Vascular anatomy over the superior pubic rami in female cadavers

Peter G. Drewes, Spyridon I. Marinis, Joseph I. Schaffer, Muriel K. Boreham, Marlene M. Corton

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Objective: The objective of the study was to characterize the vascular anatomy over the superior pubic ramus. Study design: Detailed dissections of the retropubic space were performed in 15 fresh female cadavers. Vessels crossing the superior pubic rami were inspected for width, course, communications, and relationship to the midline of the pubic symphysis and the obturator canal. Results: Vessels 1 mm or greater in width connecting the obturator vessels and inferior epigastric or external iliac vessels were noted in 10 of 15 (66.7%) cadavers: 9 (60%) had veins, 5 (33.3 %) had arteries, and 4 (26.7%) had both. In all specimens, the vessels crossed over the superior pubic rami lateral to or at the level of the obturator canal, which was on average 5.4 cm from the midline of the pubic symphysis. Conclusion: Communicating vessels crossing the superior pubic rami were present in the majority of specimens. Understanding this anatomy should aid the surgeon in avoiding vascular complications.

Original languageEnglish (US)
Pages (from-to)2165-2168
Number of pages4
JournalAmerican journal of obstetrics and gynecology
Volume193
Issue number6
DOIs
StatePublished - Dec 1 2005

Keywords

  • Accessory obturator vessels
  • Corona mortis
  • Obturator canal
  • Retropubic space
  • Superior pubic rami

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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