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Czasopismo

2005 | 64 | 2 |

Tytuł artykułu

The retroperitoneal anastomoses of the gonadal veins in human foetuses

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
In the retroperitoneal space the gonadal veins form a collateral circulation that has a great clinical impact on sclerotherapy or surgical ligation of varicoceles. The aim of this study was to examine the communications of the gonadal veins (according to classification, frequency of appearance, gender and syntopic differences) in human foetuses of both sexes (71 males and 59 females) aged 4–6 months of intrauterine life. On the right side the most frequently were found the gonadal-periureteral anastomosis (23%) and the gonadal-perirenal anastomosis (22%). A gonadal-lumbar anastomosis on the right side appeared in 7% of cases. On the left side the most frequent (37%) was the gonadalperirenal anastomosis, more frequently occurring as an ovarian-perirenal anastomosis (48%) than as a testicular-perirenal anastomosis (29%). Gonadal-periureteral anastomoses were found in a quarter of cases. Gonadal-lumbar anastomoses were observed in 7% of individuals. On the left side the gonadal-mesenteric inferior anastomosis was specifically observed (21%) as an ovarian-mesenteric inferior anastomosis (24%) and a testicular-mesenteric inferior anastomosis (19%). The cross-communications between the right and left gonadal veins (7%) were more frequently as the bilateral testicular (9.7%) than as the bilateral ovarian one (3%). In female foetuses gonadal-perirenal anastomoses occurred with statistically greater frequency than gonadal-periureteral anastomoses (p ≤ 0.05). The frequency of cross-communications of the gonadal veins was three times greater in male foetuses (p ≤ 0.01). Statistical analysis revealed a significantly greater frequency of left-sided anastomoses: the gonadal-perirenal in both sexes (p ≤ 0.05), the gonadal-periureteral in males (P ≤ 0.05) and the gonadalmesenteric inferior in both sexes (p ≤ 0.01).

Wydawca

-

Czasopismo

Rocznik

Tom

64

Numer

2

Opis fizyczny

p.72-77,fig.,ref.

Twórcy

autor
  • The Ludwik Rydygier Collegium Medicum, Bydgoszcz, Nicolaus Copernicus University, Torun, Poland
autor

Bibliografia

  • 1. Bensussan D, Huguet JF (1984) Radiological anatomy of the testicular vein. Anat Clin, 6: 143–154.
  • 2. Bigot JM, Barret F, Helenon C (1982) Phlebography of the right spermatic vein in varicoceles. Varicocele and male infertility. Springer-Verlag, Berlin.
  • 3. Bigot JM, Chatel A (1980) The value of retrograde spermatic phlebography in varicocele. Eur Urol, 6: 301–306.
  • 4. Bigot JM, Le-Blanche AF, Corette MF, Gagey N, Bazot M, Boudghene FP (1997) Anastomoses between the spermatic and visceral veins: a retrospective study of 500 consecutive patients. Abdom Imaging, 22: 226–232.
  • 5. Bigot JM, Utzmann O (1983) Right varicocele: contribution of spermatic phlebography. Results on 250 cases. J Urol, 89: 121–131.
  • 6. Braedel H, Steffens J, Ziegler M (1992) Die idiopathische linksseitige Varikozele — eine ontogenetische Fehlerentwicklung? Urologie, 31: 368–373.
  • 7. Braedel H, Steffens J, Ziegler M, Polsky MS (1991) Observations on the formation of the secondary venous system of the abdominal cavity with special reference to idiopathic left sided varicocele. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr, 153: 9–11.
  • 8. Braedel H, Steffens J, Ziegler M, Polsky MS, Platt ML (1994) A possible ontogenic etiology for idiopathic left varicocele. J Urol, 151: 62–66.
  • 9. Chatel A, Bigot J M, Barret F, Helenon C (1979) Veines spermatiques voies de suppleance. J Radiol, 60: 121–127.
  • 10. Giacchetto C, Catizone F, Cotroneo GB (1989) Radiologic anatomy of the genital venous system in female patients with varicocele. Surg Gynecol Obstet, 169: 403–407.
  • 11. Harrison RG (1966) Male infertility. The anatomy of varicocele. Proc Roy Soc Med, 59: 763–767.
  • 12. Riedl P (1980) Retroaortale Nierenvenen — eine mögliche Ursache der linksseitigen Varicozele. ROEFO, 133: 477–479.
  • 13. Riedl P (1982) Radiologic anatomy of the left testicular vein in varicoceles. Varicocele and male infertility. Recent advances in diagnosis and therapy. Springer-Verlag, Berlin, pp. 49–58.
  • 14. Riedl P, Lunglmayr M, Stackl D (1981) A new method of transfemoral testicular vein obliteration for varicocele using a baloon catheter. Radiology, 139: 323–325.
  • 15. Sadler TW (1993) Langman’s Medical Embryology. Med Tour Press International, Warszawa.
  • 16. Sigmund G, Wimmer B (1989) Die linke Ovarialvene als funktionelle Nierenvene. Fortschr Röntgenstr, 151: 243–244.
  • 17. Sofikitis N, Dritsas K, Miyagawa I, Koutselinis A (1993) Anatomical characteristics of the left testicular venous system in man. Arch Androl, 30: 79–85.
  • 18. Wishahi MM (1991) Anatomy of the venous drainage of the human testis: testicular vein cast, microdissection and radiographic demonstration. Eur Urol, 20: 154–160.
  • 19. Wishahi MM (1992) Anatomy of the spermatic venous plexus (pampiniform plexus) in men with and without varicocele : intraoperative venographic study. J Urol, 147: 1285–1289.
  • 20. Wishahi MM (1991) Detailed anatomy of the internal spermatic vein and the ovarian vein. Human cadaver study and operative spermatic venography: clinical aspects. J Urol, 145: 780–786.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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