ABSTRACT
Perineal access to a. pudenda interna (API) was elaborated. Variants of the a. iliaca interna and her branches localization and topographic-anatomic peculiarities of perineal portion of API were studied. The proposed perineal (extraperitoneal) access to API is most expedient in the perineal region bleeding stopping. Morphometrical parameters of perineal portion of API permit to apply her for formation of vascular anastomosis in the procedure of revascularization of the descended colon while the intestinal continuity restoration.
Subject(s)
Iliac Artery/surgery , Perineum , Anastomosis, Surgical , Female , Hemorrhage/prevention & control , Humans , Male , Perineum/anatomy & histology , Perineum/blood supply , Perineum/surgery , Treatment OutcomeABSTRACT
Radical operations are considered to be expedient in the treatment of acute shoe-shaped periproctitis. On the one side the necrotic tissues are dissected together with the primary purulent passage. On the other side the purulent cavity is opened by a semilunar incision. Operations were made in 19 patients with acute shoe-shaped periproctitis. The function of the anal sphincter was preserved.
