δείτε την πρωτότυπη σελίδα τεκμηρίου στον ιστότοπο του αποθετηρίου του φορέα για περισσότερες πληροφορίες και για να δείτε όλα τα ψηφιακά αρχεία του τεκμηρίου*
Corona mortis: Anatomical data and clinical considerations
Stavropoulou-Deli, Alcestis
Anagnostopoulou, Sofia
Background Minimally invasive procedures, such as the TVT-Secur, have
been linked to injury to the corona mortis. Injury during the insertion
of the TVT-Secur happens due to the vessel’s position close to the place
of the margin (25-30mm from the symphysis pubis). Aims Systematic
description of the aberrant vessel anatomy so as to help gynaecologists
determine the risk of peri- and postoperative complications during the
TVT-Secur and related procedures. Methods In a cadaver study, the lesser
pelvis of ten female cadavers with venous or arterial coronae mortis was
dissected. The origin, diameter and course of the aberrant vessels, as
well as the distance from the symphysis pubis, were documented. Results
Arterial coronae mortis were found in eight hemipelvises. All vessels
originated from the ipsilateral inferior epigastric artery and all
crossed over the superior pubic rami. Average distance from the
symphysis pubis was 52.4mm. Average vessel diameter was 3mm. Venous
coronae mortis were identified in ten hemipelvises. Eight drained into
the external iliac and four into the inferior epigastric artery. Nine
vessels crossed over the superior pubic rami. Average distance from the
symphysis pubis was 46.7mm. Average vessel diameter was 3.13mm.
Conclusion Although individual variation makes direct contact with the
vessel possible, in most cases there is a window of eight millimetres at
least between the margin of the TVT-Secur and most aberrant veins.
Possible aberrant arteries seem to lie even further.
(EN)
*Η εύρυθμη και αδιάλειπτη λειτουργία των διαδικτυακών διευθύνσεων των συλλογών (ψηφιακό αρχείο, καρτέλα τεκμηρίου στο αποθετήριο) είναι αποκλειστική ευθύνη των αντίστοιχων Φορέων περιεχομένου.
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