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  • 1
    Electronic Resource
    Electronic Resource
    Anatomic approach to the parametrium: value of computed tomographicin vitro study compared to dissection (1998)
    Springer
    Surgical and radiologic anatomy 20 (1998), S. 123-127 
    Details
    ISSN: 1279-8517
    Keywords: Female pelvis ; Parametrium ; Axial CT ; Macroscopic anatomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Le but de cette étude radioanatomique est de décrire la morphologie du paramètre en tomodensitométrie (TDM) en corrélant des coupes TDM de 12 cadavres féminins après injection intra-vasculaire de latex et l'aspect secondairement observé en dissection chez six d'entre eux. La limite crâniale se situant en regard de l'orifice interne du col est repérée par l'artère utérine sousligamentaire et/ou la veine utérine superficielle et/ou la veine coronaire de Charpy. La limite caudale est formée par l'insertion des muscles levator ani à la jonction tiers moyen/tiers inférieur du vagin. Le tissu para-cervical et para-vaginal au dessus de ce plan musculaire et médialement à l'aponévrose pelvienne recouvrant ceux-ci était parfaitement visualisé. La limite dorsale représentée par le ligament latéral rectal et/ou les ligaments utérosacrés ainsi que la limite ventrale définie par l'aponévrose ombilico-vésicale étaient plus difficiles à mettre en évidence. La vascularisation paramétriale est essentiellement sous-tendue par d'importants plexus veineux et un tissu conjonctif de soutien de morphologie variable dépendante de la position utérine.
    Notes: Summary The aim of this study is to describe the morphology of the normal parametrium by correlating the slices obtained with computed tomography of 12 female cadavers studied after intravascular injection of latex with the dissection findings in 6 of these patients. The upper limit, represented by the isthmus, was defined by the uterine a. and/or a superficial uterine v. and/or the coronary v. (Charpy). The lower limit corresponded to the insertion of the levator ani mm. at the junction of the middle and inferior thirds of the vagina. The paracervical and paravaginal tissues above the levator ani m. and medial to the pelvic fascia covering these muscles were perfectly visualized. The posterior limit, formed by the lateral ligament of the rectum and/or the sacrouterine ligaments, and the anterior limit determined by the umbilico-vesical fascia were more difficult to demonstrate. In this study the parametrium appeared as a highly vascular and essentially venous connective structure with a variable morphology dependent on the uterine position.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01628916
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    Paper (German National Licenses)
    Fulltext
  • 2
    Electronic Resource
    Electronic Resource
    Anatomic approach to the parametrium: value of computed tomographic in vitro study compared to dissection (1998)
    Springer
    Surgical and radiologic anatomy 20 (1998), S. 123-127 
    Details
    ISSN: 1279-8517
    Keywords: Female pelvis ; Parametrium ; Axial CT ; Macroscopic anatomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The aim of this study is to describe the morphology of the normal parametrium by correlating the slices obtained with computed tomography of 12 female cadavers studied after intravascular injection of latex with the dissection findings in 6 of these patients. The upper limit, represented by the isthmus, was defined by the uterine a. and/or a superficial uterine v. and/or the coronary v. (Charpy). The lower limit corresponded to the insertion of the levator ani mm. at the junction of the middle and inferior thirds of the vagina. The paracervical and paravaginal tissues above the levator ani m. and medial to the pelvic fascia covering these muscles were perfectly visualized. The posterior limit, formed by the lateral ligament of the rectum and/or the sacrouterine ligaments, and the anterior limit determined by the umbilico-vesical fascia were more difficult to demonstrate. In this study the parametrium appeared as a highly vascular and essentially venous connective structure with a variable morphology dependent on the uterine position.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s00276-998-0123-1
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Correlation between computed tomography and gross anatomy of the suspensory ligament of the ovary (2000)
    Springer
    Surgical and radiologic anatomy 21 (2000), S. 341-346 
    Details
    ISSN: 1279-8517
    Keywords: Female pelvis ; Infundibulo-pelvic ligament ; Axial computed tomography ; Macroscopic anatomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract To assess the morphology of the suspensory ligament of the ovary on CT scan examination, an anatomic study of the suspensory ligament of the ovary was performed to demonstrate its morphology on CT and to facilitate the visualization of the ovaries. Twelve female cadavers were studied after intravascular injection of latex (venous 2, arterial 6, arterio-venous 4). We first observed all the pelvises after their transection. Six dissections were then made to obtain optimal anatomic correlations on the content and relations of the infundibulo-pelvic ligament. The arterial opacifications were poor compared with to the good quality of the venous or arterio-venous opacifications. An upright correlation between CT slices and the anatomic study was made. This radio-anatomic study emphazises the importance of the veins, which really support the suspensory ligament of the ovary, as opposed to the involution of the arteries. This study points out the link between the infundibulo-pelvic ligament above and the utero-ovarian below, then with the superficial uterine vv. All these structures were well analyzed on CT and during the anatomic studies. A very well developed periovarian venous plexus which frequently concealed the ovaries was demonstrated. Some anatomic variations which were invisible on the CT scan examinations were displayed. The visualization of the suspensory ligament of the ovary should facilitate the visualization of the ovaries and could optimize the search for lymphadenopathies originating from ovarian cancers.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s00276-999-0341-1
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 4
    Electronic Resource
    Electronic Resource
    Correlation between computed tomography and gross anatomy of the suspensory ligament of the ovary (1999)
    Springer
    Surgical and radiologic anatomy 21 (1999), S. 341-346 
    Details
    ISSN: 1279-8517
    Keywords: Female pelvis ; Infundibulo-pelvic ligament ; Axial computed tomography ; Macroscopic anatomy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Pour corréler les études tomodensitométrique (TDM) et anatomique du ligament suspenseur de l'ovaire pour en préciser son aspect en TDM et son rôle potentiel dans le repérage des ovaires, nous avons réalisé une étude radio-anatomique sur 12 cadavres féminins initialement étudiés par TDM après injection intra-vasculaire de latex (veineuse : 2, artérielle : 6, artérielle et veineuse : 4). L'observation initiale des pelvis après isolement des blocs pelviens puis la dissection de six sujets ont permis d'obtenir des corrélations anatomiques précises sur les rapports et le contenu du ligament suspenseur de l'ovaire. Les opacifications artérielles obtenues étaient de mauvaise qualité, par contre les injections veineuses ou artérielles et veineuses ont permis une bonne corrélation entre coupes TDM et l'ðude anatomique. Cela souligne l'importance du réseau veineux qui sous-tend réellement le ligament suspenseur de l'ovaire contrairement à l'involution artérielle notée habituellement. L'étude montre la continuité effective entre le ligament «infundibulo-pelvien» en haut et le ligament «utéroovarien» en bas prolongé par les veines utérines, structures parfaitement analysées en TDM. La fréquence du développement du plexus pampiniforme dans de nombreux cas masquant fréquemment les ovaires déja atrophiques est soulignée. Quelques variantes anatomiques non détectées en TDM ont pû être mises en évidence. La visualisation du ligament suspenseur de l'ovaire permet de faciliter le repérage de l'ovaire et pourrait optimiser la recherche d'adénopathies satellites des cancers ovariens.
    Notes: Summary To assess the morphology of the suspensory ligament of the ovary on CT scan examination, an anatomic study of the suspensory ligament of the ovary was performed to demonstrate its morphology on CT and to facilitate the visualization of the ovaries. Twelve female cadavers were studied after intravascular injection of latex (venous: 2, arterial: 6, arterio-venous: 4). We first observed all the pelvises after their transection. Six dissections were then made to obtain optimal anatomic correlations on the content and relations of the infundibulo-pelvic ligament. The arterial opacifications were poor compared with to the good quality of the venous or arteriovenous opacifications. An upright correlation between CT slices and the anatomic study was made. This radio-anatomic study emphazises the importance of the veins, which really support the suspensory ligament of the ovary, as opposed to the involution of the arteries. This study points out the link between the infundibulo-pelvic ligament above and the utero-ovarian below, then with the superficial uterine vv. All these structures were well analyzed on CT and during the anatomic studies. A very well developed periovarian venous plexus which frequently concealed the ovaries was demonstrated. Some anatomic variations which were invisible on the CT scan examinations were displayed. The visualization of the suspensory ligament of the ovary should facilitate the visualization of the ovaries and could optimize the search for lymphadenopathies originating from ovarian cancers.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01631336
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 5
    Electronic Resource
    Electronic Resource
    Anastomoses between the spermatic and visceral veins:a retrospective study of 500 consecutive patients (1997)
    Springer
    Abdominal imaging 22 (1997), S. 226 -232 
    Details
    ISSN: 1432-0509
    Keywords: Key words: Vein, portal—Vein, anastomosis—Veins, anatomy—Phlebography, spermatic.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Background: Do visceral–spermatic vein shunts have any clinical impact on sclerotherapy of varicoceles? Methods: The spermatic venograms of 500 consecutive patients were retrospectively reviewed to classify visceral–spermatic communications. Men with an average age of 27.8 years (range 11–65 years old) underwent sclerotherapy of a varicocele. Of the 500 men, 445 were referred for oligoasthenospermia (89%), 45 for pain (9%), and 10 for prevention of infertility (2%). After bilateral catheterization, percutaneous sclerosis was performed below the upper third of the sacroiliac joint. Results: Three hundred forty patients (68%) had left-sided, 10 (2%) had right-sided, and 150 (30%) had bilateral varicoceles. Left side: Of 46 (9.4%) anastomoses, one (0.2%) communicated with the splenic vein and 45 (9.2%) with the inferior mesenteric vein of which 25 (5.1%) were a colic trunk with a competent valve, 15 (3.1%) were venules, and five (1%) were a single or double anastomosis. Right side: Of 48 (29.6%) anastomoses to the superior mesenteric vein, 34 (21%) were venules, 12 (7.4%) were a colic trunk with a competent valve, and two (1.2%) were a single or double vein. Our varicocele recurrence rate was only 1.2%. Conclusion: Visceral–spermatic vein communications are classified by number, morphology, and site. Percutaneous sclerotherapy could be optimized when performed caudally to these communications.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s002619900176
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    Paper (German National Licenses)
    Fulltext
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