A study of superficial external Pudendal artery and its variations at Saphenofemoral junction
Journal Title: International Journal of Medical and Health Research - Year 2017, Vol 3, Issue 6
Abstract
Introduction: Knowledge of anatomical location of Superficial External Pudendal Artery (SEPA), its origin and course is very important while exploring SFJ and ligating its various branches. Surgeon can face dilemma while identifying SEPA, as it lies close to femoral artery and femoral vein. Operating surgeon should know about variations in SEPA, such as its origin, absence and also duplication or rarely even triple pudendal arteries. Materials and Methods: A prospective non-randomized study of consecutive fifty patients with primary varicose veins who underwent Trendelenburg procedure was carried out. All patients underwent Trendelenburg’s operation with stripping of great saphenous vein (GSV).The SEPA was identified by its pulsation. The origin of SEPA, its number and position weather, anterior or posterior to SFJ or medial or lateral to femoral artery were recorded diligently. Results: In our study of fifty patients, 36 were male and 14 were female. Meticulous search for SEPA by careful dissection was done during all surgical exploration. Origin of SEPA and its relation to SFJ was recorded. We noticed that SEPA was not visualized in two (4%) patients whereas, it was identifiable in rest 48 (96%) patients. We found that SEPA was originating from medial side of femoral artery and it was piercing fascia of thigh and was further passing superio-medially towards the pubis symphysis. Superficial external pudendal artery was crossing anterior to SFJ in 20 (40%) patients whereas it was crossing posterior to SFJ in 28 (56%) patients. Conclusion: Our study showed that meticulous search and careful dissection can identify superficial external pudendal artery. SEPA was crossing posterior to SFJ in our maximum cases. One must ligate SEPA as soon as encountered while dissection. This will avoid inadvertent injury to SEPA causing torrential bleeding and further increasing post-operative complications.
Authors and Affiliations
Dr. Kshitij Manerikar, Dr. Digvijay Jadhav, Dr. Simran Bhatia, Dr. Gurjit Singh, Dr. Vashisht Dikshit
Keywords
Related Articles
- EP ID EP585890
- DOI -
- Views 137
- Downloads 0
Hepatitis C virus infection in health care workers: A clinical study
Background: Hepatitis C virus infection is a major public health problem worldwide. It is common in health care workers. Hepatitis C infection is one of the transfusion transmissible infections. The present study was con...
A prospective study for the association between kidney disease and pre-diabetes
Background: Globally, diabetes is the leading cause of kidney disease and kidney failure. Prediabetes is approximately twice as common as diabetes, affecting 20-35% of adults. The fasting glucose and glycated haemoglobin...
Assessment of thyroid function tests in polycystic ovarian syndrome
Women with PCOS are at possibility for infertility and premature pregnancy damage. Numerous are overweight, find it problematic to lose weight, and suffer with fatigue, depression and anxiety. Therefore, this study was p...
Assessment of maternal morbidity in elective and emergency caesarean section in Bihar
Elective caesarean is a term used when the procedure is done at a pre-arranged time during pregnancy to ensure the best quality of obstetrics, anaesthesia, neonatal resuscitation and nursing services. The procedure is te...
Peritonsillar abscess: Pattern and treatment intervention in a tertiary health institution in Sokoto metropolis
Background and Objectives: Peritonsillar abscess is the collection of pus between the capsule of the tonsil and the superior constrictor muscle of the pharynx. It is a common suppurative complication of acute tonsillitis...