Retropubic vascular hazards of the ilioinguinal exposure: a cadaveric and clinical study
| Autor: | Milton L Routt, David C. Teague, Daniel O. Graney |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Anastomosis Groin Fractures Bone Cadaver medicine Humans Orthopedics and Sports Medicine Prospective Studies Prospective cohort study Aged Hip business.industry Acetabulum General Medicine Middle Aged Surgery medicine.anatomical_structure Orthopedic surgery Circulatory system Female Cadaveric spasm business Superior pubic ramus |
| Zdroj: | Journal of orthopaedic trauma. 10(3) |
| ISSN: | 0890-5339 |
| Popis: | In the course of ilioinguinal exposure, significant bleeding can occur from anastomotic vascular channels along the posterior aspect of the superior public ramus. A cadaveric study was undertaken to quantify and qualify these communicating vascular systems. We made bilateral ilioinguinal exposures on 40 cadavers. All vessels > 2 mm in diameter, connecting the obturator system with a more superficial system, were singled out and their courses recorded. Fifty-eight of 79 sides (73%) had at least one large-diameter communicating vascular channel along the posterior aspect of the superior pubic ramus. In 47 of the 79 exposures (59%) communicating veins were noted. Arterial channels were identified in 34 exposures (43%). A prospective clinical study was also performed. Thirty-eight consecutive patients with displaced acetabular fractures were treated surgically using ilioinguinal exposures. Fourteen of the patients (37%) had anastomotic vessels. This study confirms the variability of the retropubic vascular system. |
| Databáze: | OpenAIRE |
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