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A comprehensive study of mesoappendix and arterial pattern of appendix

C Swathipriyadarshini1, Hannahsugirthabai Rajilarajendran2, Thotakura Balaji2

  • 1Department of Anatomy, Tagore Medical College and Hospital, Chennai, India.

Turkish Journal of Surgery
|July 25, 2022
PubMed
Abstract

Insights

Understanding the mesoappendix length and appendicular artery variations is crucial for safe appendix surgery. Anatomical variations impact inflammation, tumor spread, and surgical outcomes, necessitating detailed study.

Area of Science:

  • Anatomy
  • Surgical Anatomy
  • Vascular Anatomy

Background:

  • The mesoappendix length and its arterial supply are critical factors in appendiceal inflammation, tumor progression, and surgical resection.
  • Variations in the origin and branching of the appendicular artery can lead to intraoperative and postoperative complications.

Purpose of the Study:

  • To investigate the length and attachment of the mesoappendix.
  • To analyze the origin and branching patterns of the appendicular artery and its accessory branches.

Main Methods:

  • Dissection of sixty formalin-fixed appendix specimens, including the intact mesoappendix.
  • Analysis of mesoappendix attachment, appendicular artery origin, and accessory branches.

Main Results:

  • A whole-length mesoappendix was observed in 76% of specimens.
  • The main appendicular artery originated from the ileocolic artery in 80% of cases.
  • An accessory appendicular artery was identified in 13% of specimens.

Conclusions:

  • Significant individual variations exist in mesoappendix anatomy and appendicular artery branching patterns.
  • Awareness of these anatomical variations is essential for surgeons performing appendiceal procedures to minimize complications.
Keywords:
Appendixappendectomyappendicular arterymesoappendix

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