IJAR.2017.272
Type of Article: Original Research
Volume 5; Issue 3.1 (July 2017)
Page No.: 4158-4162
DOI: https://dx.doi.org/10.16965/ijar.2017.272
STUDY OF ARTERIAL SUPPLY OF CAECUM AND APPENDIX: A CADAVERIC STUDY
Ashwini Balasaheb Nuchhi *1, Sandhya Vikas Yatagiri 2, B G Patil 3, B M Bannur 4.
*1,2 Assistant Professor, Department of Anatomy, BLDEU’s Shri B M Patil Medical College, Hospital Research centre, Vijayapura, Karnataka, India.
3 Professor, Department of Anatomy, BLDEU’s Shri B M Patil Medical College, Hospital Research centre, Vijayapura, Karnataka, India.
4 Professor and Head, Department of Anatomy, BLDEU’s Shri B M Patil Medical College, Hospital Research centre, Vijayapura, Karnataka, India.
Address for the correspondence: Dr, Ashwini Balasaheb Nuchhi, Assistant professor Department of Anatomy BLDEU’s Shri B M Patil Medical College, Hospital Research centre, Vijayapura-03. Karnataka,Mobile no 9986361044 E-Mail: ashnuchhi@gmail.com
ABSTRACT
Background: A precise knowledge of vascular anatomy of caecum and vermiform appendix is a must while doing surgical procedures like right hemicolectomy, appendicectomy and reconstructive microsurgeries using appendix. The aim is to study the arterial supply of the caecum and vermiform appendix, the findings of which may reveal more anatomical details including variations.
Materials and Methods: 25 specimens of caecum and appendix with their arteries intact were dissected, removed from cadavers and preserved, the ileocolic artery and its branches to the caecum and vermiform appendix were traced carefully, painted with red acrylic paint and observations recorded.
Results: The common caecal artery was seen in 52% of specimens. The common caecal artery which gave rise to anterior caecal artery in 40% and posterior caecal artery in 36% of specimens was the most common source of origin of these two arteries. The commonest source of origin of main appendicular artery was ileocolic artery in 28%. In 40% of specimens appendix received more than one appendicular artery. Arterial arcades were present in 12 specimens (48%) mainly between superior and inferior divisions of ileocolic artery.
Conclusion: From this study we conclude that the anatomical details such as the origin, number of arteries and pattern of branching of the caecal and appendicular arteries are not only important for ablative surgeries but also in reconstructive microsurgeries using appendix for the survival of graft.
Key words: arteries, caecum, appendix.
REFERENCES
- Standring S. Large intestine. In: Borley NR. Gray’s Anatomy-The Anatomical basis of clinical practice. 40th Edinburgh: Churchill Livingstone; 2008:1141-5.
- Solanke TF. The blood supply of vermiform appendix in Nigerians. J. Ant. 1968;102:353-61.
- Vandamme JPJ, Bonte JA. New look at the blood supply of ileocolic angle. Acta Anat. 1982;113:1-14.
- Neil J, Mortensen MC, Oliver J. The small and large intestines. In: Russel RCG, Norman SW, Christopher, Bulstrode JK. Bailey and Love’s short practice of Surgery. 24th London: Arnold Publications; 2004:1153-86
- Martel P, Blanc P, Bothereau H, Malafosse M, Gallot D. Comparative anatomical study of division of the ileocolic pedicle or the superior mesenteric pedicle for mesenteric lengthening. British Journal of Surgery 2002;89:775-8.
- Gerlock AJ, Muhletaler CA, Berger JL, Halter SA, O’Leary JP, Avant GR. Infarction after embolization of the ileocolic artery. Cardiovascular Interventional Radiology 1981;4:202-5.
- Zucker KA. Laparoscopic In: Josloff RK, Zucker KA. Surgical laparoscopy. 2nd Edn.Philadelphia: Lippincott Williams and Wilkins; 2001: 231-2.7.
- Ouattara D, Kipre YZ, Broalet E, Seri FG, Angate HY, Bi N’Guessan GG. Classification of the terminal arterial vascularization of the appendix with a view to its use in reconstructive microsurgery. Surg Radiol Anat 2007;29:635–41.
- Ho S, Jackson J. The Angiographic Diagnosis of Colonic Carcinoma. Clinical Radiology 1998;53:345-9.
- Michels NA, Siddharth P, Kornblith PL, Parke WW. The variant blood supply to the small and large intestines, its importance in regional resections. A new anatomic study based on 400 dissections with complete review of literature. J Int.Coll Surgeons 1963;39:127-8.
- Ures J, Stacchini A, Prates JC, Gatto IM, Ures S. Angiographic anatomy of the caecal artery. Arq Gastroenterol. 1979;16:8-11.
- Shah MA, Shah M. The arterial supply of the appendix. Anatomical Record. 1964;95:457-60.
- Katzarski M, Gopal Rao VK, Brady K. Blood Supply and position of the vermiform appendix in Zambians. Med J Zambia 1979;13:32-4.
- Ajmani ML, Ajmani K. The position, length and arterial supply of vermiform appendix. Anat Anz 1983;153:369-74.