Quick Links
Archives
How   to   cite   this   Article:    Savita   Kumari,   MS   Trinesh   gowda .   THE   BRANCHING   PATTERN   OF   THE   INTERNAL   ILIAC   ARTERY   IN   SOUTH   INDIAN POPULATION . Int J Anatomy Res 2016;4(4):2907-2913. DOI: 10.16965/ijar.2016.368.
Type of Article: Original Research DOI: http://dx.doi.org/10.16965/ijar.2016.368 Page No.:  2907-2913
THE BRANCHING PATTERN OF THE INTERNAL ILIAC ARTERY IN SOUTH INDIAN POPULATION Savita Kumari * 1 , MS Trinesh gowda 2 *1 PG student (2012-15), Department of Anatomy, Mandya Institute of Medical Sciences, Mandya, Karnataka, India. 2 Professor and Head, Department of Anatomy, Mandya Institute of Medical Sciences, Mandya, Karnataka, India. Correspondence   Address:   Dr   savita   Kumari,   PG   student   (2012-15),   Department   of   Anatomy,   Mandya   Institute   of   Medical   Sciences,   Mandya,Karnataka, India. E-Mail:  savdev08@gmail.com ABSTRACT Background:   The   internal   iliac   artery   is   the   “artery   of   the   pelvis”.   It   begins   at   the   common   iliac   bifurcation   at   the   level   of   the   lumbosacral   intervertebal   disc at   the   superior   margin   of   the   greater   sciatic   foramen   where   it   divides   into   an   anterior   trunk   and   posterior   trunk,   which   passes   back   to   the   greater   sciatic foramen.   The   anterior   trunk,   branches   of   internal   iliac   artery   are   superior   vesical   artery,   inferior   vesical   artery,   middle   rectal   artery,   obturator   artery,   vaginal artery,   uterine   artery,   internal   pudendal   and   inferior   gluteal   arteries.   The   branches   of   the   posterior   division   are   iliolumbar,   lateral   sacral   and   superior   gluteal artery.   Knowledge   of   the   anatomical   variation   is   beneficial   for   the   vascular   surgeons   &   gynecologists   for   ligating   the   internal   iliac   artery   or   its   branches during   the   pelvic   surgery   and   also   for   the   radiologists   to   perform   and   interpret   angiograms   of   the   pelvic   region.   Hence   the   present   study   was   undertaken   to present the anatomical knowledge of branching pattern of  internal iliac arteries. Materials   and   Methods:   The   present   study   was   performed   on   50   bisected   pelvises   from   embalmed   human   cadavers   of   both   genders   from   Department   of Anatomy,   Mandya   Institute   of   Medical   Sciences   Mandya.   The   internal   iliac   artery   was   identified,   finer   dissections   were   made,   and   branching   pattern   and   its variation were recorded and photographed using a digital camera. Results:   The   branching   pattern   of   internal   iliac   artery   was   classified   in   the   modified   Adachi   classification.   Out   of   50   adult   human   pelvis   specimens,   Type   1a arrangement noted in 68% of specimens, Type II in 10%, Type III in 16% and Type IV in 6%. Type V was not found in any specimens.. Conclusion:   Most   common   patterns   of   internal   iliac   artery   were   Type   Ia.   Study   of   these   variations   helps   in   avoiding   the   surgical   and   accidental   iatrogenic injuries of the blood vessels. KEY WORDS:  Internal iliac artery, Internal iliac artery variations, obturator artery. References 1 . Sadler TW. Longman’s Medical Embryology. 12 th Ed, Philadelphia: Lippincott Williams and Wilkins; 2012.p.188. 2 . Sinnatamby CS. Last S Anatomy. 12 th Ed, Philadelphia: Churchill Livingstone Elsevier; 2011.p.308-09. 3 . Moore KL, Dalley AF, Agur MR. Clinically oriented anatomy. 7 th Ed, Philadelphia: Lippincott Williams and Wilkins; 2009.p.350-55. 4 . Snell RS. Clinical anatomy for students, 6 th  Ed, Philadelphia: Lippincott William & Wilkins; 2000.p. 292-93. 5 . Zander   T ,   Baldi   S ,   Rabellino   M ,   Rostagno   R ,   Isaza   B ,   Llorens   R ,   et   al   .Bilateral   hypogastric   artery   occlusion   in   endovascular   repair   of   abdominal   aortic aneurysms and its clinical significance. J Vasc Interv Radiol  2007;18(12):1481-6. 6 . Bangal V, Kwatra A, Raghav S. Role of internal iliac artery ligation in control of pelvic hemorrhage. Pravara Med Rev. 2009;1(2):23-24. 7 . Hollinshead WH, Rosse C.  The text book of anatomy. 4 th Ed, U.S.A: Harper  and row;1985.p.745-47 8 . Romanes GJ. Cunningham’s manual of practical anatomy. 15 th  Ed. Vol 2, New York Oxoford University; 1986.p218-34.     9 . Hashimoto   I,   Goishi   K,   Abe   Y,   Takaku   M,   Seike   T,Harada   H,Naknishi   H.The   internal   pudendal   artery   perforator   thigh   flap   :A   new   freestyle   pedicle   flap for the  Ischial Reagion.Plast Reconstr Surg Glob Open 2014.   1 0 . Townsend   Courtney   M,   Beauchamp   RD,   Evers   B   Mark,   Mattox   Kenneth   L,   Sabiston   Textbook   of   surgery   the   biological   basis   of   modern   surgical practice, 18 th  Ed, Vol 2, Philadelphia: Elservier;2008 .p.1933. 1 1 . Vatsla   Dadhwal,   Bindiya   Gupta,   DN   Srivastava,   Deepika   Deka,   Suneeta   Mittal   Uterine   Artery   Pseudoaneurysm   with   AV   Malformation:   A:   A   Rare   Cause of Secondary Post Partum Hemorrhage. J science 2007;9(3):142-6. 1 2 . Hashimoto   I,   Goishi   K,   Abe   Y,   Takaku   M,   Seike   T,Harada   H,Naknishi   H.The   internal   pudendal   artery   perforator   thigh   flap   :A   new   freestyle   pedicle   flap for the  Ischial Reagion.Plast Reconstr Surg Glob Open 2014.   1 3 . Lipschutz B. A composite study of the hypogastric artery and its branches. Ann surg 1918;67(5):584-608. 1 4 . Braithwaite JL. Variations in origin of the parietal branches of the internal iliac artery. J Anat Soc of India 1952;86:423-30. 1 5 . Yamaki K, Saga T, Doi Y, Aida K, Yoshizuka M. A statistical study of the branching of the human internal iliac artery. Kurume Med J 1998;45:333-40.  1 6 . Naveen   NS,   Murlimanju   BV,   Kumar   V,   Jayanthi   KS,   Rao   K,   Pulakunta   T.   Morphological   analysis   of   the   human   internal   iliac   artery   in   south   Indian population. Online J health allied scs 2011;10(1):11 1 7 . Fatu C, Puisoru M, Fatu I.C. Morphometry of the internal iliac artery in different Ethnic group. Ann Anat 2006;188(6):541-46. 1 8 . Ramakrishnan PK, Elezy MA. Variations in the branching pattern of internal iliac artery. Anatomica Karnataka. 2012;6(1):12 1 9 . Shivakumar AH, Raju GM, Sathymurthy B, Vijayanath V.  Internal iliac artery & its variation. Anatomica Karnataka 2010;4(1):10. 2 0 . Thirupathi    Rao    Vishnumukkala,    Srinivasarao.Yalakurty,    Bharath.CH.N.V,    S.Swayam    Jothi    Dorai    Raj,    Bapuji.Puttagunata,    Kannan.M.    The    parietal branching pattern of the internal iliac artery. Int J Biol Med Res.2013;4(1):2792-97.





HOME ABOUT US EDITORIAL BOARD AUTHOR GUIDELINES SPECIAL SERVICES CONTACT US HOME ABOUT US EDITORIAL BOARD AUTHOR GUIDELINES SPECIAL SERVICES CONTACT US
Volume 4 |Issue 4.1 |  2016 Date of Publication:  31 October 2016
DOWNLOAD PDF
TABLE OF CONTENTS