Document Detail

Vascular anatomy over the superior pubic rami in female cadavers.
MedLine Citation:
PMID:  16325635     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The objective of the study was to characterize the vascular anatomy over the superior pubic ramus. STUDY DESIGN: Detailed dissections of the retropubic space were performed in 15 fresh female cadavers. Vessels crossing the superior pubic rami were inspected for width, course, communications, and relationship to the midline of the pubic symphysis and the obturator canal. RESULTS: Vessels 1 mm or greater in width connecting the obturator vessels and inferior epigastric or external iliac vessels were noted in 10 of 15 (66.7%) cadavers: 9 (60%) had veins, 5 (33.3 %) had arteries, and 4 (26.7%) had both. In all specimens, the vessels crossed over the superior pubic rami lateral to or at the level of the obturator canal, which was on average 5.4 cm from the midline of the pubic symphysis. CONCLUSION: Communicating vessels crossing the superior pubic rami were present in the majority of specimens. Understanding this anatomy should aid the surgeon in avoiding vascular complications.
Peter G Drewes; Spyridon I Marinis; Joseph I Schaffer; Muriel K Boreham; Marlene M Corton
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  193     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-12-05     Completed Date:  2006-03-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2165-8     Citation Subset:  AIM; IM    
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
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MeSH Terms
Aged, 80 and over
Iliac Vein / anatomy & histology
Middle Aged
Pelvic Floor / blood supply
Pelvis / blood supply*
Pubic Symphysis / blood supply*

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