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The present study deals with the ontogeny, structure and development of Cardiospermum halicacabum fruit and the mode of its dehiscence. The trigonous, pyriform and bladdery capsular fruit of C. halicacabum develops from a 3-celled ovary with one ovule in each cell. The ovary wall is 5 to 7 cell layers thick. The outer epidermis of the ovary wall develops into a single-layered epicarp. The isodiametric cells of developing epicarp contain abundant tanniniferous contents. The 3 or 4 layers thick ground parenchyma of ovary wall constitutes the mesocarp. The thin walled cells of developing mesocarp are found to get apart from each other, as their elongation is meagre, to keep pace with the increment in the circumference of fruit. The tangentially elongated cells of inner epidermis of ovary wall form a single layered endocarp. The endocarpic cells of developing fruit do not exhibit much structural changes, except vacuolation. Due to the disintegration of thin walled parenchyma cells situated throughout the length of the septum and rupture of similar type of cells located in between two lateral vascular bundles, the ripe capsule of C. halicacabum dehisces septicidally.

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Orvosi Hetilap
Authors: Péter Kalinics, Imre Gerlinger, Péter Révész, Péter Bakó, Ildikó Végh, Márton Kovács, and Attila Fehér

al. Dehiscence of bone overlying the superior canal as a cause of apparent conductive hearing loss. Otol Neurotol. 2003; 24: 270–278. 6 Halmagyi GM

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complications in association with the orbital implant during the 26.8 ± 28.9-month-long follow-up: 2 patients (4.8%) had implant extrusion, 2 (4.8%) had wound dehiscence, 1 (2.4%) had conjunctival wound healing disturbance and 1 patient (2.4%) had intraorbital

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complications in association with the orbital implant during the 26.8 ± 28.9-month-long follow-up: 2 patients (4.8%) had implant extrusion, 2 (4.8%) had wound dehiscence, 1 (2.4%) had conjunctival wound healing disturbance and 1 patient (2.4%) had intraorbital

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Estudios sobre Rubiáceas Mexicanas, VIII.

Diphragmus C. Presl (Spermacoceae) un género endémico olvidado de la flora de México

Acta Botanica Hungarica
Authors: A. Borhidi and L. Lozada

Recent studies on genus Staelia species of South America revealed fundamental differences in structure and dehiscence of fruits between them and the Mexican taxa originally described under Diphragmus Presl. Evidences of re-validation of the genus Diphragmus Presl. and descriptions of new taxa are presented.

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A modified surgical technique has been developed for repairing third-degree perineal lacerations in mares. Complications of the currently used methods include rectovaginal fistula formation, urine pooling, complete dehiscence of the repair, constipation, tenesmus and difficulty of performance in the practice. The modified method is simpler and more practical. This method was performed on eight Thoroughbred mares with third-degree perineal lacerations after delivery. The rectovestibular septum was reconstructed by three lines of sutures in a transverse direction in relation to the longitudinal axis of the rectum. In one of the eight cases pneumorectum was observed after using the new method. The conception rate obtained after using the new surgical technique was 62.5%. Pregnant mares delivered normally without any new lacerations at the subsequent parturition. It can be concluded that this new surgical technique can be used successfully for repairing third-degree perineal lacerations in mares.

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Within the frame of the Deppea two types of floral organisation have been recognised: the classic genus based on the type D. erythrorhiza Cham. et Schltdl., characterised by rotate corolla with very short tube, longer filaments and long linear anthers both longer than the corolla tube. The other floral type is characterised by funnel-form corolla, with longer upwards broadening corolla tube with short or absent filaments and short, ovate anthers. This corolla type was recognised by Standley (1933) and described as Edithea based on E. floribunda Standl. Based on seemingly intermediate corolla forms the two genera were united by the classic taxonomic treatment of Lorence and Dwyer (1988), but micromorphological-anatomical evidence (Borhidi et al. 2004) reinforced Standley’s concept, supported also by the molecular studies of Stranczinger et al. (2010). These latter ones claimed the attention to another taxonomic split existing within the generic frame of Deppea s. str. The separating evidences are in the fruit morphology. The great majority — including the type of the genus has subglobose or obovate to broadly elliptical hypanthium and fruit, ± as broad as long, smooth or 2 to 8-costate, and obovate placenta and loculicidal dehiscence. In contrast, five species have cylindrical or oblong to linear-oblong hypanthium and fruit 2 to 4 times as long as broad, with 8 densely disposed longitudinal nerves, oblong to linear-oblong placenta and apical to septicidal dehiscence. Molecular evidence grouped these species into a separate clade placed from the vicinity of Deppea species next to Hoffmannia. Therefore we consider this species-group as a new genus named Deppeopsis with the following description, and selecting Deppea hernandezii Lorence as the type of the new genus.

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Magyar Sebészet
Authors: Kristóf Illés, Judit Tamás, Damján Pekli, Rezső Szlávik, Bálint Kokas, and Attila Szijártó

Összefoglaló. Esetismertetések: 66 éves nő vizsgálatai irreponibilis fájdalmas inguinalis terime miatt kezdődtek. Ultrahangvizsgálat során a panaszok hátterében femoralis sérvben kizárt gangraenás appendix vermiformis igazolódott. Inguinalis metszésből appendectomiát és hernioplasticát végeztünk. Posztoperatív szövődménye nem volt, szövettana appendicitist igazolt. Pár héttel később egy 76 éves, több társbetegséggel rendelkező férfi fájdalmas, sercegő gangraenás, jobb inguinalis terime miatt került átvételre. CT-vizsgálat femoralis sérvbe kizárt abscedáló appendix vermiformist ábrázolt. Inguinalis metszésből, illetve alsó median laparotomiából a féregnyúlványt a hasüregbe reponáltuk, majd appendectomia és inguinalis necrectomia történt. Posztoperatív adhéziós ileus és hasfali disruptio miatt egy alkalommal reoperáltuk, adhaesiolysist és hasfali resuturát végeztünk. Ezt követően lágyéki sebén negatív nyomásos sebkezelést alkalmaztunk, a beteget a 22. napon otthonába bocsájtottuk. Az appendix szövettana low grade mucinosus neoplasiát igazolt. Megbeszélés: A femoralis sérvbe szorult appendix vermiformis de Garengeot-sérvként ismeretes, extrém ritka incidenciájú sérvtípus, ennél is ritkább az appendix mucinosus neoplásiájával szövődő variánsa. E sérv klinikai megjelenése széles spektrumon mozoghat, pontos preoperatív diagnózisa CT-vizsgálat nélkül kifejezetten nehéz. A műtéti megoldásra többféle lehetőség választható, mely nagyban függ az esetleges komplikációktól, a rendelkezésre álló eszközöktől, az intraoperatív lelettől, valamint az operáló sebész jártasságától.

Summary. Case reports: a 66-year-old woman was admitted to our Department due to a painful inguinal lump. During examinations an incarcerated femoral hernia was found with an inflamed vermiform appendix inside the hernial sac. Appendectomy and femoral hernioplasty was performed from inguinal approach. The patient was discharged home without complications. Pathological examinations of the specimen showed signs of acute appendicitis. A few weeks later a 76-year-old man with severe comorbidities was admitted to our unit due to painful gangraenous inguinal skin lesion. CT scan showed an incarcerated femoral hernia containing the appendix with subcutaneous abscess. Appendectomy, hernioplasty, and inguinal necrosectomy was performed from an inguinal and low median approach. Another operation was necessary due to postoperative obstruction and subcutaneous dehiscence. After intraabdominal adhaesiolysis and abdominal wall reconstruction negative pressure wound therapy was applied to the inguinal wound, the patient was discharged 22 days after the primary operation. Pathological examinations of the appendix showed low grade mucinous neoplasm. Discussion: The femoral hernia containing the appendix is called de Garengeot’s hernia and is one of the rarest types of inguinofemoral hernias. The clinicopathology of this type of hernia can cover a wide range of symptoms. The definitive preoperative diagnosis is relatively difficult to find without a CT-scan. The surgical approach and treatment depends on the manifestation, clinical findings and on the available equipment and the expertise of the surgeon.

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Orvosi Hetilap
Authors: Marius Florin Coros, Rares Georgescu, Zalán Benedek, Sorin Sorlea, Ghenadie Pascarenco, Cornelia Mesaros, and Orsolya Hankó-Bauer

–487. 3 Chen C. The art of bowel anastomosis. Scand J Surg. 2012; 101: 238–240. 4 Oprescu C, Beuran M, Nicolau AE, et al. Anastomotic dehiscence (AD) in colorectal

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Magyar Sebészet
Authors: István Hartyánszky, Gábor Veres, Tivadar Hüttl, Endre Moravcsik, Sándor Kayser, László Daróczi, Kata Vida, Ildikó Gálffy, László Szudi, and Zoltán Szabolcs

Lange 2008 Sternal reconstruction with titanium plates in complicated sternal dehiscence Eur J Cardiothorac Surg 34 1 139 45

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