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Original Research

Open Access

Anatomical variations of the obturator veinsand their surgical implications

  • M.E. Căpîlna1,*,
  • B. Szabo1
  • S.C. Rusu1
  • J. Becsi1
  • B. Moldovan2
  • R.M. Neagoe3
  • G. Muhlfay4

1First Clinic of Obstetrics and Gynecology, University of Medicine and Pharmacy Târgu-Mureş, Romania

2Department of Surgery, Sfântul Constantin Hospital, Braşov, Romania

3Second Clinic of Surgery, University of Medicine and Pharmacy, Târgu-Mureş, Romania

4Clinic of Oto-Rino-Laringology, University of Medicine and Pharmacy, Târgu-Mureş, Romania

DOI: 10.12892/ejgo3418.2017 Vol.38,Issue 2,April 2017 pp.263-265

Published: 10 April 2017

*Corresponding Author(s): M.E. Căpîlna E-mail: mcapilna@gmail.com

Abstract

Purpose of investigation: The obturator veins and their network contribute to major bleeding complications during gynaecologic surgery. Materials and Methods: The anatomical variations of the obturator veins were studied on 106 patients in which a thorough bilateral pelvic lymphadenectomy was performed. Results: Symmetrical drainage on right and left sides was found in 75 cases: only in internal iliac vein in 32 cases, both in external iliac vein and internal in 41 cases, and only in external in two cases (so called "pubic vein"). In 31 procedures, asymmetric drainage was found between the two sides: one side in internal, the other side both in internal and external in 25 patients; in three patients, in external on one side and in both internal and external on the other; and in external on one side and in internal on the other side in one patient. Conclusions: Anatomical variations of the obturator veins appear quite often.

Keywords

Obturator veins; Corona mortis; Anatomical variations; Gynaecologic surgery.

Cite and Share

M.E. Căpîlna,B. Szabo,S.C. Rusu,J. Becsi,B. Moldovan,R.M. Neagoe,G. Muhlfay. Anatomical variations of the obturator veinsand their surgical implications. European Journal of Gynaecological Oncology. 2017. 38(2);263-265.

References

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[2] Delancey J.O.L.: “Surgical anatomy of the female pelvis”. In: Rock J.A., Jones H.W. (eds). Te Linde’s Operative Gynecology. 10thed. Philadelphia: Lippincott Williams and Wilkins, 2011, 82.

[3] Darmanis S., Lewis A., Mansoor A., Bircher M.: “Corona mortis: an anatomical study with clinical implications in approaches to the pelvis and acetabulum”. Clin. Anat., 2007, 20, 433.

[4] Rusu M.C., Cergan R., Motoc A.G., Folescu R., Pop E.: “Anatomical considerations on the corona mortis”. Surg. Radiol. Anat., 2010, 32, 17.

[5] Pellegrino A., Damiani G.R., Marco S., Ciro S., Cofelice V., Rosati F.: “Corona mortis exposition during laparoscopic procedure for gynecological malignancies”. Updates Surg., 2014, 66, 65.

[6] Berbero lu M., Uz A., Ozmen M.M., Bozkurt M.C., Erkuran C., Taner S.: “Corona mortis: an anatomic study in seven cadavers and an endoscopic study in 28 patients”. Surg. Endosc., 2001, 15, 72.

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