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Important anatomical structures used in paravaginal defect repair: cadaveric study
- Publication Year :
- 2004
- Publisher :
- Elsevier, 2004.
-
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.
- 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
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....f4f3a48613905b43282db55a251753cf