Important anatomical structures used in paravaginal defect repair: cadaveric study

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dc.contributor.authorErsoy, M.
dc.contributor.authorSagsoz, N.
dc.contributor.authorBozkurt, M.C.
dc.contributor.authorApaydin, N.
dc.contributor.authorElhan, A.
dc.contributor.authorTekdemir, I.
dc.date.accessioned2020-06-25T17:40:10Z
dc.date.available2020-06-25T17:40:10Z
dc.date.issued2004
dc.departmentKırıkkale Üniversitesi
dc.descriptionApaydin, Nihal/0000-0002-7680-1766
dc.description.abstractObjective: 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.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1016/j.ejogrb.2003.06.015
dc.identifier.endpage213en_US
dc.identifier.issn0301-2115
dc.identifier.issn1872-7654
dc.identifier.issue2en_US
dc.identifier.pmid14746961
dc.identifier.scopus2-s2.0-1642545565
dc.identifier.scopusqualityQ2
dc.identifier.startpage206en_US
dc.identifier.urihttps://doi.org/10.1016/j.ejogrb.2003.06.015
dc.identifier.urihttps://hdl.handle.net/20.500.12587/3327
dc.identifier.volume112en_US
dc.identifier.wosWOS:000188887800018
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevieren_US
dc.relation.ispartofEuropean Journal Of Obstetrics & Gynecology And Reproductive Biology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjecttendinous arch of pelvic fasciaen_US
dc.subjecttendinous arch of levator anien_US
dc.subjectparavaginal defect repairen_US
dc.titleImportant anatomical structures used in paravaginal defect repair: cadaveric studyen_US
dc.typeArticle

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