Anastomosis among iliac vessels and obturators in the retropubic region: Study in cadavers.

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Published: Aug 19, 2018
DOI: https://doi.org/10.15417/issn.1852-7434.2018.83.3.743
Keywords:
Anastomosis, iliac vessels, obturators, retropubic.

Main Article Content

Gilberto José Cação Pereira
Faculdade de Medicina de Botucatu - Universidade Estadual Paulista - UNESP.
http://orcid.org/0000-0002-8298-4474
David Nicoletti Gumieiro
Faculdade de Medicina de Botucatu - Universidade Estadual Paulista - UNESP.
http://orcid.org/0000-0002-6389-3307
Daniel Innocenti Dinhane
Faculdade de Medicina de Botucatu - Universidade Estadual Paulista - UNESP.
Trajano Sardenberg
Faculdade de Medicina de Botucatu - Universidade Estadual Paulista - UNESP.
Paulo Roberto de Almeida Silvares
Faculdade de Medicina de Botucatu - Universidade Estadual Paulista - UNESP.
Marcos Ferreira Minicucci
Faculdade de Medicina de Botucatu - Universidade Estadual Paulista - UNESP.
Carlos Roberto Padovani
Faculdade de Medicina de Botucatu - Universidade Estadual Paulista - UNESP.
http://orcid.org/0000-0002-7719-9682

Abstract

IntroductionDuring surgical interventions, section or rupture of the anastomosis may cause severe difficult-to-controlbleeding. The aim of this study was to verify the presence or absence of arterial or venous anastomosis among iliac and obturator vessels in retropubic regionMethodsThirty cadavers (14 male/16 female; 60% white and 40% non-white). After dissection, the presence of anastomosis and its distance from the pubic symphysis were verified.ResultsThe 13.3% presented no communication and 86.6% presented some type of anastomosis (p<0.01). Venous anastomosis was more frequent (p<0.05). The mean distance from anastomosis to pubic symphysis was 5.7 cm. Regarding sex and side, 57% of male specimens presented anastomosis on both sides, while 81% and 88% of women had on the right and left side, respectively (p<0.05). Seventy percent of the specimens had anastomosis on the right side end 73% on the left (p>0.05). The anastomosis was observed in 72% of whites and 67% of non-whites. ConclusionsPresence of anastomosis is more frequent than its absence, and there is no significant difference regarding side. It is located at 5.7 cm from the pubic symphysis and venous is significantly more frequent. Anastomosis is significantly more frequent in females. There is no statistically significant difference between white and non-white. 

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How to Cite
Cação Pereira, G. J., Nicoletti Gumieiro, D., Innocenti Dinhane, D., Sardenberg, T., de Almeida Silvares, P. R., Ferreira Minicucci, M., & Padovani, C. R. (2018). Anastomosis among iliac vessels and obturators in the retropubic region: Study in cadavers. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 83(3), 205-209. https://doi.org/10.15417/issn.1852-7434.2018.83.3.743
Issue
Vol 83 No 3 (2018)
Section
Basic Research
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