Basic clinical retroperitoneal anatomy for pelvic surgeons

Selçuk, İlker; Ersak, Burak; Tatar, İlkan; Güngör, Tayfun; Hurі, Emre

doi:10.4274/tjod.88614

Cited by 33 publications

(56 citation statements)

References 3 publications

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“…The human ureter has three points of physiological narrowing: the ureteropelvic junction, the crossing of the common iliac vessels and the ureterovesical junction 48 , 52 . The methodology used in this study allowed to verify the narrowing points of the ureteral lumen when crossing the iliac vessels in all animals and at the ureterovesical junction in two animals, both on the left.…”

Section: Discussionmentioning

confidence: 99%

Image-guided study of swine anatomy as a tool for urologic surgery research and training

et al. 2020

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Section: Discussionmentioning

confidence: 99%

Image-guided study of swine anatomy as a tool for urologic surgery research and training

et al. 2020

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“…Surgeons should fully understand the anatomical relation between the ureter and iliac vessels. As the ureter enters the true pelvis, it runs caudally and medially to the ovarian vessels, reaching the bladder on the posterior leaf of the broad ligament [ 23 ].…”

Section: Anatomical Landmarks and Anatomical Variations Related Tmentioning

confidence: 99%

Pelvic Lymphadenectomy in Gynecologic Oncology—Significance of Anatomical Variations

et al. 2021

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Pelvic lymphadenectomy is a common surgical procedure in gynecologic oncology. Pelvic lymph node dissection is performed for all types of gynecological malignancies to evaluate the extent of a disease and facilitate further treatment planning. Most studies examine the lymphatic spread, the prognostic, and therapeutic significance of the lymph nodes. However, there are very few studies describing the possible surgical approaches and the anatomical variations. Moreover, a correlation between anatomical variations and lymphadenectomy in the pelvic region has never been discussed in medical literature. The present article aims to expand the limited knowledge of the anatomical variations in the pelvis. Anatomical variations of the ureters, pelvic vessels, and nerves and their significance to pelvic lymphadenectomy are summarized, explained, and illustrated. Surgeons should be familiar with pelvic anatomy and its variations to safely perform a pelvic lymphadenectomy. Learning the proper lymphadenectomy technique relating to anatomical landmarks and variations may decrease morbidity and mortality. Furthermore, accurate description and analysis of the majority of pelvic anatomical variations may impact not only gynecological surgery, but also spinal surgery, urology, and orthopedics.

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“…The uterine artery traditionally arises from the internal iliac artery, anteriorly (7) . Partly the uterine artery passes, medially, through the base of the broad ligament of uterus before bifurcating at the isthmus level (8) . The ascending branch travels in parallel along the side of the uterus and fallopian tubes, following a U path and gives coil-shaped branches called the helicine branches.…”

Section: Clinical Anatomy Of Uterine Arterymentioning

confidence: 99%

Anatomic variations of the Uterine Artery. Review of the literature and their clinical significance

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et al. 2020

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Uterin arterleri uterusa kan sağlayan ana damarlardır. Esas olarak, internal iliak arterin ön gövdesinden kaynaklanırlar. Uterin arterler hamilelikte postpartum kanama ve uterin fibroid yönetimi için transkateter arteriyel embolizasyon kadar önemli bir rol oynar. Bu, anatomik çeşitliliğin PubMed'in uterus arterlerinin kökeni ve klinik önemi üzerine veritabanında yapılan bir İngiliz literatürü derlemesidir. On bir çalışma uterus arterlerinin kökenini ve literatürdeki varyasyonlarını tanımlamaktadır. Altı çalışmada, uterus arteri olguların çoğunda, ayrı bir dal olarak veya alt gluteal arter ile bifürkasyon veya superior ve inferior gluteal arter ile trifurkasyon olarak internal iliak arterden çıkmaktaydı. İki çalışmada, inferior gluteal arter uterus arterinin ana kaynağı olarak ortaya çıkarken, üç çalışmada umbilikal arteri ana kaynağı olarak ortaya çıkmıştır. Internal iliak arter, uterus arterinin en yaygın vasküler orijini olarak tanımlanır. Bununla birlikte, bu derleme uterus arterleri için ana orijin damarlarının internal iliak, umbilikal ve inferior gluteal arter olduğunu vurgulamaktadır. Bununla birlikte, bu olağandışı anatomik yapı için sınıflandırma ve daha ileri araştırmalar gelecekte esastır.

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Basic clinical retroperitoneal anatomy for pelvic surgeons

Cited by 33 publications

References 3 publications

Image-guided study of swine anatomy as a tool for urologic surgery research and training

Image-guided study of swine anatomy as a tool for urologic surgery research and training

Pelvic Lymphadenectomy in Gynecologic Oncology—Significance of Anatomical Variations

Anatomic variations of the Uterine Artery. Review of the literature and their clinical significance

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