Study of Arterial Supply of Caecum and Appendix: A Cadaveric Study

Nuchhi, Ashwini Balasaheb; Yatagiri, Sandhya Vikas; Patil, Bhushan; Bannur, B M

doi:10.16965/ijar.2017.272

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…In this present study, the incidence of double appendicular arteries supplying the appendix was about 13%. The same has been observed by Nirmaladevi as 10% (21) and Toriola as 9% (20) but not by Ashwini Balasaheb, which has been found as 40% (22). The accessory appendicular artery was seen to originate in contrast from the main branch, predominantly from posterior caecal artery than the ileocolic artery in our study as in concordance with Ajmani et.al (23), though we differ in that, there were no accessory arteries arising from anterior caecal artery.…”

Section: Discussionsupporting

confidence: 91%

A comprehensive study of mesoappendix and arterial pattern of appendix

Sekaran¹,

Gnanasundaram²,

Balaji³

et al. 2022

Turk J Surg

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Objective: The length and the attachment of the mesoappendix is important in the degree of inflammation, spread of tumor and during surgical resection of the appendix. The presence of accessory appendicular artery along with varied origin of appendicular artery may cause intra- as well as post-operative complications. Hence, the study of length of mesoappendix and the origin and branching pattern of arterial supply to the appendix was undertaken. Material and Methods: Sixty formalin fixed appendix specimens were resected along with the intact mesopappendix and were dissected to analyze the extent of attachment, origin of appendicular arteries and the accessory branches as well. Results: The whole length mesoappendix was seen in 76% and the half length mesoappendix was not found. The main appendicular artery originated from the ileocolic artery in 80%, and accessory appendicular artery was seen in 13% of the study specimens. Conclusion: The mesoappendix and the branching pattern of the appendicular artery varies from person to person, and this awareness will be of use during surgeries on appendix.

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Section: Discussionsupporting

confidence: 91%

A comprehensive study of mesoappendix and arterial pattern of appendix

Sekaran¹,

Gnanasundaram²,

Balaji³

et al. 2022

Turk J Surg

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“…10,11 Nuchhi et al also made note of the common cecal artery within their anatomical investigation concerning the arterial supply to the cecum and appendix. 26 Lastly, a remarkable situation occurred where the AAA had a direct origin from the ileocolic branch in 0.2% of cases, making it the most atypical point of origin.…”

Section: Discussionmentioning

confidence: 99%

The presence and the anatomical variations of the accessory appendicular artery: A systematic review of 604 cases

Savvakis,

Karamitsou,

Vardaxi

et al. 2024

ANZ Journal of Surgery

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IntroductionThe accessory appendicular artery (AAA) is an accessory source of blood supply to the appendix. Its existence and potential point of origin are seldom addressed in the literature.MethodsTo fill this knowledge gap, we performed a systematic review of all available studies involving both cadaveric and surgical specimens and documented the presence and the origin of the AAA, following the guidelines outlined in the preferred reporting items for systematic reviews and meta‐analysis (PRISMA) statement.ResultsEleven studies, with an overall of 604 specimens were included. Our research revealed that the AAA is notably absent in most cases (83.6%). When present, it most commonly originates from the posterior cecal artery (12.4%), followed by the descending branch of the ileocolic artery (2%), and the ileal branch of the ileocolic artery (0.7%). Instances of origin from the anterior cecal, common cecal, or the ileocolic trunk were even more infrequent. Based on our observations, we introduced a new simplified classification system.DiscussionThe effect of an accessory artery on the process of appendicitis remains to be clarified. We firmly recommend that surgeons should consider the possible presence and various origins of the AAA during appendectomy procedures to avoid serious complications.

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