Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

The critical hypogastric circulation.

J I Iliopoulos1, P E Howanitz, G E Pierce

  • 1Department of Surgery, University of Kansas Medical Center, Kansas City 66103.

American Journal of Surgery
|December 1, 1987
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Energy dependence of moments of net-proton multiplicity distributions at RHIC.

Physical review letters·2014
Same author

Measurement of J/ψ azimuthal anisotropy in Au+Au collisions at sqrt[s(NN)]=200 GeV.

Physical review letters·2013
Same author

Charge separation relative to the reaction plane in Pb-Pb collisions at sqrt[s(NN)] = 2.76 TeV.

Physical review letters·2013
Same author

Directed flow of identified particles in Au+Au collisions at √[SNN]=200  GeV at RHIC.

Physical review letters·2012
Same author

J/ψ polarization in pp collisions at √s=7 TeV.

Physical review letters·2012
Same author

Particle-yield modification in jetlike azimuthal dihadron correlations in Pb-Pb collisions at √s(NN)=2.76 TeV.

Physical review letters·2012
Same journal

Innovative management of Anterior Cutaneous Nerve Entrapment Syndrome (ACNES): A meta-analysis and introduction of a new robotic approach with patient-based algorithm.

American journal of surgery·2026
Same journal

Does the risk outweigh the benefit? Clot progression, recanalization & complications of anticoagulation therapy in acute pancreatitis with concomitant splanchnic vein thrombosis.

American journal of surgery·2026
Same journal

High and low body mass index and 90-day postoperative outcomes in patients with Crohn's disease undergoing abdominal surgery.

American journal of surgery·2026
Same journal

Women with firearm injuries: A multicenter mixed-methods study.

American journal of surgery·2026
Same journal

SBAS presidential address: A surgeon-scientist's journey from haptic science to digital performance metrics.

American journal of surgery·2026
Same journal

Using Dr. Google and AI to stay informed.

American journal of surgery·2026
See all related articles

Maintaining hypogastric artery patency is crucial after aortoiliac reconstruction to prevent severe ischemic complications. Ligation or thrombosis can lead to paralysis, necrosis, and increased mortality.

Area of Science:

  • Vascular Surgery
  • Reconstructive Surgery
  • Ischemic Complications

Background:

  • Aortoiliac reconstruction is a common procedure for vascular disease.
  • Hypogastric arteries (internal iliac arteries) supply pelvic organs and lower extremities.
  • Ischemic complications can arise from alterations in blood flow to these critical vessels.

Purpose of the Study:

  • To investigate the incidence and severity of ischemic complications following aortoiliac reconstruction.
  • To determine the impact of hypogastric artery compromise on patient outcomes.
  • To emphasize the importance of preserving hypogastric artery patency.

Main Methods:

  • Retrospective review of eleven patients who experienced ischemic complications.
  • Analysis of complications related to hypogastric artery ligation, hypoperfusion, exclusion, or thrombosis.

Related Experiment Videos

  • Correlation of specific ischemic events with patient morbidity and mortality.

    • Main Results:

    • Ligation of one hypogastric artery caused buttock claudication in 3 patients.
    • Bilateral hypogastric artery ischemia occurred in 8 patients, leading to paralysis (8/8), buttock necrosis (4/8), sphincteric dysfunction (2/8), and colorectal ischemia (3/8).
    • Overall mortality was 63% (5/8), and 100% if buttock necrosis developed.

    Conclusions:

    • Hypogastric artery patency is essential in aortoiliac reconstructions.
    • Compromise of these vessels can lead to devastating ischemic sequelae and high mortality.
    • Surgical strategies should prioritize maintaining blood flow through the hypogastric arteries.