousd eve) eq fe 16 “enue8-am op wp grewioy 9 ef "aj on fy © sone en iss sousive tmiod Hesade "s19po0 NWN JIVLINSD TTINVONO IS NORIGLNY TaaNREE ieqieg m1 8 © aoe 28 my boa NoRIaIsod InaNIAtE rama a a i of mon,i cp st Ge ridicat; urmarim aceast disecic pint la nivelul buzelor mii sului; lar pe piesd observam cf rimas 0 mask alungid, lig I er in pres poser det tne selon mari. tn imporanis ia chirurgie. Tot nd Epil ne fen pe mul wro-genital). Aceasté | . Sparen fasciel superficial i reastt trebuiesc disecafi_ inay tye format de iafagmol wo-genial pets mic Dap ce_am stbilt cor rectal examindm aces tr Aloud tamu: una superioats ponte disecat decit peo mcd disee cd nogoSour 1) 10 tof bosopunsdsocr 98 “put Tur eo 28) ce pouTO ing oeq] ‘Bodooe 0 99 ayunueld op ert o 9p ynpdjess waar eae seg! feu ne “qspeooid 9 0 EE SUtr {auenain-ojnsnas) gstoud 2p teisap guejnoemin anes Sicaame ee ee or {yt;oysodns ayeouuad aruqyy Wed (vowed jnuioK)i (fascia uro-gent tung ‘orm uni acest forma jm muschiul traasvers profund ( I superioar). pied once ca rt ca ls bist, cao. constiuie cor ale fasce perincale iol (fascia ro genta. Inte ele tasversl prof, vasele cliarsul ‘vf fal atl Sub aceste organe se Iisind ca prepares for complet ste focal mal ete. (Rg sind ca prepares lor complelt st fe fall mat dais, ‘Sui djrogmal sro foe. Exc wo geal spre i ples, ind fomat din ck Eire nen) ae snenal of) si ne spare fois dem ct eretele eral de btura tan spatin nedisecat, umpl iransvergi_ sl bulbo-cavernos, ?). Secjiontm seest aucley fibro-mascular $i pat ‘Su ont (cabrl serie seme infer in ijlociu rimine cu articulatiile ge- bazin, e& IL. ‘Aniculaja. genuncti IW, Artialaia éoxo-femurl. |. MEMBRANA INTEROSOASA Ca si ln membral superior, membrana interosoast $e prepara ri chit de pe fas anterioast gt pesterioar 2 segmes jn cauza poaiiel ‘ct fl cadavril pe $14 evidengiem membrana th ace fost staat, facem sectiunile osoase, p 285use spe} tion 29 039 ‘eleyoque wuapmasop gs wnoe oupmmes oy -(sosounm sod “e¥e) be snoumaa fon 37 rode inepn fous (UY rune = sino ff “omewodah ome fie edad we Bar eatwredaid op oq) iso} eu ADA] 198 OEP) 2UEOPIY a> gdap ioop niwedaudq) sjeod ay gseou2yie ley “ereorue eho y 3123) e owed S99 ‘oye mao eh ayy sno, woah cos) wboumyn-onuad jqeapey nue 18 “ange a ‘ raxedsuy 18 201 94 ry) nusdosd anjeoeuoisns) Faode elgg fost o 9 reniespino 96 josie, “egequsN GHEIp eC Sn eo inp vowed en oat 3p twopaadap) elgns ua) suegiio 10k Iison elspa sen © nad ty SEE ojuoxay susopeon sesuaee ap eam ayfeounoar a8 18 sumo! ez song ov yaouitoe firpne ag route ton syn “un ope nudodyywomy nor (euesteeaoqm) a 8 (wroueD|eofe) Jowossod amope>-oroBD.ID gon eA ‘preousisod efyy ad > sounsfrzadsyp 16 jaraou serpaape eopan e aids “eatnsp 9 astoas 10} ae are" sp ainda Ho 2p a19s 0 asasq 98 a8N0NGI} of ‘Sposond od) gremonue eley misesoe pope je oqmewazardar qoreserape "aseougy 2qromse) own 2js9 * sett ‘Srusaind un ase “unser eamoqprs edn, ‘njoj tod ours 9 ajasd ad foun oid as “ofbostp ap punugd se ay #8 aunSoq0p UB “fstostid seus 0 ede apo 1 qi anu sosazze Se pores 3d ign rmeowrdyy 2159 * yay eh ma Spas 35 "uriqns 2h} aseoqn 20, 22 mp tasopuay naioqe> ad 3p ld 24) uy esd 059 equ’ “inayy 9p sof feur ay gs 9p rose ease od sear ut ‘mjd 9p efud ad wren aim #8 zoreado ane fe no pstoory pu “po areonae Py se neo 2yyloinonia "p * auareaoromuotse Homann “z"eanyougns puoteroi-oxgn evoqno Ie OM 9p. aleur Heo] aALINO uN UHSAEODIE ey woTauaoga aIV 18 IaNOIIa TUELYTADILAVdisesie ideals ar bul a ‘In orice caz, igamentele dors ‘Chopart. In chirurgie, sub numele de artic! (alusut) ‘co “seafoidut (cavicaaral $4 Ligomeniele seafo-cuneene (cineonaviculare) dorsale. Repertm scafoidul foidian dorsal. Plecdnd de Ulpamentsle dar excise ost itse> eauniee ‘a sudo eo} 23 “asous i “rinay a6 ean any ¢ arene ayoloyeadns of ped fate 2 puea eur ouaanoy ey yezgA use 99 Bnd] "ouEDI29 ANE 1o}NP i 1ogn> Seo19 2p oF ‘U "eapan 9 © Rud ley ad 9p tigen ad por) 25 2169 “opunyo yung woieysojmsnuy os uud wien eountiezado mivotoady ‘tno ‘upuruex 38090 SiueToe ROP 219) t Sipdopat © pyontor 18 yyoonsae “am ajoniou no pugurauoy #6 (giemI30 aid sieesries Byarbeey 2p 9438 © Giapan ‘sya forme © ypunond noid eee Ors een radoorop 6 jeomie wile ode + gluapias sip tounsg afoul ston rintog st "aud (amporwacurs) 21 : Sep oe a Gee) poor Moa» to a ‘med tee? fo Tod 1S eo vem " “jrquomedy] orede ou z Ite df eee 3 9p se teas 8 poem oinedap Se oP HIV “OH ydyp mum Un paseo) “ees1005 fos mousy shook 2s “owed fe espa #8 gueouawe eaued wy areooquteap 39e) wioA 3 fesereS soqwojsenmus © gx 2x9 ‘aumrosnur sunssr ap ‘amg puyam> Is od 38 73 Sap 8 Butr‘suapsimersurosier 3 ns rafe> ef 9p sn (a Snatie 18 q(teror-o4 ynapes Wpon fe gpunjoud fy onde rr apres HE jen} ade sdepe9. wind sos edgy “raqeioe Hf foun Inde> xp Pou Oud Soe} 3s faded eorgpmaeaqy “ate fe eatopmpsop dap 1080 aug “HopIa3 Ub uk nioosiq, “reouay 4ojaqyy sap tdap ‘ap atnean {todo ino 1 oferomodns runs o[pumsg atest 3 {unj3} ROP mp MeO) O19 eIsEaoY “ARMA: © ‘punts ode wqpry efesnusay rm moan 3 jam fee on Co purenp) ‘sing eps ox sajegan 2d 3p taro mapuulsop ts 1 done as 2st} o803 joque © pieousysod fey “ nipeo od 9p ofdaio9 tea fseape minal < unumgo oun i wredaid fey nistaoe ad “ejumamgo eweaquinyy, no ade Jon sous inane ‘gud od ‘piossowes nsang 0 xfer > esoroqusa ap ofe tun ro juzeq Rompe ee epe> yrusar 9p BsuUtlsop yp BR) yivanwaroxoo VILVIAOUAV ‘AL pis wand "une 19) etd eaardveu od sou it) sdsbd (mtped ad coon eee ‘ee -12} yma 9p eo) pugugags “ree of Fefvopss 28 ace i fej mo aden ata 2 IMR op Hove aap anesedae (a Downe gus yosound ‘agns Méaur un ede7, DISECTIA VISCERELOR (SPLANHNE) Cx alts ocazie, am ats atenia asupra importenei, ee prezintd actualmente progresele cin stfel ck in stadia ne simi Inst oblige fad forte carctesle lor macroscopice opogratice, cate pot fi vizute de diseclie, raminid ca pujinele detali, repaajile de mai jos, 8 le demonstrate pe plese spe 8 pot vedea tn sala de disecfie, dact hteral este Intoemit sistematic. ‘Credeta merit 8 sdiugam, cu aceastd ccazie, C4 operaiiunes prepariit organetor, necesita de si ert de ce Sstudental va aves © nous perspeciv8, va putes gist noi detalii amatomice iodatd sgh insugeasea o parte din tehniile Toloite la autops STUDIUL VISCERELOR IN CADAVRU ‘Acest studiu va tncepe prin eaviat salt va fi shunts i exeavalia pelviant torcich. O dtd cv cavitatea abdomi A. STUDIUL ORGANELOR TORACICE va trebui st studiem si formafionite care in unmatoarcle puncte ‘anterior gi posterior 296 operatiune ate cx scop stud itt pont deschideres Tore + ‘De le Gs ‘costale. La fel se procedeazi co ‘hs coasit $f pe proctstl 3ifoid gi cl oblicul extern Fils ums dinatul anterior de pe cl fp cm is manobriul cet de a Sle oe fos face fr ree eagle 2 In fiecare sp ‘are sunt cuprince lrmatoaree intercostal se glsese cei doi mugehi iwercoszall Intro fi nevi intercostal, Inaote de a-i seoate, observama 7sneotoy 20fn yy aod sopusiio ebarord © rquonserd ang no spofuttia) ge i nvonsejd “pappasop Bie ats PHO} wsIeyAES UNIV js 29 gdnp “ope 2 afb a je ‘ap aise od edt sauna nue niiod “soso jouonsed eau i ‘a ohn bd ole 2p sueus 2u-npugul zai aueaaieo gurdangny sarap ng sus nx pazusd {wais 9p Wo Z ap ERIESIP © ef ‘atsso> frtd [neat ‘unjbos 9p HFT “wese up aNUnRMp 1 sof 1d nosspy dnp FopAd ip wsa9e BEC. xc 5 ayngan_mpais 1300 insu) asians 209 © peouadns eauavew ad gseouyy eo * rou & guixo e2nq od siuodns 220) Ura simedsop pe 92 360ony; jar efnd vrem in lipsa scosbeloe ‘oeale printro bucatl de sfosrt merge de la apendiccle ral: a Tal pstero ‘iafrogmatic sternal gi stermocostal. slistiagm, care se insert pe ster, formeszs_dous gripe separale pe at pri ie spain, pe unde esutul celular subpertoneal se eontinus ca cel ‘acest saliu poarts numele de high sternal. Inte fascculele le i cele costale-se fli de ascmeni un fiat, prin care pleura vine tn con- ‘peritoneal Trident faa post cosoclavenlare Se. pip roman term vial in (pleura ici pa Sr coal tune repeat de porte cost a La local lerale, a caror di- hirurgia tor 5 tebuie s¥ stu ee veges Act [es anosewt ue sume do pal propecrde sau stern celular yteos din pares nferioard $i mi chcrfim © membrana rete, care ae deaschegle 2 ibe 4 pain closes sib atl; aceatt tment ste peread sunt fo opeite de jest calla; pe eadavcie i pleareciy ele ne spay dpa ce 40 ios cage, Senge fe Subp torsos. ecutat ‘leural) anterior. In eo ia Pee cake muck! plow, {tec tn aera vaselor fone se gisesc' si venele pe cate, daca o unmarim cx pentsu su strica nimic: ina acum am preparat marginea ai Faporturilor dem ef numa'@. ict porivne di fill de plows. De pe acum chiar ous portiun : una retropleual, acoperi tw vom studia aceasta ultima po ied fafa ante de pleura 31 0 alt Uibert. Deocamda- ber. Ea me 9 forme repei sing pot ita Patein stadia pro ac. Vader c8 moma 301sor suiope sof ey tagmtiexs f guno|d eguod > ‘sya? 99 298 no soja eveousjur 8 prooynyue eouidieu psy yesmayd ereiaeo smposap we 29 2doq ‘arenound “sojpne to n5 satay no (erouton od 6 atone ey a 18 sof uy am emmoqd youtop aypas sos uf up toy 18 yo es ued hoy paseo ea Sti udyop 18 gonosop fps esac uy gyneds 0 nes eupus w2onpomd "eowsyod wou. nay (aosta bee gees 3 ies aes is fete al rm ae mann ; va np pout 2p t-npuiiedap * indeaupo oii ‘vouound 2fou94.p.oUoU jemoysouowd prraipad gzeatuo) a1e9 fouedio 230 1 Utd “BL fa 9p. adeaade upepe) eu soos (p“paotnd od e499 “27 rilay sawoodas so easesyep f yojasquaay easeaedasy rte) feud efesedaid 9 yusass won "Ie Dons mefoontoay aebouse amount 9p teeta! tse tools sn ow ‘Hoge, may Es0q | 9p {se opera warDeouna>g, runserpout eel ae ams Hale mop do aunap ‘ansuafes inssl 9p ene Te © tm, “solag ynpieotad 2p a feu puny 1eun op. UTUP tL tak pu 3 nd jnoypad ad yan > eIoSH, 38 eIso3E HouoWrA By) sopnnaumss rowed x euvojo> | Rued oftaun (1 ¢t) spots oat sp eile Hm 210 ined enpses tigen) pmo © pol ey ¥ ae So seoce apeempane ae Sop stern © reas eondayy eer af x fo one Sp of amas mam stot op Hamsp Oeel odor Deut eo 3p ds! RIS feos a snd! op preopans © ream soaien veneer wonang i 201 hoe igunmers eq. 30js8 “roa so} ized wf 29 “eyo> ated m9) mle:jeuret (recesu de sae posteiosre provia ‘i pot fi Wazute acum, se formesza presi i fundusi desac si care sual foarte importante pentrs chirarg. lath in partea superioart (suprabromhics), pleura paricisls se conlinad direct cu cea medsstnal 2 partes inferoars (subbronhies) pleura se insinieazd tn dreapt coloana vertebralt lundul de sac rerro-esofapin), at ia slang orth (tundul de sac aortico-sofagian). Fund dese st eqvoltat, cel diept eate mai profund cle se vid cx mull oy Taceasta dcem ls siingn.periatdul prosminanfele determinate de sort 3i esofag, ia, fn stings, oft gi 1 304 Diseefin bronhilor st vaselor lc fas exter pe 0 ‘wonka"pinipal, sc monar perironkic. Tot acus evideniem ‘tem pulmonar sstfel fesutul ‘vedem raportutile el cu Pronkie, \. STUDIUL MEDIASTINULUI ANTERIOR $I POSTERIOR else (estu-Jacab) etajul inferior $i era to etaje este ugor de remarea, In etal Deschideres pesca ee st Tolinde de in baza pand Is un deg se duc alte dout incizi perpendicular, Te trmialgis acnaltse menfonasd me superior neti. 305toe a “zg o| pron 16 sojounuon inp ef eqoz9 noo 16 anigns mdesyp souSreu 18 uuu npoooid ssnosop 360) e mista Supis foupet euqurese uoind "pypuesuod eaietat> ‘yedeu_ quel soon gs o-pugsat (acdeyep if gy am) sg ad usoaponit 9 n¥esip eve Je are rps KURSwup 19 Seoptiy uomnd i on Cuese wap oN “GeMp 1 ues) sevouad Solas nprtoual 3p Sun “punjoxd joxonip Un Tap A208 969 ME ) an fo 3 pa npn oe HO ‘ups eet ‘ound woue 16 sreousdas gue preuowed avon asp jue #8 sxeuoKNR acon ‘op 220 ano ems um “ap revo Bes" 9p npan) ‘nop "dup aloud 30 ual eieave Ud areld 9p foound aur 8 nivodmeouowe ele 3d a Bltwoa qyeaoe gveofaooy “Dre pues re erovouqed Won up! Som srevomped sopouan ¥ leovrsod fe) a givoqoo ode! sevoud Frypeqounat trang ef weed ondp aewotmjud aan qnop Joyo e gueouotsod ey fd" spat itonojat fata E095 tenfvoray © 29 dnp Ro wopan “eteoiysod fe} 4 ounrasjr ap raed eau fo easeuuoy ey ave yews aed smigoroap a “sidensp 29 9p 199 [Ea0 ojasea. sap 18 yeoman 1 fefueS yuroa “ued unsieud 19 mur weSueysps gs omgan wapan 9 ¢ rep teed wan a yaa Fdeasp exeuouynd ruse 16 pieozodns gn eon a {e208 ef ptouod 9p aqeuuoy 968 2p unptny soo $0 aS pi woe Sere oa F Gpembedey anton ye . a uifunjard "nano at JOE Somouuan-o4 1 rp onSeouraay ct raion sie) 5d soon snpxoyat sft) np ener eo Sp inived pura suid) eooe od i 8 OLE io “gieonod ve toe a Puvopion lef 2d “1 ‘oni soigeun topour ty Eada ee in onsnuls) 2 9p uoUe 2yfsa0-o1ge ren 2908 98 tion sp aio) 29 fo toed itt se aN pout a}osHa 28 a Ss ru sfoared ‘pp eouduo anpo Eup ei 25g wapon Lapuuemy “suns ap yor 3p sumeDe wwEp kt sogoives oy Soren ode pugumueey “yesose a0) 3 impart fon gS yoroyns ays * eeu nt 3159 NE) topisoe auto} fueé une quzaid 25 20, oj et must soxqy smynpuesyed yaSuny 2p sonpuea sind 0 2p muatape afseeS 2 neoued eliog ‘siapuna) rout 0 ad 9 o-pugsipy aluopi Sur blepeidns ad asia oho) *aio) “ap edno0 ton ‘e emnay “963 3p 1 sndop a1s9 sty [29 #2 18 i solos $ Boyes et “op 2p 2169 jupleouiod fo IaaeA WY “Salse fmjmpTOn” syunoLaS jopeNs S500 Hp jade eo yas fod apan 9 pisountxs ele) ay 2udaorenoet ed» gases Any “sa Topseed 2D ‘Esq frueued op ey sea fet nah) “Gor ule} ays dojinoqarer wypms ero] SUBSE uns ‘oso ynoquiel ynop 2}30 ode + pouadns 1 eoyeyusome> ep mye 18 greou5y soos yuusoais ‘ae op 250588 35ppreaortca esle © ul aortel ascende seummulisi de {eat ‘Etat! superior a mediastinal sou vin Ia imal si un numae de nerd stom, se af un si merg la plex! cardiac, format din ramuri in din Simpatic. Plexul cardiac este situat Tucra 0 bund parte din ele inst eviden- eu recurent dept Prepararea nervilor eaiiact (oracicl. Co ng sale fare se anpyject tn dreapia erg pete vena igo, asclor (eons sagos), nade ec zig), SPprepararea venel cave superioare si fatice. Hecunoastrenacestor vase © cui inp ‘fin de ‘lay, aescor Penta‘ sida i oF sipencn Ein) deci eal dept (3 cry 5. Examintm raportrile venei eave : a) fn afara ex nerval frenic, plea $i plimfaal; b) Ingunr eu areal sonic (porjunea.ascedents) fou plas: fronul-stermo-costl; a) raportwrile posterioare (eu. pedicalal pulmonss) vor fi bisa, et ages cere pute prepa ligament atria Aces je de la aul sort! I avers pulmo rin, dient in sus areul aoel sf tragem comod sf disee Dupt ce am evidenyiat compel csle dou Observimn ur smitoarele 1 Pwtem vedes 8) Rapornu ie cu perieantel (ridi- 308us ry seg neon) eget) le te Ireoiien edonseg “Comm a soy BOND sae 0 8 © ‘meso>-ouiais gfe) © "jem 0‘ e3[008 2p sonpa0o > nn ele} uy said yoo Hed col wip enna pon Sead wom upsop 2s (preued xBue gos) Iso) @ Essen up auniod ono tse ats eu mifuo exdaseap wd eo) xeeouofoos 26 ajtaue ay 11 ots Pies an ben ee ud p8up ‘3}03}300) 1 rivoptna id “eydeasp sade aden © ‘ednstop we so9s ure 2> dag SOVHOL 90 YAVAY NE UMINE Tans De oF ep sh oder ap so greouayur whey “raeos9 ooised wley “(soos nae) Ee 20.18 cone ‘2p ui} 5 up raedaid wet Foe “soy x2 dingo panne a ot a ode -nporm eoayen no rodowy #8 gwopuanse woe n> vidoaip 0p (0 gd Saou odes ae pipe "st edos 1S poxpreousden> sop yopsioyd 8 puguados pea 95. omnnpuse ajsooe 2109 Sea dp) (uf eae) rsPe bao ete ob vn 1. Sa se numeste artera {1 sinusil coronar, pe care fl Insolete I "Tot acum pulem prepam portines inliald a arterel caronare drepte (poste- rioare), care ocupa portiunea dteapis « ganjlui atro-venticular i pe care 0. BR Sim tl Fidiedad percardul seros visceral; urmsrim disci el pd la marginca Pe care 0 Inconjocrs, trecind pe pesterioar, pe care unmrim ih sus pind la in ponfivnes ‘deapls. a acest pea ante ricuate), pe care Te u ‘se prepard ur, prin rdicarea pericandu de mai sus, observimn 8) Marea Paina este stunt iervetticalat ng st Inconjoarh fala pulmonar a ‘sf poarts numele de sin far a doy z ‘i vena oblica i pe (ala posterioard e atilui sting sub plica vestigial, anatomo-patologice si medico-egale, aceasts operafiane se face dup 0 tetnics special, care presupune cunoscut studi de- De’ aces von indica mai tat prepararea cn "2) Examindm configuratia exterioars 2. at faye posterioars gi clutam sanful interatal foarte vizibil ‘pot Tatoarcem piesa we arterele: pulmonard si aot, gasim fala an- i ptm romani arenes rio fs perl ve n mod practic orifciul ve~ bel cave inferioare este foarte ‘sor de gAsi, find un orificiy mare st lotdeauna eschis nt acelagi luens se poate spune despre vena cava superar, care, dar ia (ost sec{ionald cevs mal sus, colabeaza gi clevul se poate ugor dezoricna De aceea este bine ca ori de eile ort vrem sk gis ofc ‘St procedim as il ef 0 sondl can Pp) Deschide rept se ace cave, sanful core gh boza auriculului drept. Deschideres se face fidicarea perclelui exter sub forma un ruler. Operatunea Ince ise exccutt apo! cx foarfeccle, Se face cx scalpelul deschizaturs chiar fa nivel sant Ts 1-2 cm in afar venel cave infrioare se ita, care fel: se repereaz4 cele dout vene 3FRI) WAND ajoniad wom [asy uo pms mosop |a) Studiot configu sceasia examinim ma Jere, percele fara poate ioneatS cordajele tendinoase, care Teagd mugchiul pap (vex fig. 120). re se procedeaz 1a cl sat pink Enero de sting. Se duce 3 Giigputie vor f eiminate cu el punto ince real, cave inereseszd fnuileurent de api P alma niet exten ‘ ‘) La studiul configura ical, Procednd afl potem pi sl venele pulmonare Sng. 4 Ca ool po {Bur sangvine se gisese racer) ng Aesprins cupri il avila sting este de obice! gol, chia- alu) este foarte simp (pei ei ao Sees rept are forma fell (enter, tafeior te out line Ct de olan feos cuit ne ayopem devi unde se lenceria le od pores everest i) se ex punctsituat la T cm spre dreapta 316 317ore Tes wo “ee (eauded jer aptepi ud oul ape louoque spot “stds. fey 1p avs Ua OF ane axsoun of et nypaied © jexwoo ¥s aangan 9 trio ogy “(axeUoU 8 uy sauy glue ereuouo> es9ue apa rrudes anja 8 sous soumniader me atoms 26 npn 1 pen sa ros ap pt al ie ew soyoine ajareied 1b (> anuy esmudn> eDpe “s reeod prepa oc foarfecele al Spar inelelefibroaso, dup Pre fase ci dar desigur exiem de. grea. vem ‘nevoie de 0 niin. proaspl Eutops ic dach bineinfeles se pasreazsiolact sep interveniicular ‘mu Vom reustVeder (Gosterioars 1 snterioara drenpa); ea ticular $i este foarte superficial xcoperits mimi de eindocaed; se prints acea pe care sm fuer pind acum, gisese prlejul niment 8 ardt un now procedeu de deschide {eatulut sh anume cel Inrebuinjat ln auopsite anatomapatotagice (Letil) 4e fibre musculare catdiace; 2 coboars spre ‘3.Preparares fascicuulal His pe inlma. de bo ‘ceastt preparaie, este cel gener fet ec de aces Ht Hn sala de dec pent ss la hegt 3e foc t e ig. Ce mine shogtapuctn inp mares dep ete pez a tenia, ') La nivelul valvulelor aortic, disectm fasciculul pe sub ce tre= teeta Gp ai sus pune pe eects 320 3exe wwe oyunuodes 18 eapan e najiog ins paso tan no = wodes th mnorpod wi) avdasp pxquosg tmfuny e-9p vezate ‘coup onmouq yada)“ (ups rewound ep wake Supie sma Indi "pe ‘amarpu fessnjg gus yes a9 tog ono 998 ais) foouen 1 aoqen 9p yeuoy 1 soqen 9p yeusoy yonjfon ut venus idbyp sryuesg-ooyounsed yndpic, uns add oysaoy ‘ound ayeoaseo tn eRe tsar tere una} dng, on yoda msp 0 tapon yeu oxze0 ieeaDe nD ‘sof mH WEP 2p EDULIS S| 2p pupaiout *auaoeigns. smuarg ap osuoN8 uptedos sory 2s sunifeado gysesoy “suYUoUINd OPDRIE wAIMOIPNL ep) ent om id aroue enop 9159 uy sod es sowed wud adie t-oie> ad ‘oes ‘ponds r7o0s0) Porplnd sojaran ee occu :purmgrics ‘sp wol'an a ‘yon woe ans Shinn) oruneopoe sma ey see xloan. a9 18 wieouay soe ay sf nnjon9 umes ad penn sone 19 “pense wad Sn vue noe wepae uomnd 9} 1 oMworaane yyeos9 ten pujsdounond soqyaou ej ajoteoyeuun wagy op woe roku 2 rpmie ewtuLay © anMay uovorsed mass 18 uou3ne0 mipmiserpo Yo toys Jler> YO 33830) Mf SWB! EON INTANUSVaaN 1arkoasia VRUVLTTENOD qs guyd omprinoxd uy ura 18 roads woe on ‘uu op 129} "edeaip 3K prdsnauy e2uuo s3yjeidodoy 2)¢p i seat id aon Poe) on op i ese; ase ° sadn se‘eparl tmbecs de bros! st ia eg ini ent Sage at 0 ‘Studio esofagu smenie ristrinte sa Raporturile aortet descendente (toracie). Accastt pomiune a arterei este in toa intinerea ei. O punem complet In eviden’, curiind-o de ¥ turile din pleura nal si de tesut conjunc Pefiourt eete agezais Ta siinga Tiel mediane, lar jumtatea inferioard)ocupa median 1. i pones sapere espe: Ia dep ip Captor conte, ne pel pulmoaar seg {ooo ves ne clash tot se ghee 9 ote es ‘apr oy pluse mediate far eapetele rasfrante tn ss gi fo jos lsh 2 se vad ultimul pl It potterion format de aoria, venele dix grupul azigas si camalul tora Martera orld 4 fost stdits, acum patem prepara artercle inlercosiale, dar ‘are trebuie ot] ‘Ge jor ta sus 9f trogen aorta la slings, ef il acoperd i dents Prepararea simpaticulul toracic. Fl repauzeard pe capul coastelor si este vigbil prin tansparen|s plevrel parielale (castle), dacd aceasta nu 2 Tost tach Tidicats prepararea ll coasts tormai in ridicaea. ‘cope Trebuie ef vodem tor pot prepara acum ft sn pln tage "Preparer rsa inert, ace, ey intr aGiedsidicdnd. geil feiercostal extern apoi cfulnd acest tem proceds sti fobservim bandeletaarcifoana superar, ere ies fc 3. Oveele entra a cfptla cit mai multe niu oertice pe o sin abdome fe modi. Di de aston sterno-costal bole $8 ra le omacie’ ; el ne va servi rep wipe abdom ‘Complex; plana, pe care trebuie SS ur Urmaloarele pete as | 'ue snypoei0} 209 2p tudeae aued aieue uy 2189 “aMOPAE umyeder a[areonru: ail op asainng] 20 21ep aissoy “Bums fiso> TIED esp as 2ieod grea) ‘sep “siassut 1 a8 rquiopae asta vod © buntleuuey 0° Foed stnsten ojdid> ase 2p oIpl got saohRUA yopou! UE puEpIROAT SDE op ets ep sd ays tap ovals ya 4) yo “B25 am our aepas ap pnd wip op ne ae ero 9 Hodes ud spec) Jeisoo-ouots yrmanseyé 90, seer easy ses gjexopesed ap 192 eco! usexyeyp und yexedos ouput oy gas Tonys a3 io 2p "soeer y spunned ono mn “ope ned a, raed (10 ‘ot ap foes 3189 “nf sqwoseu ns a08it0 aTvwaNa9 INAILWusaIsNoo “1 ‘apmsina 9} a> ad wopae fdnstop 2139p gop puyosop oDe] Bs “yousimepge Tapio ‘0 aoqp :setuIN jopout ‘anduosyp aropon 9p tnd ip1M, STUDIUL PERITONEULUI ‘Traube. Exs i it paler Te vom consider suc- fe parles opuss. Dupa cum vedem, acest segment are o formt tiunphiu- ‘ar baa postero-lterlt 4 toraceluip Daca veaiea triard esle go ne gi se gsgle cu oarecare gre 39 8tec ove voip Sind 3H oat ou stom rod woroBugaysrs ousted #8 sotaque 31 00 1 9p ponuod aq) 38 tjouojued eanuytny “OUD Abyuiavo avis TaaNounead “¥ 2a seria Stag e308 ap In 208 2p imum put Tuan. 9d 9p [walonad Dey “evsjdwion ye . 16 3180"% “apes sjotmay” ap usepeo ne foumiizodsrp tworpnis el emp (3399 Bias 0 yume 98 ale> ut 1 png] upon o ateo od "yideD1p ‘eidesyp aide idugis ap tudop n> upuagauy) “symdsy-anso} jruaopdde cane ne perm montanes be vn he peo. opnne forte fi care du ise tat Pa paride in ‘ous foe lor (veal prepararea vaselor mezented: cele dou Aivergind I ‘ranavers, Observim chm i snver este formals de peritoneal marii avila}, pe cind cea superioard are 0 co ma complex, 0 parle 7 fact coh ‘isporiin cx dtu, acest ‘imfaind extrapertoneal La nivelul pend Fnvelg complet, cele doit Toe (care vin de pe fele orgsnulul) se wi formind un mezogpendice, deform fr deals, parte pe por|unea Ter le pericecate, cae se gisese Ia nive ifsetele ieo-cecate sh Josctele reo ‘ae il elersind.formerea a 8 dshogan ns nano opel ot been Fst 7 ie de doud (Sau uns); se vid ridicind tn ola cecal se glsese ‘Am vazut ct fata ht nen st fast periontal"e acners 1 be nde-ee formesza mezbeo sent nus ch pei ‘opelvian aceasit fi s6 comporld ca gi pe o ans toate fejele co 33pan 95 pPupuun 96 gremuopgqe er joe aye 2jeoie opel ad "DED “Tsojdune> auto} "pmp on 5) sasojora ze ws ea anuap maulee 2p ! je 99 aren) sig Erop 22> popurdopa, ‘nutupes a fer uo i (me 1 Gets eoroe eof Mud SoU Telads ala wopioa Un 3p Tepa 2h jad ag "ullefrp ad ode asan are> nouoru3d 9p 7 fiodooe ais Yeuwopae yaaa © gjeqiquioedns 4 "xsoo wannopge tnjjarad |e Jouodns ymoquiet sae ut saaoqdineo yoasH wows > sje Irovojseg sonsdas tales wp [moWoNIE pee ‘e¢ « eoumbod) jmiaponp wodese « 29 dnp ‘toast “ ‘al ‘rloumetouapon ‘sof © 23359) gop uns nals po eiugs vito} ap puyamdor i “ins Weis es otngat “ypouood © sontbod see m9 soo yon jestoued ep poms pivowadns oof Ps £8 Soon omsojoosaa fmanpoyon or nodes fu sq ap woRe wo|ooezaM Ise {1 unproniis nes uovjeccoon uojosozeu uum Mogae wn Pee) ENEvedem cest Iuery, tragem fcatel ‘videnis adem a ‘a news mele opi de Stell ronar gt Tnferoare ¢ toarle concuzit Repional be comport in od af ge eet Too Crm sami), iar cel de pe. pa 8 posttioad Pe i pe portiusea mijloce, jungiad nepali (omer za ta ates "ocea ce ni pile fare de pe pares i epiploo: fon pe (a post i panereatlcoplenie, pectoneul se reflecta pe ek acestor dow ligemente este desigur pentru fncepttor foarte grea. Este necesar ca 5a" se priceapa de\pe eoum 64 pert iyi intra tn constingia celor doud epiplooane, dar le formeaza 12 9p ealeas tuep 24 eared jauooydids no #8 ‘njoo|dida ashe} n> 18 yex9pisiaa Faap 3Inqan Tuan] Welsoe pp ud tenpovnin 2189" Supt) ofeb oursod er) jduroo juns_ if i} ogden e gyediooud vauniiod sof uj Yodeut soustsod EWS & aisouo|sod (Iefapi0d) fos) javOWHad 2p eo. 8 yedpund souniiod up weusoy wapunned #8 oyjo>-onsed S95 U eugu waonponar “ejeuou aflzod uy pany eisioe ‘nenys ajs0 gjediuud eoumog “ejedoutsd sounsiiog o>-an se sinof) eimugenpsop wud uaraud Hf jauoqooozam sol UI yep We) peOW “Sang 099 20 9 16 Joustsod jeunnopge 3pssiod od sof "ROPE te) gaBouDjur e>> 49 wapan alto] pu 109 alto} Enop 99. aiu} wepunngd 1S so|sen yn>xtn wf gTUUS) “Sad 3p (poses we © med) rept syzpUT © unread n> woe} oyefe un 2> dun) uy = lio} Boop wip yeaso} 2399 stansveH fo) > gHio> a8 > apn inn ee ‘sly mop 10p99 eausredaid yung (a He} ad gaeouysod cap so} “(yeouoyiod SIeAB) wan Tous © OHNE fey Sd sonpuos au poUDTEE o> y apse #6 (ugI=od 3} foqdids. senior pee, P aieod a6 non IS ‘gy ad 9p aa“piploon Tiecare mana gi pe Thecare le dou lame ‘mt stat fz not cu dou pense am sf gsi toed ‘sepanate und de erica. lama de Nerioss,ajan separsrea ele dovk fame ‘reall deo Ia Dupl ce am separat In mod artificial cele dous lame ale epiploonvlai mare, luebuie $8 ne dim seamna cd fiecae din ele este formal ly rindul ef din dou ‘use! omental, Lateral sunt feprezente? un e's ctor forma: sme-o fun antesoarh ce se dou fl man caval i posteoura, proven din py “tecoars are tot dou fle anteoar, pve 4 poseriar, provenind din peroneal mari ‘SE mu ne ssteptiin sh Hleind-o pe'o mict porjune, TL, PREPARAREA TRUNCHIULUI IAC SI AL VASELOR MEZENTE] ‘Acesto vase coo mare importants fh lor lor eomsidersbite. Disp expue in or lace Aces sorals Fo ft prepamte yor dn 340 (et plend soe (ein) palin senna (ch eit, demon Term a4 eee cae concep a nye cro pov atl piped smn dena net, care pleat de Te per rl pancreas pe eave acoperd) sf merge Ta ligomental gastrospanereatia (protuns jdt de sven oui tng uodeno-pancreatic = fursae omentale, care se vede scl reg ind acopei! de fila pentonsls despre care am Sowbit(peretele posterior SI bumet omenale) si care or ret ical paint 2 astro;pancreaticformind > slomae arc coves ins ung Uunmategte fn foals intindre 3) 2 irtera hepatica ate tina transversals (ters fe). Unoarim ac pediculul 4 disec prima aHoe ove ur aids o-ponpe> 218719 F 1s gus pupae “ae pos no we (oy Wop 9p yuodaioo oF wna 3 wammedang sonore geep Heo} eonge tag, | fbodse bp "oath 2oke3 oqo aval) pe lope oop dt NON peste op 219s * ind “e “Gesbodat aue0) Semone suundaoe yas aubtio 98 and syn ariod powder fed 5p) weouaie eased a reo novonsod re ou 39 1999 ‘sasoued utp ound 0 Eel ee © tip Nouidor un Heapiea snynuseoat fe 1p 399 Uedsap 38 op redeem vwyoipar oor eo sue) payco ater ee 14 formarea fosetel (recesulu) duodensle supe uperioard trebuie disceatd numai pins Is promontory, pentes| le mecesare prepatiilrectulu. Celelalte vase mari ale IV, STUDIUL VISCERELOR ABDOMINALE leona) reprezints cea mal mare imple duo a evident prin rifeareapestonelut pa ponte 6 la 3 cm departe de omen gi pus peo tavd alstud de eadavm MsYO semua se rou? > gf aon) a 9 =p wD yeRE en apePmaeNe ore (wroytsan spate) yo soe ea 9 sptdog = wci-9 seed op "opines json ma ro ttn 3 fo esa 951 : ‘uvonny exiomiaio inalen 0 an2siP Epa pugpaooud” 2 Sue) sats) od od wa omen 2 “Giedsp ato € pandde tojeowoe ‘havea i ayodonengin a teen i rerumat pcm spe che de os cad de fom pened Se elivereaed mal tll apeodicle, sec teu pl a gh tera fone ya rapid section ertonea, ce se felleccarh de pe cee pe fosu aed $1 putem unde uur ce Melon or cate vor izoln — plecdnd de Ia de fascia prevenala prin pl supra cela vor reveni $1 a colonlul, Suprafaa inte i aj ugor de sioah 4 cecal ne prea primal iad bole ip aceasll port cesta vats valle pe lor avs 2 fe sopaaje eteiur clear muscle ee aces, ©) Tot pe supratla 13 cmb foc oncste (mai depane de ce ae corespand bose Samjrilar pesfece Ele wb St apa cele dous st una ln nivel ctor tei ba muscular (wena coli fa ‘sub el par Gbrele muscular Ton Paice ge de ‘sim ei section eden ch valvala ieo-cecal (ce in bora omen, ai Tt Winslos gt p Des colouul trinsvers = fost scas gi 0 Yasele sh mai poate f studs poIse ose rraponp td paued yaauojuad De pron ren oos9p ‘romazou1 funeap apn 00 uy Pou aa) 2a 1 7 joy ep ioe yp eouduo apex woind al raringo oF amizodnp esy fod eujuopge ajojiod ad texjde atsa jouapoap sunfiod psea>e up “pou: the sd feu notoniod ap quodose aso mimLod road puste> oud = ieboeip oxnqash te yojareaioued ep eu! © ad wn wand 0 aue> ad ‘pojajels niin (preousdh nue cade 1 toponp nutod yeuone 5) sHOUNUAS eousHsex Up ep seated de> arsed trou Mewsponpis is eave up sina) Dues qpordko-osed owe n> sed ene up 1 23 odaouy_erseave wh ad wtoip eo sing suede 9 havay are “oqoo 16 sousjuarour jen WR huoponp wateurnoy ads oars ep poets 1 (eos |eam (1 eto silat fee antine stlece (vat se ghee dedenbad “Cons saa extents ngs» panceel ein prt cain de cae 0 lag ep Hout pmaceatnseene Stull piplemleGigomenh) gave ploi x pnereniconlaic Aci ve pte Sa Forma 3i raporuurile stomacubi. Forma si rapomurile stomacului pot fi vi- pus stomacul la Tocul Ii, vedem ch are ff vedemn ch preziah un pesete am ‘urbure maze, curbura lcd i douse: cain 9) pill Fats (Prete) anette in pot pele abil, cv ngoul 4c et Peso (ance, pcre, vse sec, ‘ate ener de at de cate ete lps pin cele ale felel posteioare mu pot fi stu ‘din abdomen. Deseip Jeasd mai ugor, tot dup extragerea off hum raporurle. Recanoase fa la dreapin Iu veder veziea rotund. De en) ch fala inerioarh a ficatulul are Wei zone: una ising, Extragerea ficatului din cavitaten abdominali, Extragereaficatului este © sik ges Jedert ef in pattea dreapia mat adera de Teginsage scant adie sama dnt ee aap i veld go singeduo} phop map cedop uo ff ope eoyp no ser Nouwopge wip yes 10 woyeoas guns CuyUl 9 sojonnarn you spines yew oe mamg) ¢ 9949: QHEDE w ysoeas FY 5 rotalu omied i puouodhr anid Topron ss audi "pubouajay snop * pipozodis st ise ons Pappotue ‘ewe ro emote syeod 2s nu paSauF mase2oe ‘sus veut e> weson) esty goep $ rdeoup gfenatendns spun M6 wMDIpH mS Muse tn} ws aynqan “wuTesado rysaoe yoda wplemonsirim acum, acest Iuers, prin dsecje. Pentru aceasta & gi avand t din pettoneul bursei omentale gh (ig. 128), Examenul spline! exirase din abdomen ne arals forma ef caractersics de tetrad, ine stomacil, secionsnd restuileepiplooanelor de-s Tungul cur- izlio gi al : de cele mai dese ori burilor mare gi mick. Dact scam nga ete adore superoat. Acsteaderen- l ‘Conformatia inte prin Str set lnc de-a at pala, se pot demons rmsarele ta partes tu post muse rape vsce acul deschide eu foarfecee, ‘marl. Dups ce slomacul 2 fost ci 1S Ge ape at pot vee lle ome Prepararea tunicilor stomacului. Acessté preparatc se face ca si ls Prepararea canalulul poneretie princip doc. Cama! kd Wirsung. se af sa ia egal distanl de margined. superiors 3 de cen ine Ie eoada. pancreas “Trecem apoi lap fault coledog, tncepind diseyia de sus, de tude a fost deja gist in jos; 11 vedem trecind Tadt ertuni a duo- denulut i tnapoiaeapului pancreasulu Pentex urmtritea'canaluuicoledoc nu ll panes, cf nun le fe abdul poseor gi aa le rst te, deo eee fe as etic ro win ne. Tk f+ ein porjace des dress I teppei suc or, 3s7 |joo uIP. THU | ES tna} mw ane 2d oyrod » gpanjosd ele od #6 using> fs omegan ued mlgne stidordso98) m0 ‘3p go0afd tnd tWopan "o-puesipy 18 esuad no 12 sof up ane op uaetn hoibeounsoy “spepeuod) aopsca tapes a ied ed 099 © oq roy &] puro od "ues xo wud Seon 35(orterele din sort; iar venele gonadale virsindu-se : cos dreaptt tn cava infe boart gi cen slingi in vena ronald sings). se lo hick apne for got fae joe cu vse pal, vos coe, done (2 out sip co eis peo dee ate epaat splanhnici de suf in jos i abdomen. in parte disecat Plt nf at cen a nak le jos. pe fala anteroard a arte- landel suprare es mine dem (cas din envilatea abdominala. Se procedeazs_ msi Dupl ce am studiat configuaja exlema, flecare din cei doi rinichi serveste deosebit inchial A. i. Stdiul hula sf af pediculata renal Wal se prezintt ca 0 despiesturt ve pele ee Tormenzd pediculal, Disecim bine acest organe, p Fenat si gisim unmitoarea dispoziione tniute se alld. vend re nd, pe plan posterior, baz fs maximum de patrundete Prcmalt miloc fu psa bza postriara al pe sub en et se poaie tal profand,apoi cu sca fica tots ponies asfel aol din petetle posterior als {ce se cvidenlinrd pari din bazieliiaenal In acelagh mod condcem per(anes (soled po 5 toy adiek calle mary e831 ongines tor Aisecie, tebuie sh em gist! dim tn 0 pate ramure posteoar# 2 arteret re male) fhm wee ch itl ce mat ui, sted he che at “Tae acute erene (lot, ite ai ce it ve) st x nt pike, ean el nl De deve: Bante aie inetal gi eal 1b) Examinind suprofata de sectiune veder of este fa medulard 91 substama cortical. In su ‘renale. Map!96 nuo> oyiwer exedaid woynd woe yy, -pirouodns roueonigns of gue sof imam of gued sas) Sosmsu Nunuy TS998 wNHIO=C79Hs101 oye’ n> (grequio| ecunod) auodins yun “euonon ate 39 2389 40) mgnsepop #8 anzd A juiTejeip 9 odes Uh yea Yoayoils esoyeoo8 vidaeeocy SuppuoA ez © 9p fon e geroacueN Wayoue e Ezy w eIsHED | Ip ise rosie yywacrel 3p ajsue gud 2 peed t2zousou0d ‘und 2pan 98 29 1 Sosa fapse] © gWeOKDIOND oy eopaa sd “eos ead fn A MEDIpH De ‘seoseid eset ip eis} exo prune on guy i Smet spun Twur evn: fod gnop bp wim} m9 reneeprount cu svc To sestalelo), mergénd la plexul lombar. ‘Prepararen aor img. Aceastdprepaalie se face flee vid deed ne, pe carl unmasim cx gi “pre clterna at Peequet siti inert, te pe a nem 3 Fe tveciaty Sregmul din. cai apo se seclioneacs. deasupra ce pe pi laste. ups cumm veder, 2 plesed numeroase faseible tendinoase ‘peo ce ean Se. eee pt de simiiapubia: ta giesie eu de rcunotca Cot mai‘bon major este de 2 0 ample. : ‘soperoat « exavae (trmicaen superior) s 308. i etre pe perl Iter “ Toe ese Mok pal te ssc tna sci int ("pr dnt sect dou segment: al el as 2. Putem vedea cele trei cordoat ombitcate, nani peat lee gh fem vere ‘Spon a ata, ce sneer nae mie de foe os say peal ee abd ef tons Topgren ‘Sut nese beno snyedodiy ajosea osose os 3169 pute 200) 96 eenstomag ywou0H jraudat NB Se ets ah Tl lad ge Sopa 3 Sonar injems nara meh coed pe ZG Exedt olen anch yt) momonsdowrnd maf obama 25 8 ‘cepotana jinue wflap mcs nnmaudomngun arf 2 2 crohns sy 99 ‘eon sand 9 sep onion exten ean 9890 jeune young ye POW 18 e298) 98 MELA rap 2 nity asoue 1 al ad orean odva nen sano, Urriea Su mal Be prt cre ra crt sp Se'face fia nit eu, pesioncal tora. descopert Pent sigrana xe fe impren "spat cuprias Reza; pail cuprins tie mins poasted tnllneste as eee a ep 3. Completarea dei petetcle anterior $i peseror, stperioat pl ‘completind ast! pmctea i inns e la ace ape. ps sugch"b fost deat tn poqtnes 7 isp @ lane tn ave ae ps vesee preparan cu aceast se ininde re impact, format de i ee xeus joins 2pu2uiy “3[eoes sop wanted migoSnar oy Sauou ale> "estonsoen 8 equi, tifosmar ty 9ason sep "eWapuoase TUG 9 EDUY Jowseoguoy Mop wokteLy AE AoIeANNS ‘astooe Yasser zag earesend reo ezouxsuode pugo ad “utah u29 oerf in sot 9p senfuout a8 paid yf pono vod wy aoe sand nw ejseane nnting “Run2i9p af 29 2169 a1 tee eerisiedl [ a ont ay aay “pu 23 suntod ap rode nap1c, pundnd in evidenjs aceast fd de mughial ce, externe, pundnd Tn evidew a a m bine fascia sacroreclo-genito-pubjons. (Daca vrem 3-0 pastes) 2°Seotiumea osoatd.'s) Se eepart vezica de fala postrioars a simize ps doi centime: iiae la marenscobitura ‘schiadied, cease se fice tole feta tp adicd de Ta fest cre ose jw de plesk pri Te tbiem la nivelol spac isciadice, apoh lem siice segmental prin secjionea osonsd. Dact secjiunea 2 fost bine ‘cram pl june, vedem mugehial piriform, iat d vasele gi nervu! glueu superior ; dedesubtul ut apare nervul mare fru! sciatic mic sa culanat postion $F vasele ruginoase poi rectal Ta foal i prin palpare prosaa tered hipopasti Tualate vesica usar, Tar dedesubia aces: meale. Aceasté fescic are o formé pains pe fundul de sac inh la paren posterioara ved le de_anpule canalelor deferem tule sn De dezna: Ve Preparares spatiulul retro-recal, Acest spat este subpertoneal este Prepararea arterel hipogastrice (de partea opust secfiunii osoase). i eats tn bazin, dem astfel fea env snort (ner eretor so TRemurileeferente se dsp de eal veaconen trebuie (cute sstfel ea 38 a3sus rast ons Srey oc soma gl 20085 ow ‘souks yoxoid up ‘aivouoje june eaZowoqseue ud yuo] ajo 1e3es | Sian 108 9] UNO “aIoUe en] WE pug khYoplad ul OSA 55) ae unxold ofoqury “sousns yaad eH YoaDES yreayd wastandaa, omreuodea yea} juns DE puns ‘nersaud eos sOPIROAZAA |mPAN ef 3p wAEEULN IED o(eue> wee ‘laid yoda "unpay 0 #6 stu od twyzate 0 *ajeunues afqmarzan 0 #8 SHIAD}Ep 2] te ‘no gunaiday qse0>8 Iso} © enolg areOpE|DN soppeunD eArEsedayy "seo appoese my :rmrp aq ‘upwoxoas (6 wKoypis 0 tule ‘join pd od 2p ejesoud wpasurzap Jp atfrouoat won weiio gut yp joe punpmig “eeisord onmEUE jae 0s yodeuy F seus e-30'auotafad Tinie (npn) 24 -reysoad taypm 1 mq anip soqnyaudes aIpayS adage mi 83°95 WPA a ‘ad (e2asxanode mvs) vsof 259 3189 7! ed Ye ONSIpU SENN A NIETO, evoyedy faut “nienesx9 top ‘ aued net nu ‘0p1. Rapormwile aceseal organ cx ridictorut Sle mnagchi organula. Contig te ala in por de vazwt conformalia st Bae Operaines ste met foarfecele de jut pe masa de disedic 3, Deschiderea rect cu foarfecele pe faa examina po fala cele tansversale) in rumie de tei, dispuse de la up apat a a we vedem = a) valle ansvorsal celelalte dowd pe percicle sting; b) valvulele amale semilunare sitate la partes Infrioara 2 recta i deasupe 0 anal; c) coloanele Ii Mor ai nige prot inal, ce separa valvulle ce STUDIUL EXACAVATIBI PELVIENE LA FEMEIE (BAZINUL LA FEMEVE) pele nlomenul deschis, vedem cf este tapetatt de pertonen, In partes ei bcervim © proeminenS dispust ca o despifoare transversal aceasth fe este forint de: wer $1 ligamentele larg; ea subivide bazi inure rect si utor se afld profindul er gi Vezied fundul de vac vee jace exteme, vedemn of jigeazd coborind in excava- Timdndnd 58 ne saa apo 376 tera euprinde pe calavry, ulerul este adeseori cazot inapoi, pozitia ‘ese dou poqia! a poste filet ella pe posteronrs ne eare reprezintd sus fn jos fa fi ele a fp gi cot gh a a Raporturile ‘cu vezica, de care este separat prin fundul de sae i pre Teecind’ de pe reel pe ute, tpeleaza {aja posterioneh leaf, dat §i-¢. parte: din fa postevioara ava Ne dam seam de aceastt dispoziie ridicind sus In js fa nd a igi plce at saerlth (& 2a sa0 2 2 vercbrd cmt), plice ce Ie foul lor rectal; acesten sn Dut com am spus, ‘uperioars cavum Dowels, prop awus sod 19 opasentnfardu yoda ‘sosea-onpount peep puguazaidar 18 souiseo 09 yoso) un Sep 8 2 ed. gonad 101 at nu BS 3469 op “eouoodgne- sod nprTeds Je Sose2-ofnfo rmnsa) pany rooara. ey Rup sof wane op. "a yonder ere spoooud tos 210438 & pronawe ele) 8 wovan © greousisod vfey anoy poozaeouae pm Sea ‘ion onay suidn> ojsa jizowoud pods ‘eqaeg | «> aunizodsip bea reovet nado 3 umoe ad op goseauSigo 3 40 208 op. aeruazaadeueytod a] tmmoamm wal Sy josey ap gmApe ae ypIG # EcURHD aDuo ‘ee aon Yes 2 ee ROY (elon 3p HO py nm me wise tmeonge spite pa) oe as aes op a P eraso ¥ asses yuctn oo nd “umamio-orapy (P ‘eno ad posuy 98 sof up arom ojoae op nts souodas) sosuadsns pamourmirion. Fascié ombili- um tern, Prin preparares fascieh preverie ind five ea cue #1 ridicdm dope acest organ, ia fond x he apare gi jumataten cum gi"pantea aftetioar 9 parameti Prepararea vaselor din ligamentul lombo-ov "se se face nm subperitonea- vezicald gi paramertal. ee brepararea urctraol eh Wey ia a zone) i fe depasa. Arters seria ct $1 shy anters : Prepararea mi cexterne a 380 far deasupra lui vasele si nervul gluteal d+ mera isha, tana femal po ‘Sout ergane 1, pute = uti, tn eer em mach pene ind nea cha a mer core ae roe obeervd © Scum por ginul ca 8 eu au dect dout portiuni ud rere; pe Aca relege rap plex venos (plexul Vena a wro-genital unde a fost stunt? la fini); mai jos. eta Aisecia perineulu Ce sh iaoldm uretra de vagia, procedam fea i esparttoarea (septl) urero-vaginala important): apes pelviens, ste separa dceee Phpiaa ey end! juutud 2s soya joupmnduey jouguae prowouesy (e 4 shuofuonand aaj 2p S05 op (mENSe} no (eusrs'rsoo"comonsetd 9p "nuapapatd eles ey ap eswses “enao qeeaiogm Puc 3 owossod psissvesose> toyan pasaisupuoe9 patous ae 6 (ie sone noun mast Prosi sono zjomeuedy) uodgos soquout ody eA hy 18 ssvoudsoudns 2yonowrsy) ss0ouds sonod poupnyStoy provouody onan. prurpmdio} ‘aivuaaeraAorsoo woTID, V 18 aavagaNTA TINVOTOD HOMEY MOLLY Vauvuvaaua -¥ (qavayds yasnpeut w 16 soqeqnonae wasezedasg) IQINIHONAL VLLDSIC VI RIVLTTAWOO *8 asd spn ans coop oe 1 rogd no eenditen geese a a snd 1 te fp) ‘S098 3p dob ne sped (eqieg ef 2a) aseoy3ayur py atorzanoqned. tp) Mauojuod 8 wien 3p 98 soynseody jauspie eanuedaid 6 poparosnar vy apuude> rod (oy ‘wip 90 8 ayepasaid 1 raquo Bond "(eotaoouod Woooysodgns-ajsd ovfeds #9 hope yanzstligamente gi a unl 6 sod ‘organelor pats het fibges a cel anterior 3 rior se evidentisc8 dupa ridicarea rest abdominal nie cele dou ‘t Ligamennl inferior fste de o lp: clint fimase de Th’ perivev (dafragmul en ria). agit arcu treble 68 dezatk ie Sesion, chek unl din ele 2 fost trol c tra avin). ttre-genial) si Se prin ca aepen a veden fon tus ode publene (oper pet de Bazin la seeiutes nam apok ule vedes . PREPARAREA ARTICULATIEL SACRO-ILIACE $A LIGAMENTELOR SACRO-ISCIIADICE, seg gil sobie i 52 format de coloans verte ‘aninde Tegel ate fetenia ) Liga verse (bine dezvel Scares muschilorintetransvers ‘d) Dupa idicarea faseiculelo vers, 56 ieriol ligament af uberazi ede ls Transverse In luberazittea eastalt; ©) Din complexal de Tigamente ee pot fi prepamle acti, nea elinas un tie ‘cunoseut sub numele de ligamentul co osio-vertebrale, numit lgamental cule, care se insera pe apofizele trans- cosale ;acesta m posterior (costo vere lv ssc: por! ween la 9 cin ace pele rma de dows : marele ligament vem Petrone biuaoue.use vrayode aresoy od yuo. 26 ed ojoquee 3p foram Iept 5 10m opus vatoardaag “e ies a tone an arg) ena oe por Seaco apse} 2p 3m EP ilo “wororyos usu Ro. 23ej 38 eau 18 ezeouuoy 2p a10> saqouan fojeue> 1 alejeonue -owiias uigoqpy ajafoy> no sode ‘ asequtoy syaugeion ofaurey ad 31H) Sos eoudunid pout qe90s FHSS © we 9p 8 3 ue pep Ee ode nop 320 sfenode nde an roy "ens ays sofloqoys anpere 9 Tede 3 jean ou pugs sir Groowe an oa) ion 5p eraun soni ato so fosode on rand no azax1este ramura meningeala. Acum pulem tece Ia sectiunea osoass ; dezat- a corespanzatonre, observances eu dalla st clog ‘vertebrate 9 fs 1 suprafetei ei imerioare, Deschidem du- 3 fixtm buzele inciiel eu ace cx ghmflic, pe pirfle coloanei vertebrale, Induntrl duei-mater vedem (Fig. 126) on Ble re dest ‘5 Studiul conformatei exteioare madi >. Ligamentul longitudinal deci in canal suprafoyle articulare i petd cele dour suprafefe artculare.vee fe eBoAe ryBDEI easopRIASP nse gzeazqrgom 2g -soum} s070%0) 2 e ands nds tnposteny er Wid pore nt | zesnotbas a evleaip Sar prpiedaed nes 228) feuicanalrenazou mmtouryd uae zsucon open Eos yen) ajo ianeio« ups ugar no xp 2g arenes 7 oneinOnS ap wrmsex9 ys azoaau aiso 8 248609 op entosope ouo} aise einayd wooUl notaepoqns somiou-ojnosea ymoysed dsp Tupuegd wo 8 RIoexe 2s odoue JMOL IM HHA & enop e eradou Iossea-op Ap sndtuo> 319 yox9 auesauy seyosna YIVLOL VRIvaaosIAd “8 (ue int nay) YIVUAOSTAT VsVW NIG FIVNIWOCAY 18 ANOVAOL UOTANVDUO VAAVAVATAA “6secjumea canatuai de feveral a uluror vaselor $i nem onganele ene slrdbatplengeul ‘cit_mai jos gi apoi toatl masa organeior eviscerate poate [1 scoush dip cadaver C. IZOLAREA ORGANELOR ups ce masa iganelor 9 fost eviscerats, urmesza i2sltes fear organ, nica lui Leulle Tacepe prin organele regis dora. jos. Numai dup ce aces- fu ale ventral mediastinal ‘open ean isco un spatio ovine aeselor cole. Segments va 3 recanoagiem prin palpare pareeasel st olen moa, ee depres upc, reco (fern lem, whi fe ponte preps coat! coledoc. Algona ” ih Sen‘atind deschidem pentone ‘d) Prepararea plexului celiac, Ca si preparsm plexul cel henulut superior al aon. Se ic. Aceste ramuri arterale sunt Polem prepara acum plexul, bine ca et preparam prin uemtrind.frigoarcle puntes anterioar ©) Ridicarea aortei, prepararea_recuren superior si seeyionam etc) Hing (ramurs din pueumogass "y Propararea esofagulu. Eso tuahce iicknd organl cu degetcle fragmul 1) Prepararea organ iat deasupra esol 395soe oUONe 2sU89p 150} mE BU canes ( mymjeay eansena ‘gpepsoo esing. uy eaDpURN joy rout 16 1 ‘neds 1 uo. vanenedig jeuoy oe suede Mh 9p mpestiod uses fod se ipa erluapias pueoutod "ystuo 80} eau 29 EdNgL “CM ie aon voumoas"p 25. eypaut suede i asa a} sep to pone eaeiaepia 2 See ju n> 953, e51eU940 fb To} 19 fn 16 eseuouted “euoe) Vuh 9oeea Bo Ped tnimpueauod eadnseap mop "Smo ya "ony ase aro jnxod eaveredand e] soem 98 “qeonmox> soypussued Syne Bua, “smpeop 1995 © Inpusayad 99 edn Sep ne sara tamnpreopiod 91 ous0y 9189 Seat 18 presuod > mioue “Ht esau “re fan 999 edad waqnd aoqejoo-oneIg 95e0UIN JO} ap eso yn ry eH CURPIDOLT“AeIapIAD 9189 n {fm Sea setup) 20}ono rmpsspen ayo ow sopson vaoindony “c Z ious 18 aeons sopronesed inp 9 ro woing “(oogen © ateoundn itd aig’ oder 22:1 rue 709d sestomacil se face i curburilor (¢ toon tlc, sola, stomac, duoden sf pancreas mi ica 0 x ng since form de Vr una ce rece. pn magic ora ascendeni Com nh 2 dou at '2) Izolarea arterei aorte de artera pulmonara. Aceasth izolare se face cu foarfecele cellar dire zona gi pulmona i Teolaea celor doua 'vase se face pant la origivea lor (pitt ne pare {es sel) omar de die cae eebese cunsc "Prepararea ccommarian sting deasupra vaivule sigmoide anterioare stngi, cel drept eas vue ic). Avera coronard stanga fost secionata. Se 2) prima incizie uneste vena cava inferioars cu vena cavk superioerd. gi tre- ce pe (als posteroart = atiuuls {Tinie post Deschiderea in'sd ine ‘suftcienlt penis stad Ele dout Segmente666 ba op son 31 oto of aude = 1 IRaBD A © eum puny mony ‘ed eta o SS Sha aed af efoep nd Rap ap WH yriowaray wy sop Jeaypuy gap 220 96 anaosta syeoja.ea!apDSOC. ‘rea! eided ud auede ea Foust fe aenard 0) © 20p3q0> Te pas a sv op atta 18 soapon 860 so 18 wn ‘stem ended st nop (9 oud 18 taapayosop ‘ysedaid 30) ‘a Biff Oat 9p (29) e] 9 wredald 25 1 8 ry wes Bey aosn eon 3 Sansa 0s 1 cuydo of ps nes seasoued uy sn Staodo 10998 UNNDOXD RE UDIA EEC Sn | epe0O Sune OF enoox tated st ube AL iol. eH etsi0a ajnad as sobs 2439 atoosip say jo? ateomna one He 20d 315098 29K fp toyise “rondo vlependns we Bunfe mu sep ‘ouype =pens faded. pinay eo 99 = UOIRUUN Ys Fo sumPoar 9p ese ate 99 » "ine 29 spn 6 sees Tso} BDH! 29 gnc “wDyy UL BIND estos fuen “p “(aulgas 2qsraed no 6 31909 1 mag 2200189 29) of Se SOR 2p Epa oy ap oye isd wept aye inp 3p ome ec, sn lyn ent © ie pecs sopoe oy werd slay od oyga suzy 029 Waoap a> eley od yode 16 foapng|d tnsoejat rag "Go| seo) Feat) fad pu op, syuowes ened 2is9 4 Cekdos op adeoide pred Siac (aig 990) 98 uSURDS sms yeu 9§ “euoragns 2189 nu 212© privie we ol enc ne serveste st recunoastem panile constit- ident Tih nic © pepaaie specs, Be THci'o manipulse prealbia, nu se poste recunosgle decit Een emer) erage cache bbl aan stag) eae Te'de membrana’ ar Prin tons 5) situa ib, fe fl comparst ct pa freierul). La aceasta bazs gisim toate celelalle poriuni ale chcefalului. Cele floud emifere ale eter Sunt separate prin seiura Interomisferica gi ecare dis cle are lee Tojo una medial, in rapor cu scizua sus-numit, fH face paste din ‘baza ereiervlahy gia ‘vedea pe ale ridichm aceastt membran, seizora apare To toate lfm 1 ind deresiones fonmth de sca hi Sylvie, vedem fe acoperi- ts ae o membninl sincosst resents dacs sche membram vat sy ui (proluberan[s,cerebel) este $1 ‘dpe ce trece. peste ach ef efalo-rahidian. ferelor gi examinind nl meninge, c= se gisese det logel mr si Waifs alone, vida pnfonnd: aspect Cte abiciog nee irl visele iuph prepararea Iu sae teat lor p susofntatl Ridicnd cu recauine numa ce el ga focal, tc + Dessipra terioara a be bu ‘ecitlomoror sdacd inst, spall i a (cercul anter ‘cua dap rigicaea vaselor din pi 01Logndape 0 onnosanars st apne stn ep wanders ‘evn yqacs movin op arse soja 2p KDKO® PANS meze ‘pivowon oxloae ed ae eS cor ‘me vam ap set cisamp 2 {puoopinzdpjagasse wie‘ to “Shoe nid faa iF use en inp msounoar 3p w pupusoy ssoun os tode 8 sjeaing” 33 Sax (reaped imns soasop ates) 2yaugouoe a2) ‘aworpes 245 bs pagans eo ‘epougest jlodo sexe Uy "ynusyaus reg‘55 adie ete bin oe ae wept, pt se sgt Tn cvies vec fo oh on (St ow ene as pega e+ aca C. STUDIUL EMISFERELOR CEREBRALE Sliema coprinde doo pn: suit 5 exrzore cv de- sta muller iui atl cone lc pes care avem nove Ge mak mul se ls put de voereeubriosy, in promt Prepara rid rea scizurilor,Lor ool ae op nent" as agngan fou £2 Hoasspy, ager ea 8 ue Sn ued ey "eax “(qN94 1904 10p © apunsfaonaaAP as9un axes) aqvoWoscouD 22yt wud 1) wea ame) s.0%aW ap aad wud ay "9 nda 2ue0) sjuatnsoud Si no dm al ary 38 (921 ns 1) ta 18 SAA unos 269 1 opus ses o) sivod 6 picousyuy a9 16 yo RUN fey ney 3p sof * vine eapon aeOU 98 FON > wong vie od op round eum open nae (eo foe opm nae act epoca edad 2P ape Sms msest, penta putes descifra circumvo- ‘doug (al 24ea gi al 3-lea) sunt mai grew imeroase plice anastomotic; nol tebule si re inte aceste. gan, (pind nition peal al ted (coltral) este agezat pf ons, Crt iterupere pn i ig. 139) wolurunior lobulu temporal e de fa. ce am 8 ‘Paratel si san colateral, Dege i alel Separs p dus in ganful colateral separd a jun, una superioara gi una inferioard, Separate inte ele print pi 4) Lobul oceipual este agczat pe Wate feeleemistesi i este w ‘ele mai greu de descifrat ; daca : fe reper ant 8 Bic are ul al Slea (sciura calearind) se AM pe fafa ca afl Vedem tebule eh Indepartim cele doua ps toma a emieferatul sb cei ‘mh partes lor 409up ow sons lant a. p) ner Ser ss1u9 SHY ‘mautp) rpm ‘oop foe "eezodsip 2p ong dio> exdnstop 129 tod 2eBNO) JOpso} 9 mantod arosooou oyun ‘SuMflog 28 18 umrusia we exaAos fa} syuniInjontinosig 18. eopan od 9 ‘21ze90 S169 no “a!o/Fi uy unyfoae fxn fuoinfe ny 238) o¥ AIM OY qesoduoy 19 jn) 20) BID PUNDARD "29 in Oa ong esp Sauter 8 (2p 1 INTMTAERID ¥ YUVORKAINT VELVINOINOD “a s@igu o 39 22108 2 insur op und souadns toroddeoretp Spr nae stewie ocr 7 fn po 36 prmorame wun ‘psvopiodns 208s 0 sane won ‘2,08 wud ons fagoy op a1eed3s pmarado puted oe asd 4 ‘todo oqunt) sntajég my yrzpos sojzeng e aeuedaper eds pad wen wy fu epioop = Gof Te wip ton) "nade aed o tdi arp Josh ed oo ep oh oro tr el 8 mae Pa song owe gymap ojreoKN meAND "eUOPIAS fase eamNFOH pugEHE sodiod saraos ans sus pun un x9 ea 98s sop.» jonpisod eaimuanx wedapuy #8 s]aqaN wapea os Duron ‘inf ad ind 2s “oouMD puna eyonE09 summovuna®. Sore yond Irymor 2p sesame sus0d 18 eo {hioy you 2°! mynd, ounsnposuns > eles V ‘ausfen/ ym esos 09 no tyowohuey bod’ ead Noo" cttod’oSpussna oh 2d atys 5 medio eon thaanp eee sw eimods ofjeedaud oe 295) wamad “pues eae‘alos. Dups flecare sec{iune examinti scizura inleremisfericd pentru a vedea ee ‘urma secfiunilor ficule ain scos o serie de fli pe care putem studia a subsianfel albe (cent ovsl) gf raportul ef eu substenle cemisie jars. Poriiune tes mal rimas de ah i scizwra perpendiculara interna. a4 pul im studiem raportirile 2 mpreunt Teal) eae pe sub corpil clo dinalnte faapoi 3 2. Studia circumvotay ') Lobul paracenral fata inter emisferu ae forme pats gi ete ‘mic rth ce pes de pe (etl presen s pe inca fromalei superioare care se 1 gi Tromals interk. Tinie le anterioare, compu calos & fost ste depart def complet, Penns aceasta va tcbui 68 ridicim 1 poriames care pe care am sfudiat fala inter. Facer 0 fp star, Is nivelul corp ‘ealos ric 2 hui copes, pred ts fuel rp see’. 13)si sored “Soe [ndico wipuorbes ps atnqanh icsioareropredin 0. ope Eibtre sf usta imeaiat 1 peste ‘cerebral (Fomix). Teigonul 2 fost evident jerea ventriclilor fine compuli calos, merge tn profunztve,some aq vingpnad ee srs ene sa 11 oes ad rigpmis fouodos fay sop and moe ayia owas 9pF le)» ened url 1. Cal kA ‘dinapoi reper marginea exlems (ca ta! unghi) 5 paralela cu prima inorecind Sel inoleaed allel ineg. peetele deschidesea. Fidicind pertele su- pevior si indeptitdadu-l, Se evidenfiars astiel larg peetele infevon cide, cr pnd si rl Ge a ie un bloc de sutstanfl cerebral, care ‘cumvolufiunea bipocampului Pentru a o poral de-restul cteieruli, tind substan ‘ creumvotutiunen fed locul scos, putem vedes' cucar ‘sepexeoood ‘al ranqnouua = sonsuorsere au aiede yeaqai sopeoan loind 9} ant 9d. po no 9 soqasunpad w giwoqsayay syfezoju0c) crim 71 mans gm 6 yo soon marae sao a> ‘ped an soposod tags sg 0p 8 vay gs isdtupend ean teurud | rouosupond Ch 2H Iau MOYEN ye os eso yrs up oued 204) aaie jonuunon> gop suzaidos oury Imp yous "> eHe3s WEP 2Hle sunt acoperite in pate, de ceebe, pe cate sick binigor te veden meni ‘mind protuber Tualafa origi acestul-nery, ‘des prtuberans In cercbel F STUDIUL CEREBELULUL 1, Configuraia exerioara eo © get, sit aren Magee1 sep tone tH dao sme mio a fe npr oe ad EOP UPS Hoh tu9K UIP eo) 3IS9 3H SN DIY D'opppiucard ohuoutu wes epyiueya span toind 342090 wseIoe TO Ie, sins jos m9 29 gap 3} ap ud tea FID] 3}eOd Dunia reps o>ENCEFALUL I a disectici fost sistematie Reels pe ercieral 1, ‘reierulu Th ye muinir de vee? uncle atcendene, neg de nt Yeneie-anastomotice Toler) ples Recunoasteren san dit meningelor Pe ee gele fnesel soase; pe acts Fico a lui Syvius, wyor de recunoscat dup’ portunea socenluatt sf dupa prezenta ve wagtem seizure Tut Rolando, prin aj te (pavictala si flontsaascendem). emisfeulul pisim seizure perp Dupl ce am gasit scfauile 3h Js nivel fiectui ob, seewnosed os Pe encefalul 1am lust cunostn,a generale despre dis- ‘Supeafaja erelerlu, Pe ence pentoneu), moidel pe fala ex. span, pie fe ate ptrunde ase gf a0 pri "crn 5 Coen eee inferior 1 tn 6 Coven alpina pane. pe poe 30 Sectiunea encefaluful pe sual pent Biloe difeitelor fo in care sf intereseze Tntreg encefalul I Piesa tnrts In formal se preesca foarte 91 oT aTREy ‘san ond psoas e irae js peenpna mee sone Bae td 5p ous sare) Pa 10) 0 2189 w mopar 8 camp vos pee “prem 1 9 game ten #9 i oe aes adap a yimap ase seo Sunnis sse ease mwo> ‘eyouoduoy Wp esesgont> adtad 9 no. 2oun 98 3pm. [Oy y-aoun> voryd unde esedaid Won #8 splowmese puroip Pipe “tin vinjoautran ‘gureuin g sieog "injusjsaa& usw the 3d ru 9 aE “#8 peste ein uavy Mtoe aja jmoe eatndany "o[auoh sopan sind. afm esea9e ing ad_foproun ‘unos ap efejexins unpanuees al) oquousTos aysaoe wip yun a4 “g’Muauidae 18 Y yrds“ >u\auNs aK ‘Bas Eno Of ‘uedult Sualooe reesoy “puorpous AO Tmeusysa pu do si ‘iusioqoyoxd 9d 9p ey ou else "po9 at) json Laezaby imino. ungzaby ju. ue gates:Pe cerobelul secionat se vede atborcle vi Studiol segs Se vede disp iat gi aucelt il segmne ‘deasupre sc asfel cr st se sfigeascs pe fs 5. Examenul suprafeei reauate din sectiunea Iui Flechsg. Pe aceast sec lune puter vedes 1) caine inert foma ean tn 32 se face de ia substan(e a Be acest segment peti puncte clea es sop ce msser Do oer 2 op nad earns or wo toy man oa oe) ad “ip opeutdig “ieyaso-enn uate nes rosie un M2 o9e] © 9p jeodo 9p unusdai) injnundio ‘oat wa “oraredo anuag (git ap 260m) speusdopuy ‘ajeeng yode 16 syezout 380) ne atbowsodooe oqunue|d 23 sUnp poop eh toaeo rod mi 16 ynus9 injeao wave i wisvaa Wadoosap [e GUM JUN), ajsa ounyineoaid ystaoe "enuoyene s)St00nD up muqoad 9 gud snp ngs SID (ant ue) 9 1a “mpd eleeidae "aiesado 3 oouy esiusdoomed etna gt 9 28 9p incon wonedo aioe # slant ap pune gps sep) «on eo} “du tal tse edna " enou0o 16 pytu) 3 om am 18 sored tin “ud ney uadoosop 5b) ata ako os sein canedmey @ reine sore mewouepany eoued gumaust squndeor “poe! dooeCorganulul (impal 4). Ajutoul este de © utilite incomtestbila; adesea suecestl tuned descoperiri este rez oie espana Tce trepanareamandibule, pena descoperves ner sis ode se nied rea onelor (aca instrument ¢ 1 andomen de depuoars & lspaccomie rt ‘rice organ poate "descopeiy pe cadavre. Dupt cum am spun, desoperinie an un Scop practic $i de necen nu vom aves Ta veer cca pe’ cele ce ind tn practca cilia. Descopetinle se fac malt mal aor fe eqdqrele paspet, cad heal merge plait, Fs Cand pe cedavile conser, ‘atari practice. 1. Operatia ccugelat. Stn poner mlb pe 21 china pb de’ peri 2'Procedand metodte, descoperiea caps nn. descopery ccs bel pi i De obicet, in ‘cu oatecare gust est permise Wenelor mas cafor singe inurdaeste plags, sect A DESCOPERIRI LA NIVELUL CAPULUL DESCOPERIREA NERVILOR descopesite ible dec i. Neral fin ae tt ma din sit nw are ich 0 ‘mod direct, pe cind a tia ramurh: ner oftalmic, mo este ae Acesta vom lass Ia 0 parte $1 vom expune ‘i nazal ft, end sce 2c fre. Un ajotor mage tn ss to asifel eH pelea regunil 52 trebule Picts prude ce ajngem cape supeioae. lem eu! dilacertn, seca iin el nea ras moma © marge (bot. ‘in operalia mosses. fon Indepareent za feioat 2 pl Sue sonda eatlsm $4 smn ecobitura supa-orbiary pe pe exbite (pete reper fare importa tout despre care Vomit In eae gegen il ater snes de i) te ee don br eaor soon oo od a pe nao tsa an SSE ap MOnpU phe gag "MIN Do (aust eo) dap) st 8S 3p sisoe geesosuzap 29g: oma sonsbna © Hevadns Suid. e Sadat op elueysp pours 35118 idop of ynyusod szvodjed 36 + wgiodo gs aun 2409 Ut ap stow, 9 tades“svopde $8 apheog SIS Mo ene od om} mg PT “ODUM! YENpuD # ape) amp aoue-qas impo, (oenqio-gns 190 pout uy sjeqens o are> ad ok ee pid ng p95 [9 ‘ie 18 yjmtousSuy e aniser enap esa we 18a UV TIXVHN Tawa ser jason ye aulgns 1 gle ymuopses 2paq 19 oja}rad #8 foyo aje rou pha iauedap tn) “manu D2uDIMD) 2p 30pm ue epuos no mus eluret o> a2ey oF 2M soot ad 2189 mason) Yano jo won apaiod ad sone 2p qns uuu oHfosps 26 ion uoro>” sojompuaan up 2 sonowoysoue 3H3K 21S “AeaUE> eplos Lo ea 0 piadove ase sof suede eso" gus “eaje my geen oquind evo 98 a "Inde sumac 8 oret0 jared ad joasou mugen 8 vn ts 2p meposte f deschis fn tata Deseoperirea nerv te ed ar he pan re cary, fe dh nfs! fue fete 9 ten ganesh Eoedonul newvos, ce cela faura afew ‘Seton 808, pe care putem Snjele- NERVUL MANDIBULAR Din cele gopte ram ale escoperi, deci mndtoacle pat = Seotahd erin Interven pe nciah mandibular este de Nervul auriculo-temporal pean a 1 inne Is) Cala eo re cnt, pen condi) se duce o incizie Jessup arcadel zigomatice gt ju pate artera, Nerul for son canelatéfmido tied 9p so}! ofs9 thdes “awoydeo #f azo, “prouem> weeslumganat 36" sunvleiodo jou ag npuyfedve wapen 9 gns epHOS © m aug wRIZ! o 1 WAP i peousteod eauiwor weraiojdxe 96 18 gsndo touted ino 909 9d vamusdoorod, "2 es} wud epics no. puNED ‘12 oe moire Eanes el pe) oe ‘ep av ed pase pina jatopuar EMS ode 1 eseeont SE 9p ae @ tox} Spouoio> fatode © wee “aprououon ato sojfe ip “area atjoods uetap fnop © jo! sep “rfsstp 2p efes tip 2puaepe 2 ‘unqon wing aumuoyase 98 bec “pun tad “mopeabad 290 19 10 jong yeaou o1Sosy 36 soymsong YS soso anuy ‘ unedossap prascos aymmamios if miDsaodey Tow js), [du 2 e100 ¢ winfouy jucsosour wDdeuy soytipde Wh N°) mpnatow nodogy ‘ne gsvosas3 eng n> go ans “Crefeuow eayngon 'Sus my onssind eo 2p a3e) 38 oto ‘p ieoide 9nd niodossaq "| Tue ote pane pepe ne 2 ep ‘tang ese Bf ae ma omg. jayTenia 1 era ce Caurarea nervului Buza inferioart « inciniei este wash ‘eu virfol sondei eauttm, pe of de sus a nivelul edruia isin nev ') Calea ‘bucala. Posie 4! explorare, Fala privesle insite; se ristringe te agezatt in fundul ga 1 are o lungime de 3 cm jos buza inferioars, pe clnd operto- ism jos chiar pe 05, gaura me Vom descrie’deseoperies nervulul fa nea se face la fel ch descope iru descoperirea nervului la ies 1 pe rmarginea posterionst ela lungal margin ine ig: tt 4 Ni aol mandibulet; aceste dows ramur ale incizei se fi fa unghial ‘Secfiunea’plarurilor Inczia intereseaz. piles, peviostal mandi ‘Manopera Perforarea osu fact a1 sections, far operator sparge esul cu dala $1 ciocam forator ovos st apo cruta nervul care se easeste la acel face a egals distant de cele. dou margioto AE sons eveap ing HON ume sof uy ongo any yaporen dap aSvounaas 28 are> “Yoryode sniaign yqoart ef 190190 2p j2> yonsa} today 1 spuds aon god ytea 18 2180 2p a ‘ourem eupajed yap89p no Inymasow oo.oMDD, vod yay 4 sheen euopopouats Bo}, 25, oqtanuoyd umsag qaqoy “a vowed 9p stow ays jen “sunvoqtia 1 aged ‘spre olny aoe eRe Bap eae “ow eysay oF wendy foe Nata“ WEN, r00uye ley msecoe pp sus the) ny 18 eugors sof invoifueS fe menos Teounost on 91> tmsomnfe no ‘ap isu epIowoys ede ip profuond rayode 18 yeodu: ‘rato anit salto ymppyonas ¥ te ide eaunyiod ®t oj (ezeq)ynéuadooe 101 bye umes fan 2p oe wofee tooe 4d. “soea lpn aga ope) ASSVD UVNATINGS INTANOYIONYD VaUnIaoosaa ‘ming Yoon opr ase panes eden son EN sito ened pnp pie ode wd saBuon 9p FSM eq “ronewoaee ep os ga raeyonie eo Jopeate “e eouaur “al 388 Grewed jrjso F beoNaamed eutiew) mo Dan ea Sane of eatmeeni69 19 “rg 39 esup ‘urouaine enugiew 1 fnoen pesaopdeo 95! yinfiadoDESCOPERIREA VASELOR Artera fa Coniserai trie concapracc. 4 Ate alt es rou Descoperire. Posiie si explorare. Capul ploreszi unghial mandibulei 3 de Tnciia are 0 Wungime de 3 maseterine si merge de-a hongol margin inferioare a. mand ‘Sectiunea planurilor. Se iaie piles si platsma pe 0s, imediat inaintea nem pe suprafala soash, $= my patrun cleat pe fata Tncisia. La jam apofize! mastoide, se face 0 Secjtea planurilor, Se tac pielea, esutul cellar eub-cutanat gt spleniul (ce prudent). CCawarea arerei Sub snug a8 tu opfie! maside, Poot a explorare. Capa este imo de a posterioars 2 apofiz! mastoide si ¢ sic ‘pofize! masioide gi se 2 Le ni pvten opust si se exploreazt Tnciia merge paralel cu arf tuatd lo 1 cam inapoia ef; ex incepe [a nivelul vir ‘fom de Ie origine cles, feral t le carui fibre se recunosc dupi artereitemporate superficale (vezi nervul auricu a) Pe scoperirenarterel meningee mijloie 4 sn zi descoptiie intron) urilor duretanater (ve DESCOPERIREA FORMATIUNILOR DIN REGIUNEA ORBITARA [Mugchiol ridie8tor al pleoapel superioare. es aderent = eon) acolo uote mugchie isla este carb cv conea obitare gi ocups treimea ei mijlocie Sectiunea plarurilor Se inciesrA pelea, tes chin obi Cawiarea inforoart; ca © dust de-a lungul arcadei 1 celular subcutanat, muy ot ela rece at ote gst septa ot wor de deopet, oma 409puofd 9p mig} slusurmoosd uapina uy ound © ano set iuip no aad © > ejenipus 18 we ta opp ad aio 98 gate pao no Tr pusousyul tong sp sda 3 songuindop un RE opus aaron) yo wpeare yzzaI0jbxo Pog sino yumed vansadosseg uaouyajauealo. 9p. 9-npw2s00p ‘en ag Tourn) rk 1202 oper ans ap ovis oa tie ton iF nooo Hop 31 rede 20 ‘quuero.qio as0y 2 dng muopuas va1om7o eqnoygio tnagesnay #8 eopad feh 9 uoqunuoyd ooumaas: opus) sae ap ajeutusap queen faba] 8-9p slow f yHuORO 389 BDU rgd eu.op> eanstaoD Free. oy aBeN 2s 238) wopuoy eaeadqed as ‘ons uy apeand whey amuojdea f azoy “amadooseqy “sas ay ygoo trupyetodo" 20) “se0u3jur noses smn so} “vajrd ote) 9 aoqumUnyd Bou jos jung 0 aed yas pzeaiojde> 96 tons uy afaaud ofa aimugidea 18 2phz0g “ansndoacaq, ond od mus ap sedee ae peop joe yase ey Sue op rondo yed yo aqui eo 1 1 teouan esndo 2 id ne) 93 pale 1 On Y$ woreo yrdoup asd ete sudo1 se face 0 inciie, + sSeparind buzeleinciieh dtm de. panda. fone ia sae. 2. Co Bae see at incase ple Descoperire. Portie si explorare. Ockiul este larg deschis prin deptitarea pleoapelor; se examinesca cornees, sclerlica gi limbul (eclero)-comecan. Ci @ peas’ se prinde 0 inet corespunzator cu acela fa care a patruns. Apoi prin im de jos in sus corees, pnd Ia margins ei supercar, ‘Cu 0 penss dim jos I are eu tat de in pote sete, DESCOPERIREA GLANDELOR SALIVARE Glanda parotiaa Filey poe rea. giandei. Indepsrtim buzele pl Canalul parotidian Stenon lee ¥ conc prec 1. Cleo ak aie pack soard plane, merge diapot a ‘i subire fi ce ene proeminente gf area gla inizici (ind. departae, Jats esutal cellar gi ponem In evidenfs glu. Glanda submandibulars (vezi descoperitea antec DESCOPERIREA CAVITATILOR ANEXATE CAPULUT Antrol mastoidian in care se oporeazh; se papears apotia § awe face la sunjl ieroaufeuag, wade 26 selioneaes toate Seou celular subcutanat eno inserayh pe spots sunt1 vomitus ‘yond are a5 sopmuond voumlrog mpm ved “sof ty 38 void 89. ¢$quN2 20 oreo, "a toxgpunuy geo) ad fargo me eq pressoydao 96 ade swouoyes 1 speed siuadooseny oueOgNS sRIO9 NAS 1 yoimmpo ye won anos sto fo somond en sonny sean) reproun> sopynjao vasysodoasoq, ay wom jegad 2p au 16 gieouaqur eopeaesves wn 969 ey tap) bet nga Hs dr saab 2 {ezevowvox) jewos} yojetea opax ysnuys ye sousqur peated taatd 8 faded eyodeny wageoke 180) © fasmus 20 Rdg) TopMay! pmpound eespunuory ‘aveonotnur esta mo exugeNosp WR aDey 38 fonil mms ap ‘indo Dopod ayy bs (emou)) iousque appred wo fyIse ‘sof uy yf sus up ymisouod undyzop eSez roy “pngzeuadsipun puodowoyy jsoued 18 ymuenagns seoj2> fmnsol 2g tow sopupd voumlsos “(owaeuon) “nso ads “sejnoI0 rsp 1 word ‘regio japeate Indun| ep allow} ymjnseE wMOEPEE ey op eee "1 2 va 2d vaxoprysoq 'f Ce pap sifoaud ynde avosoydio 4 axreog Sadao opto V8 core hezund Papa ‘rsisod apd wo nuniog “(ens fet mise © pluapiaa ut earannd rug, -omaue pe smpy sas eur 1108 pened twyotoud Immo e pun efey ag -pseourenas-oniad eamine ay guna tol et “eijodeioc): preie ener sere fe iainenponte; pre a tar ca fos peig-mssin Dia wets scar mln $i periostl, face'ew #iniga de jos in ss, puniad fn evident fosa ca Deschiderea sinus, © al maxilel desehizindu-se ca focanul se trepancsz8 peretcle anterior DESCOPERIRI INTRACRANIENE Aceste descoperin necesitt o pre element chat see a la nivek cat), te detaile necesare chirurglui, ci ice necesare descoperiit (Test Descoperirea scizuril ul Rolando (central) con pace 1, Aces sine cle ole exeneat fa g Descoperre. Poste gi explorare. Ca lion te tuprfae fat see ‘eem 3 patrundem Wor In partea opust opers- cizuit gi se alege local Ie"care te 0 lungime de Sem (in ‘he intereseazd) aia rispunde 1. In jumatatea. superioara (rein tui celular subeutanat, apotevtoes i $1 perostl Trepanarea 86 face Cataarea sets 8 Descoperires seeped lunge str tempor i Descoperire. Paifiesr mpage yon, som safe a Gpepans) eremonepans ey MAYAN 18 ANINONVS aTASVA AVS VI RInIadOOsaC "T sues ny “unos oye ‘ue a> dnp ‘on sseape od op fund sowo ty paevedaiy“peqnsy Spun! fo SDV “lopiadns eouvdon 96 ‘2eou 9p a -suode “eweMAS ‘eee rag 3 ff abe) 98 pavoundauy vesouedap somnfe un 20 ody szansuode tres unuadeosy tt inipoe 1 Jotn s¥apie ag tag 3p auBvny 0 a38 er sd > Sapo "wre ae fePositie si explora. lant in descope ‘aargines pe ‘marginea anteroaré 9 tape: ia este paral co smiscard 7 ent gf are mjlocl la un tai pila, pilosol i lama cervical superia de rosie Vara, cre tacoma vend am. feat deasopa’ clavicle! se mpe I. oi peg ae mpeg oa im lama cervicall mijloci, apoi mpoia clayiculel, pans prima coast; stn i pe coast (twboreu- subhioidien (temo (Cawarea arterel. Deptt bi cu index, insets scalem luenja eh eu jugula- ie tne pled Len) (Chaatgne) ete oe poenitet plate se pr i ‘pes rel i Caste oe " Descoperien artereh. Poifie si explore, Capuleste pus troducem fab gt un supor) of nts Be i sil stero-ceide-mastoidian, conduc Steercedermasthdanda, des lng Cra sauce line de operie ae ie stero-clavcalet i ests pina last Saga i degete dessu- os portant) ss rotidian (al 3-lea reper); dup ce m fot profunda fon dare putes lringioes.Prezeie ramon death aan exten cok intro, cve eich om In aes ne ire. Post si explorare. Capul este pos partea opust cele In care Se opereaza; fe exploreasa osor egap2 wus 2p o-eHuar2qp ne 29 dnp eioue wuxoz! > gns 16 qligouonosd ese) sloapad no unguoyoos Fxjeqouone2o od wugngo 1 Hleouogtt quelpiom eeu sodgpe ef wot ‘yueIprom esoue aruoloosap 16 ueypire>-cnas sou} zee|20 yans9] UEISEEP Ipaq aseoe ep fomfesseyy toy fojnozoqny uadhed “euedopmy soarau-oj0> women Sopet 9 pgmiiony je jejup asjause eg tp 99 oa Soe OBI Ded ouoye emp rp nae ‘eumon eaideonp vn ny 1 sarod pon #mpmse erp siqapon exoyse 6 greoyyuy eueypyoan exa.Zy pour eomasoa ymin ‘sony Soon! ramps apna! nse) preouiodas yuepproan ex13y - soo Rniay owe se nnsoffon wpuorloas 21210 vasom0> co-op sof set “cojdodn sou soo) ruisou yanunuy syueuy 1 sas {wo {| pupdiow ‘prom ynso no ype m0 atau soy aioi0jdeo 36 ao punpsoe Im mays used pass wguorloas oP ‘punjoad ee] 3p -y@any oad onaypean v ueotoy sousiets no foesed 29k] 25 1ystd otouy “area 29 fot 09 8 Fmimpowy loo readjed 26 ‘ pyfeodo pando eound uy stom 5 [nde 3 corn) Seo suniojdsa 18 ahzog foBang Im prysuman Wp urs vansodoosza “y apomtnos yan spanned HOF 2 ego anne go ape 22 Se oo) ee of 7 veto one evn) ond om seo son mesa ound ent “nar nguedapa es 8s tat sagan oats > aloo) 98 ms (F wpOfa YOIAE 18 ane ee mas om edap ‘wuoya epnosto ef 6&9 ‘| sSepoe wy aaey 9s earuoossaq, yuyu gpnares eopy n se) Jaan BODE aud soda) pio [aso udqed yopar n> tode nyo umn (atadeeoud aparaepe> od so etl) eopaa wa) jomnadode yoor e epanatd Yall) pA, wy Tau dav ‘mp to) ours © ‘ado 9p sun] Soup 98 lode “pinqypuwarsul iol ica Inciia’esie peed de is tai Sectuneaplonrr’ Doh pick se not de ase omorine, de ce lt Nerval laringen recurent ploreazt marginea posterioats “nciia se face pe rmisoart Gem gi exph gine, plage este mult dea hula ‘pofiza tensverst a ize transverse, dilacertm cu sonda stvanusao1a 18 MUOUYULASTY TTANVONO Ba ALNOVA “peowsiue em soqeoe (omen fay od nasa wary 8 8 wwe pup? et “napaod ugpnup aoa 38 oof <2 Jeg zd umapio aoe 2 I ese uy ezeadjed [8 ((edesud sodas) sousque yauoqere (mp83p wo thNe> [NOI futgid « ogodns eng sos up aquaqnd eq some up] mpmaed Boson "reno 51 0 (9) ef aun sopmoyd nounoes 6 vai0seydeo eo ad ond amon “eee fn pee spl 2p eee ton 0 En (ee Has T asad Hono open nope junay ymasou #8 oryeg 10x. _jpuesptoseu-opy " sruepe gqeudooo vfurioqmaid yreoo|dxo 3 iy w2eo8N uy sed aso gd Jey Sof Uy fey ro slow sis anepes) “aunuoidto 1 otzoy “amvodonsacy my 8 ond goto NEED mop yt 22a! yoxpans HE Souzuey Hur (rotaae> aso ‘Qnedaye alae) twaou wine weHeD epuos nose oq jumOMRO eee wa 2th tf auoninel aojeoae te uouonte foioqa ade “egalgn @ isoeoe sesqnona tise fp gy us een 3 sooup Fe "ep yal saa ped rennopia a fone opts 9 somasea ea ne ode evaded 28 16 mynueyjonsem-opr-ousrs © peOUDIHE eat 33 38 Fn ue ‘sowed 9p) sion aise nde “munsoydao vf xhzog‘aqsedoosocr woqsaa9 jronedang tpoen ap 6 eu my opunssvoump edap_woseouRaat a> ad aad od og pnutel hseoe gas (eu vie‘stm corpslut oi B. Deseoperiret lobului lateral. Vezi descoperiea esofagula. Laringsle Condes tree ‘4 manginea inferioar® a osuldihioid, procn ‘Adam $f carlaglcicoid ia Tacepe ls ‘sul hioid gi merge exact pe linia median ps ibs subhioidians, descoperind iro gi membrana tiro-cricoidiana Hots rs «dace cil ci, bi ae ins lj 4 w- ‘mim i istemul plandsi, Tan pol ems gland, trabeca, L Descoperires faringelui Consideraiereice 9 cnc pracc, 1. ogee ete ngelui In portiunea inferioara (laringo-faringele; catea Poze $1 explorare, Capul este ps th extensey se explored oh i. fe ransversald i mbgoard 7—9 1 mergind sub osu iid st Cawarea faringelu. Indepsnim buzele plagit si dim de un jesut ce tmenibrana tiorhioiiand; pe care o sec{iontm pe marginea aah membrane iohiotdien Tegiunea supra-gloiea 4 (pins a esolng), Iijlocie (oroforingle; cate su nd). Poze si explorare. Capul este ‘pus In extent; se exploreazi {sil bioid gi marines anteronrd & color doi tugchi stemo-cleldo-mastoidieal Inczia est paralels cu ost bois 31 merge la i dleasupes hi; sw cabal ‘uicaresglandeor ubmondidulare se fue ch pt ‘descoperirea arterci linguale, pundnd tn evident peteele superior al loje submandibular, in amin- dou pie. ‘Sectuunea milo-hiodianului si a digastricuui (peetele 1 Iojet sub mandible) st face pe tare le seqionim ac Io genionglo ‘Acum ne spar fibrle rucoasa, care apare spatial mandibut dram spre fringe. Cautarea faringlul. Patrandem cu degetul tn profunzime si simjim fariugee, Descoperirea esofagulu nervilor laringel recurer ee conchdem ot elem dace fal pe ft Ia ‘Slonener 2 Fall sve nprur i eden ohn 2p 9108 “WOM Tp auodooe ns speed Sayed tn oHsoM wre) ay8609 # n eapadosaq, rey sie ae yaar 0 opie a © li ‘eg ene mf} ote 2F med eandooma "ON ‘oop tna’ uy apse aund 2 a1e> “qyaoelgns esnoyd ap ‘imnpesoatoim © gpunjord ley sixor ko paok i Had aang te ot ps ater ows fol oun pinoe pop si wos ‘om in ef eos EHH wpe) INA VAL TATAAIN VT RITITAOOSAa “D (cen) mtg sad es (eBups) Bajos 6 $8 upjoz} atznoo wyeeane no ise oth eb nt opens re cal whgat masse » open ip aq. SauaLojmasey Ihiaood ‘Dammosy te ajosa 18 eaoMt > & pieouadns wou veut oun) w-2p pu up g op eftfart de inferioare 1. Descoperivea pericard Porte $i explo: rare, Case ells le gi 98 eh ‘se recutberzh ‘se recurbeaea celular Sectiunea planurilor. Dupa ce am fica inczia piel subcutanat,pedtor se tale fe este disecat-de pe plastronu stern: ar coasele gt spe | Se incnsetpergonde ten, fee (edi de ia extremities ltngul ciel, ras ad’ ‘vasele mamare tepatzand pe telungu ald cu el tiagem $1 ele wins eit Ge cafe Se sept sags de eae tr! ele nar sin es (stele cin veut coastelor. Se taie Posterior gi superior ji fste disecat pe faja hui pro- funda si ridicat de pe Rezecyia coaselor se face pe 0 i marginea spinala scapul toate fejle ‘pe format a7sur fend mand aoe yn Teepe Buy on aps Temp Hl ver | Wy 0 ate eousert up "ouse3y ave 16 wo ¢ peosmat eed 159) mrouy amu “iy geno 1H o1hzog auiadoasag, sd yoyar3gn tw woe] Inameod.fmmnnu) rmmuopucs & uo vasmne) i upd ‘veorodne gost Eom] opm roumtioog ope © rere) pun “ney pene a vexa 98! aneds faqn> 3189 (unter =19}29 inoue) FareIne od yeu Dip Im¥op no oissdyzap 9g 8 wizeq n> puySiow “a0 3 id yee uy yasionewen 16 uso nijusd) mood anede syesmasuen wost) ans ‘sms mse Ti0}'© ajeuuds fouepioy > edn “(syesioaate eu¥> |v Jouorsod aojamad geeazsom 9g “c ted "Taam Reno ayaa aap yours easpradaasagy snwauiads (gayqjnsqan) peyauopse> w 6 peu uy i Grvanounsaavurxa) STWISRIVAVILINT IS eTIVianiVa RMNEAOOSaa MTONAWOUAY THTAAIN VI RIRKEdoDsaa “a ' mi of 5 1es0n eaelifceriaoet eee oe nes muoe #§ ouiseZournaud nasou eopon to stom uMms#9p no ‘te0In9 ap jSejoro Inzap wwe 99 tdngy oven (9 1Artera iliaci extern aurea artereiiliace comune, Dupt dezlipvea peritocului gasim arera tn 7 Profunzime, repauzind pe mugchiul psoas gi pea 5-2 vertebrt lomnbar Cone amce conus pracie. 1. Ane inc exe ese ‘awarea sacei interme. Pent 's gis iliaca intern, edlipim peritoneal ta twee ups inca pi aponevroza oblicului extern (ev precaufc) Ridicarea oblculu! mic si a wanstersuli. Rasfringem buzele in fm §1 ne apare obli Descoperie. Poritie si exploraye, Cadavrul este agezat eu fafa in jos. Se exploreazt creas iin, tor idicun. mary ‘mpreuna cu condom spe ‘Cautarea artreiilice Prin transparenga fasc lvl, iar mai ta afra ef sammy cu degetsl arera iach extern La acest se ses artera, pe care o folim din gr ups cm sm mate acop Coniserati toe cou (igind in afore inci comund st artera hipogasteicS (liacS inte Ccadaveul este agent oar $f omblicl inehinal gh s0 termina 4 supa conse! XM, a pa dog ac pte de nal wari xen» csc tmtar pln iso loge denupr crete fne, do unde coisa afr mergind de lagea acest ‘creste pe © Jungime de 4-5 cm, “= a a Sectiunca planurior: Se taie pelea, fesutol celular subcutanat gi dorsalul eld. Se departed ' Cawarea spatula ti G dex se palpeazt coasts a Xi-a (primal epet), tnd laa Sea vertebet lombar, rv dinjatal po. : 96 anour woop > gidny aso puyadoasop ‘jeozan sjohuad wat "made ru 9189308 35) Sieodonsagy repassien 0 at 2 ey ap neon aon ete oon B He ap uae ajoseorsuunn edap 38 srtde «3129, 3 ‘wIpH se urd ele a pundit yd ayn, 3410 eds je a Epos easy 96 18 amfagnd ezyuns zessode os tons ut efey no Jezte 2p [tnepe) “aubiondse F ghzog ausiodoosag, ny o ad “eo wo [aesed pica “pee iy eergioas 93 spun “oot tpysaio exdaseap aap enon 2] aed “amquoy {Gun e-op sfiow “grequoy-o1es ese 18 tu) aseourds sojazyode sajony ondap pm “TreO> a 968 pseu! ¥ UNSINDwaWIEU | Poe uooasop omngatt a9 myanfuuer pando e29) runepe auojdo 38 othzoy -pioguoy 2p09 ‘ad mmyon apa} 0 9p 6 18 euungut 2iqy ‘aucas giseae uy SojMosMus OUAyON HF ZOUI dea Se were ate ee fee pe Descoperire. Poztie si explorare. Cadaveul este agezat ox faa fn font aceste pli fesien (glu net pa dn sacri ep 80 cocezie reaminese cid plga este larg deschis si cd tn deecoperfeintapeto Svem departitoae speciale lagi (abdominal), cae ef-prnda toatl tsa Difeitele feluri de laparotomit ‘mediana supracmbi 3. Laparotomia laterala prin inczie pe marginea externd @ dreptulu. Dups fea gi {esuul ‘celular subettamat, se incizes24.pevecle anterior al asiedoqeons9 aueyyy sope> matzdeosoq, ‘Gd oq neylopm ECL MODY moO dtp wreseoans > -tigo oyu wud avs gjeotamo-tdns eueypou anuoxoindeT "y ena ipa mg He INDESD 18 paseaioued @ pyosorsugas: ouiuhiog | ‘sjaiuarope pupansap) gagus pane 58 raved uy Bed dojsenq eareydapay wap 29 evden, Sonn iy «a {8 tod eon ap 20poqoo je hinedead na wnt{osctclor duodenate. Ca sb vane ct mareecpiploon § | apendicelul cecal (vermiform) colonul ascend jos. tn parte ines Descoperirea colonului ascendeni Conierai tance gi cnc fue be! Ang erp fet decent Descoperie. Laparovomie Intra (a Cauerea.cofomast as plage si fui aa (esa 9 el nafrd aauntte pink Ge prnden Descoperirea colonul sn ei pein Descoperre. Laparotoni 484 in. jos descoperim i poranes tse recu dupt ee om cat Descoperires colonulel transvers racic Cool taper ete & doot met oat, Fe a poi se aula marcle yansvers, de= Descoperiren rectulul pe cale abdominal CCowideaiwovece cons practic 1. Rec ep le ive cel de 2 3a vette larg si a anexelor Pilg ise tg tn aus anse- onic inh Foo - wi vale se vad fe reenoagle “Trompe ne conduce la ova ae dupd ce rica si qvarul putem 485usr Zan w |S parmsoud eassadossaq, syomauisya 88 won Uodns tio bop svoustsod woud ‘wopunaed atin dru “hparonpat Toso} @ pounce 6 juowost ezeaoqlia 9g ibid adooenc -meparonpst ‘esqy upsd soupfns yoynasou yF omeyay sseouyins jase wasndoosad ‘yeouuad oye, afzod woud aje> ad aanogy ajuadoasap a7) ANNOY uy snd atngan unepes twjoa 9] 18 suouero appeen wise “ez si 9 Gosia) ooo luod gnop i no f9y mom punad “> joosop we a> dng 1d go} faag “auatse00 soued up “ouina “ourtmjon au jiofap no adiou tode jwoyorede7 ‘axjiadooeecr {our ol a) sped semouts russpe> (F guaymy Spunaios + oe Jojamanze wasgsedoosoq.“superfiale "Tsees piss tes bulbar pe ene Peed insime ne spare dul aproape de ules me aceqt mg Whe condone ntere pate Descoperiren uretrel la birbat Considerai toe icon pracice 1. Ls Wa, wea et format fice pce en ght peste soa! de copa dep Chit babar wy Deseaperirea portant spongioase. Explorare, Se examinearA bulbul, orf él anal gi scrotal, are 5 cm hungime Sectiunea pianurior Se ti ‘mediand si punem in evidents ‘bulbului'se face pe o sous sermadct s lege caste an tine secponn, esconerre.Explorare. Se exploreazt testicals epdidimal gi apoi prin. ‘ind tre degete scot, finde picea de pe murgiga faesean seek smergénd de-2 lungul Se aie piles gi dart D Descoperire. Explorare, Se ex DESCOPERIREA VASELOR SANG! Vena medians baci 41 explorare. Membrul superior 8 colului se reew"anoiode “SoH se a 2 soya ied n> noe) man tun “aune 3d e fioye tid econo ays o en sree ‘steo) 29 ed ne) is eyfnone 9p ap sup Tey men un : 2.0 enop emoiaep n> kfoysed aso meu Spee “pom eaay 1 n> # (pradaoe 0 30 torn st wae andoossp 4399) aiompo 1 do ‘auiduny 0 ae 1S imnsdaoig & "unit rendeig zesioydxo 06 18 avompge wy oso ywlesg awieydeo 16 apna sussdozcee, rooms ier my neg ap 2 ‘sus your e> wieog -aieioydto # atizog qeao}20d jes no ezeies 29 ouutzinjond oe] yaseA pIMED Iminsel gzepoomp 26 1 eojqd aus) ag oun oouoymg> HF aop ues © 304 i a8 bape [ aindoorser ‘som 0 deepe a ern ‘puree ou,Descoperie. Poi si explorare rt de cap. Explor regnes, perry simi mughil corace Jk neroase 9) nu (ccm mal depare pico nue dam tine Sama de tem ges aner, fell cof subeutaal pled apo- aponevtozel recinosstem coraco-bmbiat eum . eo itn cordoanele ph «0 Jungime. de 6 em ann smurilon. Se tae pistes gi fesutul celular, mnoperd indispensabila. Examinim sponevroza bicipitals, recunoscindv-i ch pe sub aceasts mar lgh vor gas ner ratiataa 4931a of nen Pooh eda oem nue op ts sey “yee mpi 1 rie er as res IY" Pope Res pee Hosp ones #18 YOTIAWEN varuntagoosaa -vopuay puiuspina “worm © aes URUEUOPHL O 1S ‘adeosop ynso}tsooe up 2 Soumpuy-and sea wzairouode #6 yeaeteas [929 Jans (2 sa spines money Ben ao pa Hh spunjord gavuyed epeasy ‘seoqprundsai0> 2}a090 2p pouy atSased 25 epeary opesio taxon sluapmad eye n> ans sn INET 3. Hgnsspap stop oyergumf "> p 2p a Sn 'sne rnifosu aso 6 prasnouode gus recusouode 1 fuourua « preousye “eam fe -onpqe snduny ye o6 sosuope> mmmynos ynuopuay wseyeuy #8 sosuon opusy rsiunyuy 21s 16 yoruojeue wo4seqer eeearqexa sora 1 tp ayaoyod soap aomnfe up) sunuoydr> # otlinog pomwosewn vaoysogo) Uy 'e Setoud apne 18 ote song reorgns (eouoqut 9p sear soe soo} ednp gzeueh Yo eatauny :aruadoosap ap ef ens nooyiar sj 9p aus aqiadoosep 2p omy “yy yruoptiar 1 wepesoryeg (anu Peesiotd> 9 “ote sadas uy snd’ ynfexqairy "aioioydro yf athzog “losganun 7 "| aiadoataqy ‘reuyn exoue 8 jaarou “aioe op wollen yode ! ypmgezgane rzosaou0 | | |rh rau Mes Tar bev lat) me proceed car we cence Stel FE se ge go pn wk rete fn axild, (Vezi descoperies open66r fea ad anuqao> 25 gs aun “wa gop (eres ynymprmor_e 8 azeur ouiee)aieonajay ey 1S Seu exdnsesp F82p un sogarsod opraied xy ‘pivonaysod 2)09 Od (@ ngayon sar em MY "D pes (AN, ianouredey} uot op Ww 5 yode 13 fod yeuernoqns ‘mica valve IE sopimand osunrzes aun 18 widaseop oid 96 ‘oysian9 wp one mUNY Diode “oanugn sori waned: indie (8 30 jaa pandas ‘yneinagns senso imisoT sp neo | aftour ‘2 puaand> ‘ea sunosmi any woBsout auuip fonp. 29 pued youeynogns fe vopiyuy oven op teat e Heovoy -auniojdso 1 ophzog nowy 0 pa ‘un [maou fe pumod yany ayiqys 2d Sigs B arotim ens) sat ‘agp 0 1 poten waa UH aq wpse) 8 yeueoqas sep mst " SD aaerodo 2p 1 oye9 ing sido # ahzog wooyda ¢ peouorsod vated gf fixe [aEA wip aiow axpodoosap 2p oun feaq @ poouoyut «29 reouedns eoqeguinf up 204 2% uin> dnp “wioip ostiadonsep Fgeryeaq ypesayd euadoosop 72,) ojuoxay) 10, jan nse speng aeundpa wag ven sunne2 Goquoxey Sg sonia)! > gaan reogns seo fnsoh emp) 9 sng qoute) aioe anhzog. Speipou qoarsy 26H 96 9 ye imper yroxoy any 98 yan! apoeng eeeoutdop og ymunW vovom pap to 9 9p 310 oe bunptoy) 9p ®5H8 eT oP BeOS 20 opust zea ty oye tnleagamry “2rba0jdea meager 2 sap Te punjou rep ‘amon sazomD> nas ad oye ymasow wus of ya oj2enq ooce se pune in evden mar ‘Clare ner Ltolacer degest im packet vase it 2 tn gomul nerviui radial, Povtie si explorare, Ca Jos' bral este pus In adduoie sin woe rota ‘in evidems’ marginea posteriost a deltotilui se palpe com 3i merge ‘de-alungul junit clulat subcuanat, in care gi pot Se incizeazt fascia de-a.fungul mate i. Se tage aprospe deos, se glsesle nerval tad La antebraf a) Ram sceastt regione). b) Ramura posterioard. Pos medias ‘i varful apofize descoperire uneste aceste dout puncte, I dout degete sub epicon ard brabioradialul si pe ate celular subcutant ping a fas- wfascie "shoe for fata, 00 Pescoperie. 1. In axila, (Vexi descopetirea plexul le posterioara. Posfe gt explorare lea bul e'dus in abductie gi toatl Tlsie intern, Sepa sige tn ste Pr fim a din ele i afenget pind onc Nervul musculo-cutanat es pe ft 5 (rai Inia. De-a lungul anfuletbicpitl ee o tnetie de 6 cn merge ‘afar mlocaut pice Sout muro, Stale ple, fe 4 subestanat gf dtm iam fase des hngul mag 2 nervului: Departind bu2ele inciiei aponevs lang tendon ‘biceps, onal. (Vezi deseoperiea venei mediane ceflice) intern al antebragalutsos 1 aS opm 98 8 up g op oudumy o aie ozmu ‘wuyed 9p 10) tn 1) tou Inquotueyon jyiga ‘reousdns 6 pieounsod ‘ley no ease ais Jriaepe “auniondea 78 13 ae 2p srodove o are apse uly we 2mngan, neoiodas gre 2120 Wf pio 9d judi won tHeouapu nue “eregrodns uo SP ‘uadoasap i) 00d ipsoy 2p 8 fue] 9p RoUa|d azsadaatap’ =p. 2 jaysod eauiuem zeadjed 25 "19 oooylta gu oun gzesiyds9 fog aiinloosocy leit # sng eusin f ap on Fem pasty | ase puna fone swore sruages ay ) 95 awa boron? 1 2p alin 18 wap tH “op of aut nonin teo43put ISHS oY) tS > ofse9 al a159 ‘reod ur sowie eupd yronos adeoide apusop toy op et do glsous}sod Wouraieut oy rupd’sBiout nar yuouredy ans a8 € vy edi an aa nee mn feed ne soso Hapa ‘areas gues ou34, AININONVS woTaS¥A vautsagoosta YORGNT NUMAN INTIAIN V1 RInEAdoosaa “5, {eIMgD [nose ueS “gre Bund 18 pemeynogns seo ‘ep 94) 98 bien ent aoe oye 95 sopamaoyd coun ted-on Sh jaro 9s #8 tagiony #8 at ‘9g “sunisuoyea uy syeF9p 18 aeleutdns i gsnd Hs eHapy armmydro 18 thang wa8ep mavd sown seyossI0}09 "Y vansodossac, vasep 29 ah w tora ste ogi aed econonede ge ee ets nose sp pene) 2 {shel repens if satay Hees 2p 1989p ye yesaye}e9 IPN,lage a cei buze' aw fost indepe ‘eth Sede ona care oi Artera glateald inferioara Constr totic icon proce 1 Nts gic alesis ee x gues ve ‘roars ru» act lleme; ic in tain, pol pen rt 8m sete ea 504 Pc gle ites ve wena. Poze explrre. (Rese ct econ ate gen nia de descoperve este paralela cu sees dusk pentra arera gluteal supe vara stutd a ene en per principal), paren tie Gu'sonds ancl rpem ap: i ria Ini et ac Hi entana Temural posterior mai in alr inghinal si merge pint des- 505Los op ‘sus uy fiat jeunoqusnynfeds yaoi emofadasd ‘omjdod oases wise > wopunied ody "o ate 2toup aquied 30m Toqaguy agin od ‘3i9d02%9q, as0p9 ‘yay 3p wep 30. ena nso} “eojid 31 9 4ophomunyd Downes rea nuny vp “OTe ued ad nye 2s a9 ‘eon dru m8 noad “oingaend. pnt w> ‘joja9 isof yuapange un 9p esnltoon, wows are josaauoile rorzpu team romnly “9 rung #8 s0f Uf 2190 ay eee) wf yeanogns 1 qns gamed 9p yet un e| pugdsouy ‘ancodoosop ap 14 1 ena a 9g Yao bana wma Bou m3 9 3p at snot 1 © ad asuodoosop op xu jeeny ep pa | adaboy #8 gqeian isa zy “odaong i 8 manu myso2e pyLER a bE aun fs) Uy Blodo2s9p 38lor; in fundul pligi, apicala pe cs’ se gasosle artes Moris Je nervul peronier profune Artera pediossi (dorsalé @ plelorula) 1, In jumazatea superioara @ lem Uiel, la 2 cm toda fe ne amas cA sunfem aproape de vastl ch Shun ater pe cate 0 tol 2 Indaraul mateolei. Itza rece cgalt-distais Ine ‘Seetinea planar Cadavral este cu fala iniera.” Se exploreazaus moyes TUK, road yougoéni a myn ousouode qns “jnuot ode wigzuy o> ns sf cas sey # reusing notaqm reesioye 2g "aumistonss oy fend es Truaape “swig # aphzoy “andoaseqy seta sum a ant 38 ae eanury pnasoy, os a ‘pieousdns if peo unde eeasogdxa 98 Esns up eley n> aezabe yep yeiaepe avbuojde 1F yee! aie of tod eno Fesnay-oyust yaaray, YOTIANAN varunia4oosaa (urme(d sopsson eaiuedoosop 229) ‘peomnjd vounan ag tou Uh ma oo ont ezeg e| auido 2p yapund sf 9p) 10 Sia ypu qo tupuorfoos © "rpunjoid ezosaauode elioping uy ced Bop yoiownppe sol uy seu) we a9 ednq. sowqse wool ‘wow eee omdieur 1 Joye pet id aid Ben value, sof of den 18 rum mouaqen ese) canfnoehoses RU oeAeH pt Buoy ep S813ur oyu) “PUAN ‘ioniod peony on moemarene “sa se od zesenr yo D7 "7 aassdoaeacy‘ou ine Descoperire. Acesti neni pot fl descoperitl in orice parte a traietu sig yom 2a descopeia fot In pune ght een poseoa : feta ca ischiadicd se giseste nervul femural " a cogent ape ed doer pe i plana sare noe‘ irons Descoperire. Pozi plpearé tendomul bicepeul Tnciia merge de-t lng margin Sectixmea plonurilo. Se tae pica, fesutul ct Canrarea nervuui. Se flexeazh vgor gamba, spre a relaxa tendon Ini, pe cate tragem in afard; sub el spare nev Nervol peroaler profund Sere we dsepert a jor pre sebponeati Descoperie, Poste si explorare, Cadavrul este culcat pe sp push in ro rm, astfel cf regiunea ei antero-exlems esle in sus ‘Linia de descoperire merge de fa marginea anterioard a capului fbule Tpoenie snipes le aoe ie pire, dope ‘i pti 513sis ‘avanoaay + roel nates vonvis srrovwon € vonvis mv “aueBio syns tuooun) zur Sesa9e. op ‘inaoe 98 0 rayuad wUappeo un 99|5 MENMRUL SUPERIOR 5 MEMBRUL SUPERIOR DREAPTA a tea ante STANGA 6 MEMBRUL INFERIOR STANGA i FATA POSTERIOARA pearun 1. Aes oii acinus 1. Male ery cota a I aot 3 TORACELE 4 Anpowenct. DREAPTA STANGA L res 1. 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