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2 results on '"tendinous arch of pelvic fascia"'

1. Important anatomical structures used in paravaginal defect repair: cadaveric study

Author

Ersoy, Mehmet, Sagsoz, Nevin, Bozkurt, M. Cem, Apaydin, Nihal, Elhan, Alaittin, and Tekdemir, Ibrahim

Subjects
*HUMAN anatomy, *PELVIC floor, *ARTIFICIAL palates, *LIGAMENTS
Abstract

Objective: To examine the variations and the anatomical characteristics of the tendinous arch of pelvic fascia (TAPF), the tendinous arch of levator ani (TALA) and the obturator fascia (Ofa) that are important structures in paravaginal defect repair and their relations with important neurovascular structures. Study design: We carried our study on 10 pelvic halves of five female cadavers fixed in 10% formaldehyde. Results: TALA could show a very high location or a low location near to inferior edge of obturator internus. TAPF was not observed in four of the cases. It was examined as a quite weak structure in two of the cases. The location of obturator vessel–nerve bundle could show difference. Obturator artery (OA) and vein sometimes do not course parallel to obturator vein (OV) and make an inclination and extend to the obturator foramen (OF). The distance between TAPF and the pectineal ligament (PL) (Cooper ligament) was measured as 5 cm on average. The distance between TAPF and the entrance of obturator canal was measured as 3.2 cm on average. While the distance of pudendal vessel–nerve bundle from levator ani (LA) at the anterior border of the spine was 0 mm, 2 cm anteriorly it was measured as 4.4 mm on average. Conclusion: Since TAPF does not develop in every case, it is not a safe structure to be used in surgery. If TALA develop downward as a variation, it could be difficult to distinguish from TAPF. Since the obturator fascia is a thin membrane, it is not a strong structure for suture placement. The region that is 2 cm in front of the ischial spine (IS) is a dangerous zone for pudendal vessel–nerve bundle. [Copyright &y& Elsevier]

Published
2004
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2. Important anatomical structures used in paravaginal defect repair: cadaveric study

Author

Mehmet Ersoy, Alaittin Elhan, Nevin Sagsoz, Nihal Apaydin, Ibrahim Tekdemir, M. Cem Bozkurt, and Kırıkkale Üniversitesi

Subjects
Obturator vein, Obturator fascia, Perineum, Sensitivity and Specificity, Tendons, Gynecologic Surgical Procedures, Risk Factors, Uterine Prolapse, medicine.artery, Tensile Strength, medicine, Cadaver, Humans, Fascia, tendinous arch of levator ani, Aged, business.industry, Suture Techniques, Urinary Bladder Diseases, tendinous arch of pelvic fascia, Obstetrics and Gynecology, Obturator canal, Pelvic fascia, Anatomy, Pelvic Floor, Middle Aged, Fasciotomy, paravaginal defect repair, medicine.anatomical_structure, Reproductive Medicine, Obturator foramen, medicine.vein, Obturator artery, Obturator nerve, Female, business, Superior pubic ramus
Abstract

Apaydin, Nihal/0000-0002-7680-1766 WOS: 000188887800018 PubMed: 14746961 Objective: To examine the variations and the anatomical characteristics of the tendinous arch of pelvic fascia (TAPF), the tendinous arch of levator ani (TALA) and the obturator fascia (Ofa) that are important structures in paravaginal defect repair and their relations with important neurovascular structures. Study design: We carried our study on 10 pelvic halves of five female cadavers fixed in 10% formaldehyde. Results: TALA could show a very high location or a low location near to inferior edge of obturator internus. TAPF was not observed in four of the cases. It was examined as a quite weak structure in two of the cases. The location of obturator vessel-nerve bundle could show difference. Obturator artery (OA) and vein sometimes do not course parallel to obturator vein (OV) and make an inclination and extend to the obturator foramen (OF). The distance between TAPF and the pectineal ligament (PL) (Cooper ligament) was measured as 5 cm on average. The distance between TAPF and the entrance of obturator canal was measured as 3.2 cm on average. While the distance of pudendal vessel-nerve bundle from levator am (LA) at the anterior border of the spine was 0 mm, 2 cm anteriorly it was measured as 4.4 mm on average. Conclusion: Since TAPF does not develop in every case, it is not a safe structure to be used in surgery. If TALA develop downward as a variation, it could be difficult to distinguish from TAPE Since the obturator fascia is a thin membrane, it is not a strong structure for suture placement. The region that is 2 cm in front of the ischial spine (IS) is a dangerous zone for pudendal vessel-nerve bundle. (C) 2003 Elsevier Ireland Ltd. All rights reserved.

Published
2004

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