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[Arcus tendineus fascia pelvis: anatomical study]
F Narducci1, B Occelli, J Hautefeuille
1Hôpital Jeanne de Flandre, Département de Chirurgie Gynécologique, CHU Lille, 59037 Lille.
Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|December 19, 2000
Summary
The arcus tendineus fascia pelvis is a key anatomical structure. Precise surgical placement anterior to the posterior part avoids pudendal vessel injury.
Area of Science:
- Anatomical studies
- Pelvic anatomy
- Surgical anatomy
Context:
- The arcus tendineus fascia pelvis is a critical anatomical landmark in pelvic surgery.
- Understanding its precise location and relationship with surrounding structures is essential for surgical safety.
Purpose:
- To delineate the detailed anatomy of the arcus tendineus fascia pelvis.
- To identify its relationship with the obturator internus muscle, peritoneum, ischial spine, and pudendal vessels.
Summary:
- Dissection of two female cadaver pelvises revealed the arcus tendineus fascia pelvis as a 10 cm fibrous recess.
- The posterior part of the arcus tendineus fascia pelvis is contiguous with the levator ani fascia and curves anteriorly, located 1 cm anterior to the ischial spine and 2 cm anterior to the pudendal vessels.
- Obturator internus vessels originate from the internal iliac vessels and cross laterally to the arcus tendineus fascia pelvis.
Impact:
- Provides crucial anatomical information for pelvic surgeons.
- Highlights the importance of accurate suture placement in the anterior and median parts of the arcus tendineus fascia pelvis to prevent pudendal vessel damage.