Anatomical Study on the Variations in the Branching Pattern of Internal Iliac Artery

详细信息    查看全文

• 作者：H. Mamatha ; B. Hemalatha ; P. Vinodini ; Antony Sylvan D. Souza…
• 关键词：Internal iliac artery ; Accidental hemorrhage ; Arterial ligations ; Embolization
• 刊名：Indian Journal of Surgery
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：77
• 期：2-supp
• 页码：248-252
• 全文大小：1,150 KB
• 参考文献：1.Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, Ferguson MWJ (1995) Gray’s anatomy: the anatomical basis of medicine and surgery, 38th edn. Churchill Livingstone, Edinburgh, p 1560
  2.B-Lynch CC, Keith LG, Campbell WB (2006) Internal iliac (hypogastric) artery ligation. A comprehensive textbook of postpartum hemorrhage. An essential clinical reference for effective management, 2nd ed, Sapiens publisher
  3.Snell RS (2000) Clinical anatomy for students, 6th edn. Lippincott, William & Wilkins, Philadelphia, pp 292–293
  4.Hollinshed H (1971) Text book of anatomy for surgeons, vol 2, 2nd ed. New York , Harper and Row, pp 217681–217685
  5.Sadler TW (1990) Langman’s medical embryology, 6th edn. Williams & Wilkins Co, London
  6.Naveen et al (2011) Morphological analysis of the human internal iliac artery in South Indian population. Online J Health Allied Sci 10(1):11
  7.Kelly HA (1894) Ligation of both internal iliac arteries for hemorrhage in hysterectomy for CA uteri. Online J Health Allied Sci 10:53–54
  8.Yamaki K, Saga T et al (1998) A statistical study of the branching pattern of the human internal iliac artery. Kurume Med J 45:333–340PubMed CrossRef
  9.Ashley FL, Anson BJ (1941) Hypogastric artery in Ametical Whites and Negroes. Am J Phys Anthropol 28:381–385CrossRef
  10.Fatu C, Puisoru M, Fatu IC (2006) Morphometry of the internal iliac artery in different ethnic groups. Ann Anat 188:541–546PubMed CrossRef
  11.Usha B, Indu K (2008) Recent advances in the management of postpartum hemorrhage. JK Sci 10(4):163–166
  12.Pai MM et al (2009) Variability in the origin of obturator artery. Clin J 64(9):897–901CrossRef
  
• 作者单位：H. Mamatha (1)
  B. Hemalatha (1)
  P. Vinodini (1)
  Antony Sylvan D. Souza (1)
  S. Suhani (1)
  
  1. Department of Anatomy, Kasturba Medical College, Manipal University, Manipal, 576104, Karnataka, India
  
• 刊物主题：Surgery; Pediatric Surgery; Neurosurgery; Plastic Surgery; Cardiac Surgery; Thoracic Surgery;
• 出版者：Springer India
• ISSN：0973-9793

文摘

The internal iliac artery (IIA) arises from the common iliac artery at the level of the sacroiliac joint. It descends as trunk, divides into anterior and posterior divisions. From the anterior division it gives superior vesical, obturator, middle rectal, inferior vesical, inferior gluteal, and internal pudendal arteries. In females, inferior vesical artery is replaced by vaginal artery and gives an additional branch, uterine artery. The branches from the posterior division are ilio lumbar, lateral sacral, and superior gluteal arteries. An accidental hemorrhage and neurovascular injuries are common due to erroneous interpretation of variant arteries during surgical procedures. Hence the present study has been undertaken with reference to highlight its clinical and surgical significances. The study included 50 human bisected pelvises irrespective of their side and sex. Formalin-fixed specimens were selected and the branching patterns of IIA were studied. The level of origin, length, and the branching pattern of the IIA were examined and tabulated. The present study highlighted the variation seen in the origin, division branches of the IIA. The detailed knowledge of morphology is essential for successful ligation of the IIA during acute hemorrhage. This will guide the interventional radiologist in intra-arterial procedures during arterial embolization for hemorrhage, control of pelvic fractures, during selective catheterization of the intra-arterial chemotherapy, and embolization of the pelvic tumors.