Document Detail


Variability of the retropubic space anatomy in female cadavers.
MedLine Citation:
PMID:  19766984     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To characterize the anatomic relationships of clinically relevant structures in the retropubic space. STUDY DESIGN: Detailed dissections were performed in 15 female cadavers. RESULTS: The obturator vein was the closest of the obturator neurovascular structures to the ischial spine, median distance 3.4 cm (range, 1.8-4.8 cm). The vesical venous plexus included 2-5 rows of veins that coursed within the paravaginal tissue parallel to the bladder and drained into the internal iliac veins. The internal iliac vein was formed cephalad to the level of the ischial spine; the closest distance between these structures was 3.8 cm (1.6-6.2 cm). CONCLUSION: The complexity and proximity of the large internal iliac venous system to the bony landmarks used for passage of trocars is described in this study. A thorough understanding of the vascular anatomy in this space should help avoid serious operative complications.
Authors:
Sujatha D Pathi; Mario E Castellanos; Marlene M Corton
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Publication Detail:
Type:  Journal Article     Date:  2009-09-20
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  201     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-11-02     Completed Date:  2009-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  524.e1-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Cadaver
Female
Humans
Iliac Vein
Pelvis / anatomy & histology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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