Characterization of the median sacral artery course at the sacral promontory using contrast-enhanced computed tomography

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• 作者：Ariel Zilberlicht ; Ron Molnar ; Hanni Pal-Ohana…
• 关键词：Computed tomography ; Laparoscopy ; Median sacral artery ; Pelvic organ prolapse ; Sacral colpopexy
• 刊名：International Urogynecology Journal
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：28
• 期：1
• 页码：101-104
• 全文大小：
• 刊物主题：Gynecology; Urology;
• 出版者：Springer London
• ISSN：1433-3023
• 卷排序：28

文摘

Introduction and hypothesisLaparoscopic sacral colpopexy (SC) is increasingly utilized in the surgical management of apical prolapse. It involves attachment of a synthetic mesh to the sacral promontory and to the prolapsed vaginal walls. The median sacral artery (MSA) runs close to the site of mesh attachment and is therefore prone to intraoperative injury, which may lead to profound hemorrhaging. The aim of this study was to determine the location of the MSA at the level of the sacral promontory with regard to adjacent visible anatomical landmarks. Surgeons may use this information to reduce the risk for presacral bleeding.