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Neurovasculature of high and low tie ligation of the inferior mesenteric artery
PURPOSE: Controversy exists as to whether a high or low tie ligation of the inferior mesenteric artery (IMA) is the preferred technique in surgeries of the left colon and rectum. This study aims to contribute to the discussion as to which is the more beneficial technique by investigating the neurova...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Paris
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6244984/ https://www.ncbi.nlm.nih.gov/pubmed/30173375 http://dx.doi.org/10.1007/s00276-018-2092-3 |
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author | Campbell, Amy Macdonald, Angus Oliphant, Raymond Russell, David Fogg, Quentin A. |
author_facet | Campbell, Amy Macdonald, Angus Oliphant, Raymond Russell, David Fogg, Quentin A. |
author_sort | Campbell, Amy |
collection | PubMed |
description | PURPOSE: Controversy exists as to whether a high or low tie ligation of the inferior mesenteric artery (IMA) is the preferred technique in surgeries of the left colon and rectum. This study aims to contribute to the discussion as to which is the more beneficial technique by investigating the neurovasculature at each site. METHODS: Ten embalmed cadaveric donors underwent division of the inferior mesenteric artery at the level of the low tie. The artery was subsequently ligated at the root to render a section of tissue for histological analysis of the proximal (high tie), mid and distal (low tie) segments. RESULTS: Ganglia observed in the proximal end of seven specimens in the sample imply that there would be disruption to the innervation in a high tie procedure. CONCLUSION: This study suggests that a high tie should be avoided if the low tie is oncologically viable. |
format | Online Article Text |
id | pubmed-6244984 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Paris |
record_format | MEDLINE/PubMed |
spelling | pubmed-62449842018-12-04 Neurovasculature of high and low tie ligation of the inferior mesenteric artery Campbell, Amy Macdonald, Angus Oliphant, Raymond Russell, David Fogg, Quentin A. Surg Radiol Anat Original Article PURPOSE: Controversy exists as to whether a high or low tie ligation of the inferior mesenteric artery (IMA) is the preferred technique in surgeries of the left colon and rectum. This study aims to contribute to the discussion as to which is the more beneficial technique by investigating the neurovasculature at each site. METHODS: Ten embalmed cadaveric donors underwent division of the inferior mesenteric artery at the level of the low tie. The artery was subsequently ligated at the root to render a section of tissue for histological analysis of the proximal (high tie), mid and distal (low tie) segments. RESULTS: Ganglia observed in the proximal end of seven specimens in the sample imply that there would be disruption to the innervation in a high tie procedure. CONCLUSION: This study suggests that a high tie should be avoided if the low tie is oncologically viable. Springer Paris 2018-09-01 2018 /pmc/articles/PMC6244984/ /pubmed/30173375 http://dx.doi.org/10.1007/s00276-018-2092-3 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Article Campbell, Amy Macdonald, Angus Oliphant, Raymond Russell, David Fogg, Quentin A. Neurovasculature of high and low tie ligation of the inferior mesenteric artery |
title | Neurovasculature of high and low tie ligation of the inferior mesenteric artery |
title_full | Neurovasculature of high and low tie ligation of the inferior mesenteric artery |
title_fullStr | Neurovasculature of high and low tie ligation of the inferior mesenteric artery |
title_full_unstemmed | Neurovasculature of high and low tie ligation of the inferior mesenteric artery |
title_short | Neurovasculature of high and low tie ligation of the inferior mesenteric artery |
title_sort | neurovasculature of high and low tie ligation of the inferior mesenteric artery |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6244984/ https://www.ncbi.nlm.nih.gov/pubmed/30173375 http://dx.doi.org/10.1007/s00276-018-2092-3 |
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