Variant anatomy of the internal iliac vein and its applications



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Abstract

The article analyzes the data of special literature devoted to the variant anatomy of the internal iliac vein (IIV), its structure and morphometric characteristics. The evaluation of variant anatomy on postvital material was carried out in different years by P.A. LePage (1991), D. Venieratos (2012), P. Kanjanasilp (2019). An extensive analysis of the architectonics of the main trunk of the IIV according to vestibular methods (n=2488) was performed by M. Shin (2014), who identified 8 variants. This approach formed the basis of a similar work (n=1071) by A. Hekimoglu (2021). Morphometric study of IIVs was also performed by D. Sat-Munoz (2020), M. G. Shkvarko (2021). D. Sat-Munoz categorized the variants of IIV formation into 3 types, according to the classification of R. Gregoire (2007), based on the relationship of the IIV with the artery of the same name. According to D. Kachlik (2010), in most cases (about 50%) the root of the IIV is the internal genital vein, which penetrates into the pelvis through the subclavian orifice, in 30% of cases the anterior and posterior trunks can be identified in the architectonics of the IIV by analogy with the internal iliac artery, which are the roots, in 20% of observations the IIV trunk is formed by many small tributaries and the identification of roots and trunks is not possible. According to our data, the typical variant of the IIV formation is the one in which its roots and tributaries (except for the umbilical vein) correspond to the branches of the artery of the same name, and a typical variant of the IIV architectonics should be considered the fusion of the anterior and posterior trunks, the roots of which are the internal genital vein and the superior gluteal vein, respectively. All visceral tributaries flow into the anterior trunk, and almost all extramural tributaries accompanying branches of the internal iliac artery flow into the posterior trunk. It was found that the majority of authors studied the architectonics of the main trunk of the IVC without systematization of its tributaries.

About the authors

Valery Rumyantsev

Military medical academy

Author for correspondence.
Email: doctorelanmp@bk.ru
ORCID iD: 0000-0001-7526-6282
SPIN-code: 8166-9820

adjunct, Department of Naval Surgery

Russian Federation, Russian Federation, 194044, Akademika Lebedeva St., 6

Ivan V. Gaivoronskii

Kirov Military Medical Academy; Saint Petersburg State University

Email: i.v.gaivoronsky@mail.ru
ORCID iD: 0000-0002-7232-6419
SPIN-code: 1898-3355
ResearcherId: А-6482-2016

MD, Dr. Sci. (Med.), professor

Russian Federation, Russian Federation, 194044, Akademika Lebedeva St., 6

Dmitry A. Surov

Kirov Military Medical Academy

Email: sda120675@mail.ru
ORCID iD: 0000-0002-4519-0018
SPIN-code: 5346-1613
Scopus Author ID: 445844

MD, Dr. Sci. (Med.), associate professor

Russian Federation, Russian Federation, 194044, Akademika Lebedeva St., 6

Gennadiy I. Nichiporuk

Kirov Military Medical Academy; Saint Petersburg State University

Email: nichiporuki120@mail.ru
ORCID iD: 0000-0001-5569-7325
SPIN-code: 3532-1203

Cand. Sci. (Med.), associate professor

Russian Federation, 194044, Akademika Lebedeva St., 6

Oleg V. Balyura

Kirov Military Medical Academy

Email: olegbalura@gmail.com
ORCID iD: 0000-0001-7826-8056
SPIN-code: 9260-9850

Cand. Sci. (Med.)

Russian Federation, Russian Federation, 194044, Akademika Lebedeva St., 6

References

  1. Gajvoronskij IV, Kotiv BN, Kovalenko NA, i dr. Variantnaja anatomija zheludochno-obodochnogo stvola Genle i ejo prikladnoe znachenie v hirurgii. Vestnik Rossijskoj Voenno-medicinskoj akademii. 2018;20(2):124-129. (In Russ.). doi: 10.17816/brmma1228.
  2. Nayak SB. Dangerous twisted communications between external and internal iliac veins which might rupture during catheterization. Anat Cell Biol. 2018;51(4):309. doi: 10.5115/acb.2018.51.4.309.
  3. Tubbs RS, Shoja MM, Loukas M. Bergman’s Comprehensive encyclopedia of human Anatomic Variation. 1st ed., ed. Wiley; 2016. doi: 10.1002/9781118430309.
  4. Gajvoronskij IV. Normal'naja anatomija cheloveka. SpecLit; 2020. (In Russ).
  5. Kachlik D, Pechacek V, Musil V, Baca V. The venous system of the pelvis: new nomenclature. Phlebology. 2010;25(4):162–173. doi: 10.1258/phleb.2010.010006.
  6. Moore KL, Persaud TVN, Torchia MG. The Developing Human. Elsevier; 2016.
  7. Sadler TW (Thomas W). Langman’s medical embryology. Philadelphia: Lippincott William & Wilkins; 2010.
  8. Lotz P, Seeger J. Normal variations in iliac venous anatomy. American Journal of Roentgenology. American Roentgen Ray Society. 1982;138(4):735–738. doi: 10.2214/ajr.138.4.735.
  9. LePage PA, Villavicencio JL, Gomez ER, et al. The valvular anatomy of the iliac venous system and its clinical implications. J Vasc Surg. 1991;14(5):678–683.
  10. Venieratos D, Panagouli E, Lolis E. Variations of the iliac and pelvic venous systems with special attention to the drainage patterns of the ascending lumbar and iliolumbar veins. Annals of Anatomy - Anatomischer anzeiger. 2012;194(4):396–403. doi: 10.1016/j.aanat.2011.12.003.
  11. Kanjanasilp P, Ng JL, Kajohnwongsatit K, et al. Anatomical variations of iliac vein tributaries and their clinical implications during complex pelvic surgeries. Diseases of the Colon & Rectum. 2019;62(7):809–814. doi: 10.1097/DCR.0000000000001335.
  12. Morita S, Saito N, Mitsuhashi N. Variations in internal iliac veins detected using multidetector computed tomography. Acta Radiol. 2007;48(10):1082–1085 doi: 10.1080/02841850701589308.
  13. Shin M, Lee JB, Park SB, et al. Multidetector computed tomography of iliac vein variation: prevalence and classification. Surg Radiol Anat. 2015;37(3):303–309. doi: 10.1007/s00276-014-1316-4.
  14. Hekimoglu A, Ergun O. Evaluation of iliac venous variations with multidetector computed tomography. Surg Radiol Anat. 2021;43(9):1441–1448. doi: 10.1007/s00276-021-02740-7.
  15. Chong GO, Lee YH, Hong DG, et al. Anatomical variations of the internal iliac veins in the presacral area: Clinical implications during sacral colpopepxy or extended pelvic lymphadenectomy. Clin Anat. 2015;28(5):661–664. doi: 10.1002/ca.22482.
  16. Sat-Muñoz D, Balderas-Peña MA, Cortés-Torres EJ, et al. Venas extrapélvicas posteriores tributarias de las venas iliacas internas: morfometría, tipos y variants. C I R U. 2020;88(3):3305. doi: 10.24875/CIRU.19001325]
  17. Shkvarko MG, Radeckaja KA, Smit O, i dr. Hirurgicheskaja anatomija verhnej jagodichnoj arterii i vnutrennej podvzdoshnoj veny u ljudej brahimorfnogo somatotipa. Problemy zdorov'ja i jekologii. 2021;18(2):86-93. (In Russ.). doi: 10.51523/2708-6011.2021-18-2-13.
  18. Vidal V, Monnet O, Jacquier A, et al. Accessory iliac vein: surgical implications. Journal of Spinal Disorders & Techniques. 2010;23(6):398–403. doi: 10.1097/BSD.0b013e3181b26c88.
  19. Majstrenko NA, Hvatov AA, Uchvatkin GV, Sazonov AA. Jekzenteracija malogo taza v lechenii mestno-rasprostranjonnyh opuholej. Vestnik hirurgii imeni I.I. Grekova. 2014;173(6):37-42. doi: 10.24884/0042-4625-2014-173-6-37-42.
  20. Car'kov PV, Efetov SK, Tulina IA, Sidorova LV. Tehnika rezekcii krestca pri kombinirovannyh operacijah po povodu mestno-rasprostranennogo raka prjamoj kishki. Rossijskij zhurnal gastrojenterologii, gepatologii, koloproktologii. 2016;26(5):92-98. doi: 10.22416/1382-4376-2016-26-5-92-98.
  21. Fornalik H, Fornalik N. Uterus transplantation: robotic surgeon perspective. Fertility and Sterility. 2018;109(2):365. doi: 10.1016/j.fertnstert.2017.10.038.
  22. Wagenknecht LV. New treatment of increased venous drainage in organic impotence: ligation of internal iliac veins. Eur Urol. 1989;16(3):172–174. doi: 10.1159/000471563.
  23. Höckel M. Cancer permeates locally within ontogenetic compartments: clinical evidence and implications for cancer surgery. Future Oncology. 2012;8(1):29–36. doi: 10.2217/fon.11.128.
  24. Höckel M. Laterally extended endopelvic resection: Surgical treatment of infrailiac pelvic wall recurrences of gynecologic malignancies. American Journal of Obstetrics and Gynecology. 1999;180(2):306–312. doi: 10.1016/S0002-9378(99)70204-8.
  25. Coker DJ, Austin KKS, Eyers AA, Young CJ. Pre-emptive triple tributary internal iliac vein ligation reduces catastrophic haemorrhage from sacrectomy during pelvic exenterative surgery. Tech Coloproctol. 2017. 21(6):445–450. doi: 10.1007/s10151-017-1638-4.
  26. Ishii M, Shimizu A, Lefor AK, Noda Y. Surgical anatomy of the pelvis for total pelvic exenteration with distal sacrectomy: a cadaveric study. Surg Today. 2021;51(4):627–633. doi: 10.1007/s00595-020-02144-x.
  27. Beckett D, Santos SJ, Dabbs EB, et al. Anatomical abnormalities of the pelvic venous system and their implications for endovascular management of pelvic venous reflux. Phlebology. 2018;33(8):567–574. doi: 10.1177/0268355517735727.
  28. Cardinot TM, Aragao AH, Babinski MA, Favorito LA. Rare variation in course and affluence of internal iliac vein due to its anatomical and surgical significance. Surg Radiol Anat. 2006;28(4):422–425. doi: 10.1007/s00276-006-0110-3.
  29. Chuang VP, Mena CE, Hoskins PA. Congenital anomalies of the inferior vena cava. Review of embryogenesis and presentation of a simplified classification. B J R. 1974;47(556):206–213. doi: 10.1259/0007-1285-47-556-206.
  30. Hayashi S, Naito M, Hirai S, et al. Proposal for a new classification of variations in the iliac venous system based on internal iliac veins: a case series and a review of double and left inferior vena cava. Anat Sci Int. 2013;88(4):183–188. doi: 10.1007/s12565-013-0182-1.
  31. Mehta K, Iwanaga J, Tubbs RS. Absence of the right common iliac vein with the right internal iliac vein arising from the left common iliac vein: case report. Cureus. 2019;11(4):1-4. doi: 10.7759/cureus.4575.
  32. Oto A, Akpinar E, Surucu S, et al. Right internal iliac vein joining the left common iliac vein: case report demonstrated by CT angiography. Surgical and Radiologic Anatomy. 2003;25(3–4):339–341. doi: 10.1007/s00276-003-0123-0.
  33. Greben'kov VG, Rumjancev VN, Ivanov VM, i dr. Perioperacionnoe primenenie tehnologii dopolnennoj real'nosti v hirurgicheskom lechenii bol'nogo mestnorasprostranennym lokoregionarnym recidivom raka prjamoj kishki // Hirurgija. Zhurnal imeni N.I. Pirogova. 2022;12(2):44-53. doi: 10.17116/hirurgia202212244.

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