Unique vascular patterns of the internal iliac artery and its clinical import in pelvic surgery

Khan, Raeesa; Naidoo, Nadraj; Lazarus, Lelika

doi:10.1016/j.tria.2021.100151

Cited by 5 publications

(4 citation statements)

References 18 publications

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“…Many authors have proposed various concepts for classifying the terminal divisions of the IIA [20,28,29]. Generally, surgeons use the Adachi classifications system, which has been the standard for many years [15,16,19,20].…”

Section: Length Of Iiamentioning

confidence: 99%

Internal Iliac Artery Ligation in Obstetrics and Gynecology: Surgical Anatomy and Surgical Considerations

Kostov,

Kornovski,

Watrowski

et al. 2023

Clinics and Practice

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The internal iliac artery (IIA) is the main arterial vessel of the pelvis. It supplies the pelvic viscera, pelvic walls, perineum, and gluteal region. In cases of severe obstetrical or gynecologic hemorrhage, IIA ligation can be a lifesaving procedure. Regrettably, IIA ligation has not gained widespread popularity, primarily due to limited surgical training and concerns regarding possible complications, including buttock claudication, impotence, and urinary bladder and rectum necroses. Nowadays, selective arterial embolization or temporary balloon occlusion are increasingly utilized alternatives, which can be applied preoperatively or intraoperatively for threatening severe genital or pelvic bleeding. However, IIA ligation retains its relevance, as the previously described procedures are not always available and have limitations. This article provides a step-by-step guide to the IIA ligation procedure and its possible complications. It also includes a detailed description of the anatomy of the IIA and pelvic arterial anastomoses. This review highlights the importance of a thorough understanding of pelvic anatomy as a prerequisite for safe IIA ligation and posits that training in this procedure should be an integral part of obstetrics and gynecology curricula.

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Section: Length Of Iiamentioning

confidence: 99%

Internal Iliac Artery Ligation in Obstetrics and Gynecology: Surgical Anatomy and Surgical Considerations

Kostov,

Kornovski,

Watrowski

et al. 2023

Clinics and Practice

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“…The arterial anatomy of the pelvic region is highly variable [15,28,32,35], and variations in the anatomy of the ILA may often be observed in its point of origin. It is most commonly seen arising from the internal iliac artery, but some variations have been reported.…”

Section: Introductionmentioning

confidence: 99%

The complete anatomy of the iliolumbar artery: a meta-analysis with clinical implications

Hajdyła,

Plutecki,

Nasser

et al. 2024

Folia Morphol

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“…The arterial anatomy of the pelvis is quite variable [ 9 , 19 – 21 ]. This variability was showcased in a recent meta-analysis [ 13 ], which examined the origin and morphometric properties of the UA.…”

Section: Introductionmentioning

confidence: 99%

An arterial map of the uterine artery - a tool for endovascular and gynecological procedures

Konarska-Włosińska,

Yika,

Dziedzic

et al. 2024

Surg Radiol Anat

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Introduction The anatomy of the uterine artery (UA) is highly complex, demonstrating various patterns of origin and course. The main objective of the present study is to provide the first anatomical heat map of the UA, demonstrating the location of its origin and course in the pelvis. Methods In July 2022, an assessment was conducted on the findings from 40 consecutive female patients who had undergone computed tomography angiography of the abdomen and pelvis. Morphometric features of the UA and its associated anatomical area were gathered in 19 categories. Results The presented results are based on a total of 58 UAs. 40 UAs originated from the anterior trunk of the internal iliac artery (69.0%), 16 of the UAs originated from the umbilical artery (27.6%), and the remaining two originated from the inferior gluteal artery (3.4%). The median diameter of the UA at its origin was found to be 3.20 mm (LQ = 2.63; HQ = 3.89). Conclusion The anatomy of the UA is highly complex, showcasing variable topography, origin patterns, and morphometric properties. In the present study, a novel arterial map of this vessel was made, highlighting the diversity in its origin location and course. In our studied cohort, the UA originated most commonly from the anterior trunk of the internal iliac artery (69.0%), as described in the major anatomical textbooks. Having adequate knowledge about the anatomy of this artery is of immense importance in various gynecological and endovascular procedures, such as hysterectomies and embolizations.

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Unique vascular patterns of the internal iliac artery and its clinical import in pelvic surgery

Cited by 5 publications

References 18 publications

Internal Iliac Artery Ligation in Obstetrics and Gynecology: Surgical Anatomy and Surgical Considerations

Internal Iliac Artery Ligation in Obstetrics and Gynecology: Surgical Anatomy and Surgical Considerations

The complete anatomy of the iliolumbar artery: a meta-analysis with clinical implications

An arterial map of the uterine artery - a tool for endovascular and gynecological procedures

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