A STUDY OF HUMAN RENAL PELVICALYCEAL SYSTEM IN RELATION TO THE BRANCHES OF RENAL ARTERIES.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2019, Vol 7, Issue 3
Abstract
Introduction: A thorough anatomical knowledge on the patterns of pelvicalyceal system and its relation to the renal segmental arteries is of paramount importance in endourological procedures. Aim: To study the variations in the pattern of arrangement of major calices, segmental arteries and their relation to each other. Method: 100 dissection specimens (70 adult, 30 foetuses) and 50 endocasts were studied at a tertiary center in northern Kerala. Results: The major calyces were arranged in three patterns, tricaliceal (Adults- 44.17%; Foetus-30%), bicaliceal (Adults- 24.17%; Foetus-26.67%), multicaliceal (Adults- 25.83%; Foetus- 40%) and rest belonging to none of the above. The primary division of renal artery (RA) was anterior-posterior (92%) and upper-lower (8%). Anterior division showed a preponderance of type (TY) 2 among the 8 types. Apical segmental artery (SA) was divided into 6 types, with 50% showing TY1 pattern. 62% showed TY1 of upper SA (among 3 types) and 84% of TY1 of lower SA (total-4 types). Middle SA showed 54% TY1 among 4 types. Posterior SA divided in magistral (62%), bifurcating (30%), cruciate (8%) patterns. Superior calyces were related to anterior and posterior branches in 88%, anterior alone in 10% and posterior alone in 2%; mid-zone to anterior division only; inferior pole to branches of lower SA. Dorsal kidney was related to posterior SA which was related to upper infundibulum (60%) or crossed middle posterior surface of pelvis (40%). Conclusion: Numerous variations in patterns of calyces, SAs and their relation to each other were observed, which could not be discerned from studying the external surface of the kidney. This emphasizes the importance of pre-operative angiography and IVU prior to any endourological intervention.
Authors and Affiliations
Sama Abdulkadar, Arivu Selvan.
MANAGEMENT FUNCTIONS ON THE IMPLEMENTATION OF COMMUNITY HEALTH CARE.
This research aimed to investigate the effects of planning, organizing, actuating, and controlling functions in the implementation of community health cares. The samples of this research were representatives of public he...
PROFILE OF VICTIMS AND OFFENDING VEHICLES IN FATAL ROAD TRAFFIC ACCIDENTS IN WESTERN MAHARASHTRA - AN AUTOPSY STUDY.
Background: Road traffic accidents are a leading cause of death in young and productive age group of society. The pedestrian deaths and two wheeler rider and pillion deaths are a cause of rising concern in urban centres....
TEMPLATE TECHNIQUE-A NOVEL APPROACH TOWARDS SMILE REJUVENATION IN UNCOMPLICATED ANTERIOR CROWN FRACTURE-A CASE REPORT.
Anterior teeth trauma is common phenomenon in young children and adolescents . Uncomplicated crown fracture results in loss of function , poor esthetics and psychological trauma . It is a true emergency and warrants urge...
ABUSE AND EXPLOITATION OF DOMESTIC WOMEN WORKERS IN INDIA- A HUMAN RIGHTS PERSPECTIVE.
International Journal of Advanced Research (IJAR)
AWARENESS AND UTILIZATION OF CANCER OF CERVIX FACILITIES AMONG WOMEN: A CASE STUDY OF LURAMBI KAKAMEGA COUNTY, KENYA.
The study determined awareness of cancer of cervix and utilization of cancer of cervix facilities among women inKakamegaLurambi sub county. The study was a cross-section study. The target population were young women in r...