WordNet

a part of a forked or branching shape; "he broke off one of the branches" (同)leg, ramification
divide into two or more branches so as to form a fork; "The road forks" (同)ramify, fork, furcate, separate
a division of a stem, or secondary stem arising from the main stem of a plant
a division of some larger or more complex organization; "a branch of Congress"; "botany is a branch of biology"; "the Germanic branch of Indo-European languages" (同)subdivision, arm
a stream or river connected to a larger one
located at or near or behind a part or near the end of a structure
relating to or having or lying within a scrotum; "scrotal mammals"; "scrotal testes"

PrepTutorEJDIC

『枝』 / 『支流』,支脈,支線;分家 / 『支店』,『支部』,支局 / (学問の)『部門』,分科 / 枝を出す,枝を広げる / (川・道・鉄道などが)分岐する
《名詞の前にのみ用いて》(生物学的に,位置が)後ろの,後部の / (時間・順序が)後の;(…より)後の《+『to』+『名』》(later) / しり(buttocks)

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/02/17 23:42:39」(JST)

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1. 小児および思春期における陰嚢痛の原因 causes of scrotal pain in children and adolescents
2. 小児および思春期における陰嚢損傷 scrotal trauma in children and adolescents
3. 成人男性における非急性陰嚢疾患の評価 evaluation of nonacute scrotal pathology in adult men
4. 成人における急性陰嚢症の評価 evaluation of the acute scrotum in adults
5. 小児および思春期における陰嚢痛または腫脹の評価 evaluation of scrotal pain or swelling in children and adolescents

English Journal

Bladder neck rupture following perineal bull horn injury: a surgical challenge.

Padilla-Fernandez B1, Diaz-Alferez FJ, Garcia-Garcia MA, Herrero-Polo M, Velasquez-Saldarriaga JF, Lorenzo-Gomez MF.Author information 1Department of Urology, University Hospital of Salamanca. University of Salamanca, Spain.AbstractPelvic-abdominal injuries caused by goring are serious lesions which require rapid diagnosis and urgent treatment in the context of a polytraumatized patient. The simultaneous rupture of both the bladder and the prostatic-membranous urethra occurs in 10%-29% of males with pelvic fractures but bladder neck injuries in adults are rarer. Unstable pelvic fractures, bilateral fractures of the ischiopubic branches (also referred to as fractures from falling astride) and the diastasis of the pubic symphysis are those that have the greatest likelihood of injuring both the posterior urethra and the bladder. We present a case of perineal bull horn injury with muscle laceration, bone fractures, scrotal avulsion and rupture of the bladder neck involving the right ureter which required two operations to be repaired.
Clinical medicine insights. Case reports.Clin Med Insights Case Rep.2012;5:123-8. doi: 10.4137/CCRep.S10234. Epub 2012 Sep 24.
Pelvic-abdominal injuries caused by goring are serious lesions which require rapid diagnosis and urgent treatment in the context of a polytraumatized patient. The simultaneous rupture of both the bladder and the prostatic-membranous urethra occurs in 10%-29% of males with pelvic fractures but bladde
PMID 23066348

The pudendal thigh flap for vaginal reconstruction: optimising flap survival.

Tham NL1, Pan WR, Rozen WM, Carey MP, Taylor GI, Corlett RJ, Ashton MW.Author information 1Jack Brockhoff Reconstructive Plastic Surgery Research Unit, Room E533, Department of Anatomy and Cell Biology, University of Melbourne, Grattan Street, Parkville, 3050 Victoria, Australia.AbstractBACKGROUND: The pudendal thigh fasciocutaneous (PTF) flap is a useful flap in perineal reconstruction, that is reliable when small but is traditionally unreliable when large flaps are raised. Large flaps in particular, are associated with an increased incidence of apical necrosis. Thorough descriptions of the vascular anatomy of this flap have been lacking from the literature, with the current study evaluating this anatomy, aiming to provide the anatomical basis for vascular problems and for techniques to maximise its survival.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS.J Plast Reconstr Aesthet Surg.2010 May;63(5):826-31. doi: 10.1016/j.bjps.2009.02.060. Epub 2009 Apr 26.
BACKGROUND: The pudendal thigh fasciocutaneous (PTF) flap is a useful flap in perineal reconstruction, that is reliable when small but is traditionally unreliable when large flaps are raised. Large flaps in particular, are associated with an increased incidence of apical necrosis. Thorough descripti
PMID 19394909

A microdissection study of perforating vessels in the perineum: implication in designing perforator flaps.

Jin B1, Hasi W, Yang C, Song J.Author information 1Department of Plastic & Cosmetic Surgical Center, No. 309 Hospital of PLA, Beijing, China [corrected].Erratum inAnn Plast Surg. 2010 Apr;64(4):510. AbstractThe objective of this study is to determine the quantity, position, and caliber of perforating vessels in the perineum, and to provide an anatomic basis for designing perineal perforator flaps. Eleven adult cadavers (22 sides) were dissected under an operating microscope (x10). Microstructures, including perforating arteries, vena comitantes, vascular anastomoses, and cutaneous nerves, were measured with a sliding caliper (accurate to 0.2 mm). There were 4 relatively constant perforating arteries in the perineum: inguinal and perineal perforating branches of the superficial external pudendal artery, a perforating branch of the anterior cutaneous branch of the obturator artery, and a perforating branch of the lateral branch of the posterior scrotal (pudendal) artery. All 4 arteries were direct perforating branches. These perforating arteries and accompanying veins overlapped with each other and formed the upper, middle, and lower parts of the vascular anastomosis in deep fascia above the adductor wall. There were 4 important cutaneous nerves in the region originating from the following nerves: the genitofemoral nerve, ilioinguinal nerve, posterior scrotum (labium) major nerve, and rami perineales nervi cutanei femoris posterioris. The perineum has abundant blood supply, venous return, and innervation. Due to its covert location and manoeuvrability, perforator flaps from this region are good sources of donor tissue for perineal reconstruction.
Annals of plastic surgery.Ann Plast Surg.2009 Dec;63(6):665-9. doi: 10.1097/SAP.0b013e3181999de3.
The objective of this study is to determine the quantity, position, and caliber of perforating vessels in the perineum, and to provide an anatomic basis for designing perineal perforator flaps. Eleven adult cadavers (22 sides) were dissected under an operating microscope (x10). Microstructures, incl
PMID 19887931