Vascular anatomy of the presacral space in unembalmed female cadavers

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Objective: The purpose of this study was to characterize the vascular anatomy of the female presacral space (PSS) and to correlate findings to the abdominal sacrocolpopexy. Study design: Detailed dissections of the PSS were performed in 52 unembalmed female cadavers. Results: The closest cephalad vessel to the mid sacral promontory (MSP) was the left common iliac vein (LCIV), mean distance 27 mm (9-52 mm). The closest vessel lateral to MSP was also the LCIV, mean distance 22 mm (9-35 mm). The average distance of the middle sacral artery and vein to the MSP was 4 mm (0-15 mm) and 7 mm (0-17 mm), respectively. The mean distance of the sacral venous plexuses to the MSP was 34 mm (4-86 mm). Conclusion: Anatomic location of the vascular boundaries and contents of the PSS is highly variable. Careful dissection and exposure of the anterior longitudinal ligament of the sacrum before suture placement should minimize potentially life-threatening vascular complications.

Original languageEnglish (US)
Pages (from-to)1736-1741
Number of pages6
JournalAmerican Journal of Obstetrics and Gynecology
Volume195
Issue number6
DOIs
StatePublished - Dec 2006

Fingerprint

Cadaver
Iliac Vein
Blood Vessels
Anatomy
Dissection
Longitudinal Ligaments
Lumbosacral Plexus
Sacrum
Sutures
Veins
Arteries

Keywords

  • Abdominal sacral colpopexy
  • Presacral space
  • Vascular anatomy

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Vascular anatomy of the presacral space in unembalmed female cadavers. / Wieslander, Cecilia K.; Rahn, David D.; McIntire, Donald D.; Marinis, Spyridon I.; Wai, Clifford Y.; Schaffer, Joseph I.; Corton, Marlene M.

In: American Journal of Obstetrics and Gynecology, Vol. 195, No. 6, 12.2006, p. 1736-1741.

Research output: Contribution to journalArticle

@article{7ff445c380c64d0b925eee5aa827e427,
title = "Vascular anatomy of the presacral space in unembalmed female cadavers",
abstract = "Objective: The purpose of this study was to characterize the vascular anatomy of the female presacral space (PSS) and to correlate findings to the abdominal sacrocolpopexy. Study design: Detailed dissections of the PSS were performed in 52 unembalmed female cadavers. Results: The closest cephalad vessel to the mid sacral promontory (MSP) was the left common iliac vein (LCIV), mean distance 27 mm (9-52 mm). The closest vessel lateral to MSP was also the LCIV, mean distance 22 mm (9-35 mm). The average distance of the middle sacral artery and vein to the MSP was 4 mm (0-15 mm) and 7 mm (0-17 mm), respectively. The mean distance of the sacral venous plexuses to the MSP was 34 mm (4-86 mm). Conclusion: Anatomic location of the vascular boundaries and contents of the PSS is highly variable. Careful dissection and exposure of the anterior longitudinal ligament of the sacrum before suture placement should minimize potentially life-threatening vascular complications.",
keywords = "Abdominal sacral colpopexy, Presacral space, Vascular anatomy",
author = "Wieslander, {Cecilia K.} and Rahn, {David D.} and McIntire, {Donald D.} and Marinis, {Spyridon I.} and Wai, {Clifford Y.} and Schaffer, {Joseph I.} and Corton, {Marlene M.}",
year = "2006",
month = "12",
doi = "10.1016/j.ajog.2006.07.045",
language = "English (US)",
volume = "195",
pages = "1736--1741",
journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
publisher = "Mosby Inc.",
number = "6",

}

TY - JOUR

T1 - Vascular anatomy of the presacral space in unembalmed female cadavers

AU - Wieslander, Cecilia K.

AU - Rahn, David D.

AU - McIntire, Donald D.

AU - Marinis, Spyridon I.

AU - Wai, Clifford Y.

AU - Schaffer, Joseph I.

AU - Corton, Marlene M.

PY - 2006/12

Y1 - 2006/12

N2 - Objective: The purpose of this study was to characterize the vascular anatomy of the female presacral space (PSS) and to correlate findings to the abdominal sacrocolpopexy. Study design: Detailed dissections of the PSS were performed in 52 unembalmed female cadavers. Results: The closest cephalad vessel to the mid sacral promontory (MSP) was the left common iliac vein (LCIV), mean distance 27 mm (9-52 mm). The closest vessel lateral to MSP was also the LCIV, mean distance 22 mm (9-35 mm). The average distance of the middle sacral artery and vein to the MSP was 4 mm (0-15 mm) and 7 mm (0-17 mm), respectively. The mean distance of the sacral venous plexuses to the MSP was 34 mm (4-86 mm). Conclusion: Anatomic location of the vascular boundaries and contents of the PSS is highly variable. Careful dissection and exposure of the anterior longitudinal ligament of the sacrum before suture placement should minimize potentially life-threatening vascular complications.

AB - Objective: The purpose of this study was to characterize the vascular anatomy of the female presacral space (PSS) and to correlate findings to the abdominal sacrocolpopexy. Study design: Detailed dissections of the PSS were performed in 52 unembalmed female cadavers. Results: The closest cephalad vessel to the mid sacral promontory (MSP) was the left common iliac vein (LCIV), mean distance 27 mm (9-52 mm). The closest vessel lateral to MSP was also the LCIV, mean distance 22 mm (9-35 mm). The average distance of the middle sacral artery and vein to the MSP was 4 mm (0-15 mm) and 7 mm (0-17 mm), respectively. The mean distance of the sacral venous plexuses to the MSP was 34 mm (4-86 mm). Conclusion: Anatomic location of the vascular boundaries and contents of the PSS is highly variable. Careful dissection and exposure of the anterior longitudinal ligament of the sacrum before suture placement should minimize potentially life-threatening vascular complications.

KW - Abdominal sacral colpopexy

KW - Presacral space

KW - Vascular anatomy

UR - http://www.scopus.com/inward/record.url?scp=33751211889&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33751211889&partnerID=8YFLogxK

U2 - 10.1016/j.ajog.2006.07.045

DO - 10.1016/j.ajog.2006.07.045

M3 - Article

C2 - 17132475

AN - SCOPUS:33751211889

VL - 195

SP - 1736

EP - 1741

JO - American Journal of Obstetrics and Gynecology

JF - American Journal of Obstetrics and Gynecology

SN - 0002-9378

IS - 6

ER -