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Where appropriate, the trunks of the medial sural artery perforators (MSAPs) were segmented together with the associated site of perforation through the muscle fascia.
An asterisk shows the site of perforation.
Arrows indicate concavity suspected the site of perforation of the tumor.
A cloudy fluid collection with gastric juice and blood clots was seen around the site of perforation in the mediastinum.
Otherwise, the major advantage of CT, as compared with radiography and US, is that it can correctly depict the actual site of perforation in 86% of cases.
Regarding intraoperative complications, all sinus membrane perforations were covered with a resorbable collagen membrane (Bio-Gide®, Geistlich Biomaterials, Baden-Baden, Germany) which applied as sealant to overlap the site of perforation prior to insertion of the graft material.
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The choice between primary repair of the perforation (or perforations) and resection of the tract involved can be conditioned by various factors, some objective (macroscopic intestinal condition, number and site of perforations, severity of peritonitis, etc).
Pagnoux and his colleagues showed six cases (15.8%, among 38 patients with PAN) presented bowel perforation, which was one of the significant prognostic factor of PAN (HR = 5.7, p < 0.01), though the sites of perforation were not specified.
The major sites of perforation were the small intestine (42.9%) and colon (40.9%).
Therefore, in contrast to ascidians, in which hair cell-like organs and sites of perforation are conflated in the atrium [ 95], Oikopleura's paired mechanosensory organs are topographically separate from the gill openings.
A review article titled, 'the perforated uterus' published in 2013 highlights the commonest site of uterine perforation being the anterior uterine wall, which was also the commonest response given by candidates in this study [9].
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