Lalwani Rekha, Athavale Sunita A, Chauhan Ketu, Nigam Guljari Lal, Babu C S Ramesh, Kotgirwar Sheetal
Department of Anatomy, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
Department of Anatomy, LLRM Medical College, Meerut, Uttar Pradesh, India.
J Nat Sci Biol Med. 2017 Jul-Dec;8(2):210-212. doi: 10.4103/0976-9668.210005.
The terminal ends of gonadal veins act as an entry portal in gonadal embolization procedures used for treating varicocele in males and pelvic congestion disease in females. Here, we studied the modes of termination of gonadal veins in adult cadavers.
Thirty-five adult formalin-fixed cadavers (seventy sides) were studied over a period of 4 years. The modes of termination of gonadal veins were observed under the following study variables: (a) number, (b) locale of termination, and (c) termination angle.
Variations in study parameters were observed in eight sides of seven cadavers (seven unilateral and one bilateral). Double veins at termination were observed in six cadavers; anomalous termination was observed in three cadavers. Angle of termination differed from normal in 3 cadavers. In one of these cadavers, the left ovarian vein drained into the left suprarenal vein.
Duplication of terminal ends, anomalous drainage site, and varied angles of termination call for caution to ensure the success of procedures, which use terminal ends of gonadal veins as entry portals.
在用于治疗男性精索静脉曲张和女性盆腔充血疾病的性腺静脉栓塞手术中,性腺静脉的末端充当进入门户。在此,我们研究了成年尸体中性腺静脉的终止方式。
在4年的时间里对35具成年福尔马林固定尸体(70侧)进行了研究。在以下研究变量下观察性腺静脉的终止方式:(a)数量,(b)终止部位,以及(c)终止角度。
在7具尸体的8侧(7侧单侧和1侧双侧)观察到研究参数的变异。在6具尸体中观察到终止处有双静脉;在3具尸体中观察到异常终止。3具尸体的终止角度与正常情况不同。在其中1具尸体中,左卵巢静脉汇入左肾上腺静脉。
末端重复、异常引流部位以及不同的终止角度需要谨慎操作,以确保使用性腺静脉末端作为进入门户的手术成功。