Believe
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A 37-year-old woman has a renal cell carcinoma confined within the fascia of the right kidney. During nephrectomy using a posterolateral approach, which of the following layers is normally incised?
A) Costal pleura
B) Diaphragmatic pleura
C) Parietal peritoneum
D) Transversalis fascia
E) Visceral peritoneum
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| cyra
Moderator
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D...i think..
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| cyra
Moderator
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The transversalis fascia invests the kidneys and the adrenals...and since it is a posterlateral approach the parietal peritoneum is not incised...
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| roopashri
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Its D, remember kidneys are retro peritoneal
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| prader-willi
Forum Elite
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kidneys r retroperitoneal.....and dont think pleura comes in the way...so its d
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| Believe
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| v_vex
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fascia transversalis...
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| mildus
Forum Guru
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nice pictures Believe
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| sosikan
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what a nice desricption
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| Cedrick
Forum Fanatic
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oh yeah sweet !!!
D.-transversalis fascia
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| waqastariq
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its DIAPHRAGMATIC PLEURA 
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| waqastariq
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its B people... look at the diagrams...
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| waqastariq
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fascia transversalis is not on the posterolateral side...remember..the origin of transversalis fascia???
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| Ivil
Forum Senior
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waqastariq, r u sure they cut open the pleura? In that case to reach the kidney you have to cut the diaphragm also...
and moreover the lower border of pleura and the upper border of rt kidney is 12th rib. i think the incision shud be below tht level. fascia transversalis disappears only posterior to the kidney. laterally its still present.
Please correct me if im wrong
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| mildus
Forum Guru
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fascia transversalis divides into prerenal and retrorenal fascia, so it's retrorenal fascia but it is still part of fascia transversalis, so D
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| Ivil
Forum Senior
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yes it is D
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| waqastariq
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oopss sorry guys...I mistaken it with some other question..rather I dint read it carefully like I always do
there was this another one in which they asked about which pleura is likely to be damaged...
it's written NORMALLY...the above explanation is correct...that fascia transversalis divides into prerenal and retrorenal fascia and retrorenal fascia is what is incised..thanks
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| Musuq
Forum Guru
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D
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| blueocean
Forum Senior
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It's fascia transversalis
Attached Files:
fascia transversalis.jpg (109 KB, 36 downloads)
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| ManuNastai
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D
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