<<
>>

Additional and-or abberantnye pudentalnye arteries

After formation pozadilonnogo spaces additional and-or abberantnye pudentalnye arteries should be visualised and are whenever possible kept. In one of anatomic researches on corpses the assumption that in 70 % of cases at men take place infra - and supralevatornye penilnye arteries, in 15 % only infralevatornye and in 15 % only supralevatornye [9] has been come out.

Supralevatornaja the artery occurs from branches obturatornoj, internal and external ileal arteries. The given arteries passes along a bladder at a parentage from an internal ileal artery, can pass along a basin wall, starting with obturatornoj arteries, or separate from levators as apical pudentalnyh arteries. Much less often additional arteries are continuation of a branch of an external ileal artery. Thus vessels run in DVK lateralnee, that frames possibility for their conservation (the Drawing 3.5).

Drawing 3.5 - Additional sexual arteries

Radical prostakektomija it is carried out to the patients who are in age group of men to subject disturbances of erectile function of this or that degree. There is for the various reasons, one of which the atherosclerosis affecting blood supply of a sexual member, resultant in development of arterial insufficiency. During an operative measure it is very easy to distinguish and keep large additional vessels, however it is not necessary to forget about presence of the fine arteries accompanying sosudistonervnye fascicles. These arteries frequently remain not noticed and are crossed during performance of an open intervention. Probably, that blood supply by means of these hardly noticeable arteries, together with large vessels, is capable to provide adequate erectile function at patients after a radical prostatectomy. At use roboticheskoj technicians the surgeon has possibility to visualise and pretsizionno to keep even the fineest additional vessels that can have critical value in sex aftertreatment of patients. For this reason we recommend as it is possible more carefully and to concern more carefully arterial vessels even the smallest calibre.

3.1.5

<< | >>
A source: KOLONTAREV KONSTANTIN BORISOVICH. the ROBOT-ASSISTED the RADICAL PROSTATECTOMY. The dissertation on competition of a scientific degree of the doctor of medical sciences. Moscow,. 2015

More on topic Additional and-or abberantnye pudentalnye arteries:

  1. 3.2.2. JAjtseprovodnye arteries
  2. dependence of character NMK on a pathogenesis of disturbances of a blood flow in pozvonochnyh arteries.
  3. 1.2. Morphological features of arteries, veins and intramuralnogo a vascular bed of a reproductive organs
  4. a preeclampsia Forecasting effectiveness dopplerosonometriej uterine arteries in 11-13 weeks of pregnancy
  5. Additional accounts and the qualitative analysis in model Additional accounts.
  6. Additional treatment
  7. § 3. Appointment of additional punishments at probation
  8. § 3. Additional holidays and their kinds
  9. 2.2 Classification of additional services of cellular communication.
  10. § 2. Other additional punishments
  11. Requirement for additional financing
  12. appointment of repeated and additional examination
  13. additional methods of inspection