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The LWW Point: Understanding This Crucial Surgical Landmark
Are you a medical professional, a medical student, or simply curious about the intricacies of surgical procedures? Then understanding "the LWW point" is crucial. This seemingly small anatomical landmark plays a significant role in various surgical approaches, particularly those involving the liver. This comprehensive guide will delve into the definition, location, clinical significance, and surgical implications of the LWW point, ensuring you have a clear understanding of its importance. We'll unravel the mystery surrounding this often-overlooked yet vital anatomical reference point.
What is the LWW Point?
The LWW point, also known as the ligamentum venosum-wire-wire point, is a critical anatomical landmark used in liver surgery. It's defined as the intersection of three crucial structures:
The ligamentum venosum: A fibrous remnant of the fetal ductus venosus.
The left hepatic vein (wire): One of the major veins draining the left lobe of the liver.
The falciform ligament (wire): A ligament that separates the left and right lobes of the liver.
These three structures converge at a specific point on the liver's surface, creating a readily identifiable reference point for surgeons. It's important to note that the precise location of the LWW point can exhibit some variability between individuals.
Why is the LWW Point Important in Surgery?
The LWW point serves as a pivotal landmark in several liver resection techniques, guiding surgeons during complex procedures. Its significance stems from its relationship to crucial hepatic vascular and biliary structures. Accurate identification of the LWW point enables surgeons to:
Define the surgical plane: The LWW point helps establish the boundary between the left lateral and medial segments of the liver, assisting in the precise dissection and resection of specific liver segments. This precise dissection minimizes the risk of iatrogenic injury to vital structures.
Identify critical vascular structures: The proximity of the left hepatic vein to the LWW point provides a visual cue for its location, crucial for preventing accidental damage during liver resection. Avoiding injury to the hepatic veins is paramount to prevent significant blood loss and potential complications.
Optimize surgical strategy: Understanding the anatomical relationships at the LWW point allows surgeons to plan the surgical approach, minimize trauma, and achieve optimal surgical outcomes. This includes selecting the most appropriate resection technique and minimizing the risk of complications.
Clinical Significance Beyond Surgery
While primarily important in surgical contexts, the LWW point also holds relevance in other clinical settings:
Hepatic imaging: The LWW point can serve as a reference point in interpreting imaging studies such as CT scans and MRI scans, helping radiologists accurately assess liver anatomy and pathology. This improves the accuracy of diagnosis and treatment planning.
Liver transplantation: While not as directly involved as in resection, understanding the LWW point's relationship to surrounding structures is still beneficial during liver transplantation procedures.
Liver biopsy: Although less commonly used as a direct landmark, awareness of the LWW point helps in understanding the overall anatomical context during liver biopsies.
Potential Challenges in Identifying the LWW Point
Identifying the LWW point can sometimes be challenging, particularly in cases with:
Significant liver disease: Cirrhosis or other liver pathologies can distort liver anatomy, making the LWW point difficult to locate accurately.
Previous abdominal surgery: Scar tissue from prior surgeries can obscure the anatomical landmarks, hindering precise identification.
Obesity: Excess abdominal fat can make visualization of the liver and its structures challenging during surgical procedures.
Mastering the LWW Point: Surgical Techniques and Considerations
Accurate identification of the LWW point demands a thorough understanding of liver anatomy and meticulous surgical technique. Surgeons employ various techniques to locate this landmark, including:
Careful palpation: Gentle palpation helps identify the consistency and location of the ligamentum venosum, left hepatic vein, and falciform ligament.
Visual inspection: Careful visualization of the liver surface during the procedure is essential.
Ultrasound guidance: Intraoperative ultrasound can be used to confirm the location of the LWW point and surrounding structures.
Conclusion
The LWW point, while a seemingly minor anatomical feature, holds significant clinical importance, particularly in liver surgery. Understanding its precise location and anatomical relationships is crucial for surgeons to plan and execute safe and effective liver resections. The ability to confidently identify the LWW point is a mark of surgical expertise, contributing to improved patient outcomes and reduced surgical complications. Continued research and refinement of surgical techniques will further enhance the understanding and utilization of this pivotal anatomical landmark.
FAQs
1. Can the LWW point vary in location significantly between individuals? While generally consistent, slight variations in its location are possible due to individual anatomical differences. Experience and anatomical knowledge are crucial for accurate identification.
2. What are the consequences of misidentifying the LWW point during surgery? Misidentification can lead to injury to vital structures like the hepatic veins or bile ducts, resulting in significant blood loss, bile leaks, and other serious complications.
3. Are there any alternative landmarks used in liver surgery besides the LWW point? Yes, other anatomical landmarks are utilized in conjunction with or as alternatives depending on the surgical approach and the specific anatomical context.
4. Is the LWW point relevant in minimally invasive liver surgery? Yes, although visualization might be different, the underlying anatomical relationships remain important for guiding minimally invasive techniques.
5. How can medical students effectively learn about the LWW point? Thorough study of liver anatomy, coupled with hands-on experience in anatomical dissections and surgical simulations, are vital for mastering the identification and surgical significance of this landmark.
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Lippincott | thePoint - LWW
Lippincott thePoint is a digital learning platform offering educational materials for nursing, medicine, and health professions.
thePoint / Students
thePoint is a student’s destination for making the grade! Take advantage of our comprehensive, consolidated set of online educational resources that can help you excel in your coursework, ace your exam, and pave the way to success in your career. Depending on the title your Professor has chosen, you will be able to:
thePoint - Wolters Kluwer
thePoint is the one–stop source for the content and tools students need to study more effectively, score higher on exams, and prepare for the working world after graduation. Access is included with purchases of selected LWW textbooks, and may include*: Fully searchable ebook online. Practice quizzes. Interactive flashcards.
Welcome - Lippincott Direct
Access the Point. Lippincott Direct. Get your course. materials all in one spot. At a discount. Every semester we work directly with your professors to build a list of required and recommended course materials to help you succeed. As a bonus, we pass on exclusive savings just for you.
thePoint: Online Help - LWW
thePoint: Online Help. Learn more about thePoint for Students. We’ve updated our website to offer you a consolidated set of easy-to-use resources to help you excel in your coursework, ace your exam, and launch your professional career.
Tools, Tips, and Workflows Automatic Ground Classification …
Automatic Ground Classification of Dense Point Clouds in LP360 LP360, versions 2014.1 and above Lewis Graham Page 1 of 11 GeoCue Group November 5, 2017 www.LP360.com Lewis Graham November 5, 2017 Revision 1.0 The density of point clouds (usually expressed as points per square meter) is increasing on what
Guidance on Scoring under Appendix A Version 4 - US Sailing
Finishing place Low Point System Bonus Point System First 1 0 Second 2 3 Third 3 5.7 Fourth 4 8 Fifth 5 10 Sixth 6 11.7 Seventh 7 13 Each place thereafter Add 1 point Add 1 point A4.2 A boat that did not start, did not finish, retired after finishing or was disqualified shall be …
Section 3-03 Vertical Alignment - Wyoming Department of …
The high point in a crest curve and the low point in a sag curve are defined by a horizontal distance (x) from the VPC point. The elevation at the high or low point (y) is the vertical distance above a datum. The high and low points are important locations on a vertical curve. For example, the high point on a crest curve must be
SYSTEM REQUIREMENTS - LWW
A U G U S T 2023 thePoint is the one-stop source for the Wolters Kluwer content and tools students need to study more effectively, score higher on exams, and prepare for the working world after graduation.
Understanding Your Escrow Account Disclosure Statement
*when your escrow balance is at its lowest point (see above). *this cushion equals (2) months of escrow payments, excluding any MIP/PMI - Mortgage Insurance Premium or Private Mortgage Insurance, if applicable. see (a) above. YOUR ESCROW ACCOUNT PROJECTION ESCROW SHORTAGE COUPON TRUSTMARK NATIONAL BANK P.O. BOX 522 JACKSON, MS 39205 …
Theory Development Process of Situation-Specific Theories
Situation-Specific Theories. E35 of theorizing, theorizing process, and link-ages to research or practice. The actual raw data were the articles themselves; the articles
What is moral distress? - LWW
over time, leading to a breaking point for the nurse. 6 Signs of moral distress . Moral distress can be noted in several ways, such as affective signs of anger, frustration, or anxiety. (See Signs of moral distress. 9) There can be behavioral signs such as withdrawal, cursing, or cynicism. Moral distress can occur in all areas of nursing and for
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0350 ch 18-TAB - LWW
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LOW CUT POINT SPIRAL 1, Wynand Erasmus2 3 4 - Multotec
The SX7 had a cut point of 1.61 versus 1.53 for the SX10. More misplacement of product to discard followed on the SX10. The imperfection or EPM value for the SX10 was 0.22 versus 0.19 for the SX7 spiral. At 40% solids concentration the SX10 achieved a cut point of 1.49. 7. REFERENCES Glass, H.J., Minekus, N.J. and Dalmijn, W.L. 1999.
DISPLAY 19-12 Externally Palpating the Pelvic Floor Muscles …
Chapter 19: The Pelvic Floor 23 DISPLAY 19-12 Externally Palpating the Pelvic Floor Muscles • Patient position: Place the patient in sidelying with the top leg
Wolters Kluwer Accessibility Conformance Report
800.889.9659 | SALES@LEVELACCESS.COM PAGE 2 OF 19 Date: April, 2019 Contact information: Greg Kaplan, thePoint Operations Manager: greg.kaplan@wolterskluwer.com Notes: Product families tested include: thePoint Resource Sites, Lippincott™ CoursePoint, Lippincott™ CoursePoint+, and Lippincott™ CoursePoint for Nursing Concepts. thePoint® audit did not …
San Luis Low Point Improvement Project
Low Point Improvement Project, except that Federal participation in any construction of the expanded Pacheco Reservoir shall be subject to future congressional authorization.” The study area includes San Luis Reservoir and its related storage infrastructure, the Central Valley Project (CVP) San Felipe Division,
ANSWERS - The Point
168 INTRAVENOUS THERAPY ANSWERS KEY: D/A = dimensional analysis R/P = ratio and proportion 1. Correct answer: C D/A R/P Change hours to minutes. Change milliliters to drops. 1 ml : 15 gtt :: 125 ml : x gtt Calculate the flow rate.
Health Promotion in Therapy - LWW
FOCUS ON THERAPY January/February 2018 Home Healthcare Now 53 Health Promotion in Therapy SARA ARENA, PT, MS, DSCPT Health promotion initiatives are an essential element of a therapy plan of care.
Part One, Section 19. Air Valves WATER DESIGN …
a) The high point is a location where an upward sloping profile changes to a downward sloping profile. Place air/vacuum valves and air release valves at all high points. b) For pipelines with a decrease in upward slope, small orifice air release valves shall be placed on the downstream, less steep side of the slope change.
Reducing Venipuncture and Intravenous Insertion Pain With …
Nursing Research March/April 2002 Vol 51, No 2 119 Reducing Venipuncture and Intravenous Insertion Pain With Eutectic Mixture of Local Anesthetic A Meta-Analysis Susan Jane Fetzer Background: The eutectic mixture of local anesthetics (EMLA), by producing dermal anesthesia through contact
IFR Chart Symbols
feet as the dividing point (add 00) s indicates soft surface Part-time or established by NOTAM. See Airport/Facility Directory for times of operation. In Alaska see Supplement Alaska Airport Name Associated City Name 1. Airport elevation given in feet above or below mean sea level 2. Pvt - Private use, not available to general public. 3.
SECTION 5.6 BLOWOFFS 5.6.1 PURPOSE 5.6.2 …
of the valve creates a localized low point. 3. BO’s should also be placed up-slope of a permanently/normally closed valve separating two different pressure zones or interconnections. E. Appurtenances: The pressure class for all piping, valves, and fittings shall be equal to or greater than the pressure class of the water main.
San Luis Low Point Improvement Project - Bureau of …
San Luis Low Point Improvement Project . Background . The United States Department of the Interior, Bureau of Reclamation and the Santa Clara Valley Water District (Valley Water, previously SCVWD) are proposing the San Luis Low Point Improvement Project (SLLPIP) to address water supply reliability and service interruption issues f
The Effect of Concept Maps on Undergraduate Nursing …
wasthetheoreticalfoundationof6ofthe17studiesreportedoninthis review. Thetheoryproposes that connectingprevious knowledgeand facts about relationships among concepts ...
Welcome to thePoint - LWW
techsupp@lww.com Thank you for choosing Lippincott Williams & Wilkins and thePoint. Created Date: 1/23/2012 11:23:53 AM ...
Pump up your musculoskeletal assessment
peaktechnique 46 Nursing made Incredibly Easy! May/June 2004 Pump up your musculoskeletal assessment LISA HATHAWAY, RN, BSN Clinical Editor • Nursing made Incredibly Easy! • Ambler, Pa.
PrepU Instructor Guide - LWW
From that point on, you will use your email address/user name and password to log in to thePoint and access PrepU. ... Contact Wolters Kluwer Health at 1.800.468.1128 or techsupp@lww.com Page 10 ...
Implications for Nursing Practice - LWW
tive: a grounded theory approach. Int J Hum Caring. . . . . Nursing. Practice. practice..
Epolene Polymers - Westlake
This is an oxidized homopolymer with lower density and softening point than Epolene E-10 wax. These properties contribute greatly to its versatility and ease of emulsification by the wax-to-water or pressure emulsification methods. Epolene E-14 in powdered from (Epolene E-14P) is also useful as a lubricant in processing rigid and flexible
GAYLORD INDUSTRIES - Gaylord Ventilation
The sump is installed at the low point of the duct system where it collects grease, moisture, etc. A wash manifold with brass spray nozzles located approximately every 9" and a drain with a pre-flush line are an integral part of the sump. The sump is interconnected with the Gaylord control cabinet. The duct
Scoring a Long Series - US Sailing
the Low Point Averaged Scoring System. Background . The Low Point System in Appendix A assigns a race score to each boat for each race in the series, even if a boat is forced by circumstances beyond her control to miss one or more races. Both the High Point Percentage System and the Low Point Averaged Sys tem assign a race score
Essential Professional Behaviors of Nursing Students and …
Essential Professional Behaviors of Nursing Students and New Nurses: Hospital Nurse Leader Perspectives Survey Charlotte Sortedahl, Sara Persinger, Kathryn Sobtzak, Brooke Farrell, and Nicholas Jaeger
TABLE 3-1 Curwin and Stanish Classification for Determining …
Chapter 3: Principles of Self-Management and Exercise Instruction 1 TABLE 3-1 Curwin and Stanish Classification for Determining the Appropriate Level of Discomfort Associated with Home Exercise Prescription LEVEL DESCRIPTION OF PAIN …
R-Pod Winterization Process Document modified from rpod …
4) Open both low-point drains underneath the camper. 5) Attach a blow-out plug* to the city water connection. This has an air inlet on one end like the valve stems on your tires, and threads to attach to the water connection. Apply LOW pressure air (less than 20 psi) for several seconds. We have this blow out plug on our Amazon Storefront.
prepU class management integration and upgrade
When you have to be right™ prepU Class Management Tools Upgrade: August 2015 Slightly modified prepU interface will launch in early August 2015 New approach mimics Lippincott CoursePoint interface Easier to find prepU (quick launch from
R-Pod Winterization Process Document - John Marucci
Go outside and place a small bucket under the still-open low-point drains to catch rv antifreeze. 18. Go inside and turn the water pump on for a few seconds, then turn it off. Water and then pink RV antifreeze should come out of the low-point drains and into the bucket. 19. Go outside and verify the low-point drains are dripping pink.
Dry System Technical Manual for Operation, Maintenance …
Page 6 TECHNICAL DATA The Viking Corporation, 210 N Industrial Park Drive, Hastings MI 49058 Telephone: 269-945-9501 Technical Services: 877-384-5464 Fax: 269-818-1680 Email: techsvcs@vikingcorp.com
CONSIDERATIONS PREANALYTICAL CHAPTER9 - The Point
Blood loss to the point where life cannot be sustained c. Catheter located in artery, most commonly the radial d. Catheter with a stopcock or cap for adminis-tering medication or drawing blood e. Central vascular access device or indwelling line f. Central venous catheter or central venous line g. Decrease in blood fluid content with an increase
Nursing’s Evolving Role in Patient Safety
A CE 1.5 Continuing Education HOURS Nursing’s Evolving Role in Patient Safety A content analysis of AJN articles spanning 115 years. ABSTRACT Background:
Guardian Refrigeration and A/C Mineral Oils - Parker …
• Low floc point. Wax-free content minimizes the potential for wax separation in low temperature systems. • Low pour point prevents oil from congealing in refrigeration lines. • Freedom from moisture and other contaminants prevents premature compressor wear and plugging of system components and compressor oil ports. Viscosity
List of Low Weight Watchers FreeStyle Smart Point flour …
Point flour tortillas, wraps, and flatbread. MAMA LUPE'S Low Carb Tortillas 1 = 1 WW SP 2 = 3 WW SP MISSION Carb Balance Small Fajita Tortillas 1 = 2 WW SP 2 = 5 WW SP Carb Balance Wheat Soft Taco 1 = 2 WW SP 2 = 4 WW SP Street Tacos 1 = 2 WW SP 2 = 5 WW SP OLE Xtreme Wellness High Fiber Low Carb Wraps 1 = 1 WW SP 2 = 2 WW SP Xtreme Spinach & …
Relationships between workload perception, burnout, and …
Relationships between workload perception, burnout, and intent to leave among medical–surgical nurses Carswella Phillips DNP, APRN, AGPCNP-BC
Figure: Model 1 (left panel), model 2 (middle panel) and …
represent the point estimates of each individual study, with the size of the circle proportional to the study size, and the dotted vertical lines show the 95% confidence interval for each study. time since comp ete vaccination . Author: Weisenreder, Emily Created Date:
Protective Taping and Wraps - LWW
Chapter 7 Protective Taping and Wraps 213 There are two major types of wraps, elastic and nonelastic. Both are made of cloth; however, the elastic wrap contains fibers that allow
The Cardiovascular System - The Point
apical impulse,sometimes called the point of maximal impulse, or PMI. This impulse locates the left border of the heart and is usually found in the 5th interspace 7 cm to 9 cm lateral to the midsternal line. It is approximately the size of a quarter, …
EYD and EZD conduit sealing fittings with drains - Eaton
Title: Crouse-Hinds series EYD and EZD Explosionproof Conduit Sealing Fittings with Drain catalog page Created Date: 2/21/2022 1:52:27 PM
dicyclomine hydrochloride - LWW
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D&C OF THE LOW POINT SUMPS ON THE …
D&C OF THE LOW POINT SUMPS ON THE WESTCONNEX M4-M5 LINK TUNNELS PROJECT PROJECT OVERVIEW. WestConnex, the largest road infrastructure project in Australia, is a 33-kilometer motorway network that will be delivered in 4 stages. The New M4, opened in July 2019, the M8, opened in
PVC and CPVC Double Containment Technical Manual …
Fittings 90° Elbow Low Point Drain / High Point Vent Tee 45° Elbow Leak Detection Drain/Vent Tee Tee Pressure Rated Manual Ball Valve Closure Coupling Pressure Rated Valve Tee Termination Fitting Manual Valve Box* Test Termination Fitting Manual Valve Box (external handle)* Access Tee Actuated Valve Box* Access Tee (liquid tight) Flange/Union ...
The Lww Point (2024) - netsec.csuci.edu
The LWW point, while a seemingly minor anatomical feature, holds significant clinical importance, particularly in liver surgery. Understanding its precise location and anatomical relationships is crucial for surgeons to plan and execute safe and effective liver resections. The ability to confidently identify the LWW point is a mark of surgical ...
LWW
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Study Review Worksheet Chapter 6: The Nursing - The Point
9. _____ The process or way of thinking or analysis of the world; way of connecting or associating thoughts; overall organization of thoughts
