Surgical anatomy of the pectineal ligament during pectopexy surgery: The relevance to the major vascular structures

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dc.authoridÇiğdem Pulatoğlu / 0000-0002-7595-3629en_US
dc.authorscopusidÇiğdem Pulatoğlu / 57191220951
dc.authorwosidÇiğdem Pulatoğlu / AAR-6576-2020
dc.authorwosidÇiğdem Pulatoğlu / ABG-6448-2020
dc.contributor.authorPulatoğlu, Çiğdem
dc.contributor.authorDogan, Ozan
dc.contributor.authorMedisoglu, Mahmut Sabri
dc.contributor.authorYassa, Murat
dc.contributor.authorKaya, Aski Ellibes
dc.contributor.authorSelcuk, Ilker
dc.contributor.authorBayik, Rahime Nida
dc.date.accessioned2020-08-30T20:06:14Z
dc.date.available2020-08-30T20:06:14Z
dc.date.issued2020
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionyassa, murat/0000-0001-8661-1192; Medisoglu, M.Sabri/0000-0002-4498-8730; Bayik, Rahime Nida/0000-0003-1805-2178; ELLIBES KAYA, ASKI/0000-0002-1323-7416en_US
dc.description.abstractObjective: During pectopexy surgery, the prolapsed uterus or the vaginal apex is fixed to the pectineal ligament. The anatomic structures found in the lateral part of the prevesical and paravaginal space above the obturator fossa, raise the importance of the surgical steps required to prevent complications. This study was conducted to evaluate the proximity of vascular structures to the pectineal ligament. Materials and Methods: The distances between the surgical suturing area during pectopexy surgery and the external iliac vein, pubic anastomotic vessel (corona mortis) and obturator canal were measured bilaterally in seven fresh female cadavers. Results: The total length of the pectineal ligament was 5.9 +/- 0.76 cm on the left and 6.5 +/- 1.14 cm on the right side; the midpoint of the pectineal ligament was 2.8 +/- 0.52 cm on the left and 3.6 +/- 0.47 cm on the right side. From the midpoint of the left pectineal ligament, the mean distance to the left external iliac vein was 1.04 +/- 0.23 cm, to the left corona mortis it was 2.15 +/- 0.48 cm, and to the left obturator canal it was 3.12 +/- 0.95 cm. From the midpoint of the right pectineal ligament, the mean distance to the right external iliac vein was 1.25 +/- 0.43 cm, to the right corona mortis it was 2.37 +/- 0.63 cm, and to the right obturator canal it was 3.57 +/- 0.93 cm. Conclusion: The anatomic findings of the study confirmed that the pectineal ligament was in close association with main vessels. The external iliac vein was measured as the closest anatomic structure to the pectineal ligament. Surgeons must be careful to minimize life-threatening complications because of the proximity of the pectineal ligament to main vessels.en_US
dc.identifier.citationPulatoglu, C., Dogan, O., Medisoglu, M. S., Yassa, M., Kaya, A. E., Selcuk, I., & Bayik, R. N. (2020). Surgical anatomy of the pectineal ligament during pectopexy surgery: The relevance to the major vascular structures. TURKISH JOURNAL OF OBSTETRICS AND GYNECOLOGY, 17(1), 21–27. https://doi.org/10.4274/tjod.galenos.2020.21284en_US
dc.identifier.doi10.4274/tjod.galenos.2020.21284en_US
dc.identifier.endpage27en_US
dc.identifier.issn2149-9322en_US
dc.identifier.issn2149-9330en_US
dc.identifier.issue1en_US
dc.identifier.pmid32341826en_US
dc.identifier.scopus2-s2.0-85084803009en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage21en_US
dc.identifier.trdizinid427751en_US
dc.identifier.urihttps://doi.org/10.4274/tjod.galenos.2020.21284
dc.identifier.urihttps://hdl.handle.net/20.500.12713/432
dc.identifier.volume17en_US
dc.identifier.wosWOS:000523674600004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorPulatoğlu, Çiğdemen_US
dc.language.isoenen_US
dc.publisherGalenos Yayinciliken_US
dc.relation.ispartofTurkish Journal of Obstetrics and Gynecologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCadaveric Studyen_US
dc.subjectMajor Vesselsen_US
dc.subjectPectineal Ligamenten_US
dc.subjectPectopexyen_US
dc.subjectPelvic Organ Prolapseen_US
dc.subjectVascular Anatomyen_US
dc.titleSurgical anatomy of the pectineal ligament during pectopexy surgery: The relevance to the major vascular structuresen_US
dc.typeArticleen_US

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