Precise Neurovascular Anatomy for Radical Hysterectomy by Shingo Fujii & Kentaro Sekiyama

Author:Shingo Fujii & Kentaro Sekiyama
Language: eng
Format: epub
ISBN: 9789811380983
Publisher: Springer Singapore

6.2.11 Separation of the Connective Tissue on the Internal Iliac Artery (Figure 6.23)

The same kind of dissection is extended to both cranial side and caudal side of the external iliac vein. The adipose tissues with external iliac lymph nodes are separated from the external iliac vein and are collected in the obturator fossa (Figure 6.23a). Once the common iliac artery is identified, the internal iliac artery is found medially and the adipose and connective tissues are separated from the ventral side of the internal iliac artery (Figure 6.23b). The uterine artery and the obturator arteries often branch from the internal iliac artery. In order to avoid injuries to these arteries, it is better to start dissection from the ventral surface of the internal iliac artery.

Figure 6.23Separation of the connective tissue on the internal iliac artery. (a) The dissection is extended to both cranial side and caudal side of the external iliac vein. The adipose tissues with external iliac nodes are separated from the external iliac vein and are collected in the obturator fossa. (b) Once the internal iliac artery is found medially, the adipose and connective tissues are separated from the ventral side of the internal iliac artery as illustrated using a dotted arrow line

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