Dangerous twisted communications between external and internal iliac veins which might rupture during catheterization

Nayak, Satheesha B.

doi:10.5115/acb.2018.51.4.309

Cited by 2 publications

(2 citation statements)

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“…IIV variations have not been studied as thoroughly as IIA variations [ 79 , 89 , 90 , 91 , 92 ]. Despite the various classifications describing the diverse variations of the IIV, there is no established standard classification [ 79 , 89 , 90 , 91 , 92 , 93 , 94 ]. Shin et al have created an impressive, comprehensive, and generally reliable classification of iliac vessel variations based on 2488 patients using multidetector computed tomography [ 90 ].…”

Section: Iiv Variations Related To Plndgomentioning

confidence: 99%

“…However, other types of IIV variations exist, which have not been mentioned in Shin’s classification. Therefore, to clarify most of IIV variations, a modification of Shin’s classification was developed based on previous findings ( Figure 17 and Figure 18 ) [ 42 , 73 , 79 , 89 , 90 , 91 , 92 , 93 , 94 ].…”

Section: Iiv Variations Related To Plndgomentioning

confidence: 99%

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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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Section: Iiv Variations Related To Plndgomentioning

confidence: 99%

Section: Iiv Variations Related To Plndgomentioning

confidence: 99%

Pelvic Lymphadenectomy in Gynecologic Oncology—Significance of Anatomical Variations

et al. 2021

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Variant anatomy of the internal iliac vein and its applications

Rumyantsev,

Gaivoronsky,

Surov

et al. 2024

Morphology

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The article analyzes the data of special literature devoted to the variant anatomy of the internal iliac vein (IIV), its structure and morphometric characteristics. The evaluation of variant anatomy on postvital material was carried out in different years by P.A. LePage (1991), D. Venieratos (2012), P. Kanjanasilp (2019). An extensive analysis of the architectonics of the main trunk of the IIV according to vestibular methods (n=2488) was performed by M. Shin (2014), who identified 8 variants. This approach formed the basis of a similar work (n=1071) by A. Hekimoglu (2021). Morphometric study of IIVs was also performed by D. Sat-Munoz (2020), M. G. Shkvarko (2021). D. Sat-Munoz categorized the variants of IIV formation into 3 types, according to the classification of R. Gregoire (2007), based on the relationship of the IIV with the artery of the same name. According to D. Kachlik (2010), in most cases (about 50%) the root of the IIV is the internal genital vein, which penetrates into the pelvis through the subclavian orifice, in 30% of cases the anterior and posterior trunks can be identified in the architectonics of the IIV by analogy with the internal iliac artery, which are the roots, in 20% of observations the IIV trunk is formed by many small tributaries and the identification of roots and trunks is not possible. According to our data, the typical variant of the IIV formation is the one in which its roots and tributaries (except for the umbilical vein) correspond to the branches of the artery of the same name, and a typical variant of the IIV architectonics should be considered the fusion of the anterior and posterior trunks, the roots of which are the internal genital vein and the superior gluteal vein, respectively. All visceral tributaries flow into the anterior trunk, and almost all extramural tributaries accompanying branches of the internal iliac artery flow into the posterior trunk. It was found that the majority of authors studied the architectonics of the main trunk of the IVC without systematization of its tributaries.

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Dangerous twisted communications between external and internal iliac veins which might rupture during catheterization

Cited by 2 publications

References 11 publications

Pelvic Lymphadenectomy in Gynecologic Oncology—Significance of Anatomical Variations

Pelvic Lymphadenectomy in Gynecologic Oncology—Significance of Anatomical Variations

Variant anatomy of the internal iliac vein and its applications

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