By Jay Y. Gillenwater MD, John T. Grayhack MD, Stuart S. Howards MD, Michael E. Mitchell MD
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Extra resources for Adult and Pediatric Urology (3-Volume Set)
The line of incision is now extended farther toward the right common iliac artery from the abdominal aorta so that the cecum can be dissected from the underlying retroperitoneal connective tissue (Fig. 48). 48. The incision is extended from the abdominal aorta over the right common iliac artery. The incision is extended along the right paracolic sulcus and ended at the inferior border of the epiploic foramen (of Winslow) (Fig. 49). This provides access for dissecting the ascending colon and right colic flexure from Gerota's fascia.
65. Dissection of the lateral bladder pedicle. 66. Close-up view of the dissection of the lateral bladder pedicle. The obturator artery, superior vesical artery, and inferior vesical artery are identified and clipped. Variants of the Internal Iliac Artery The branching pattern of the internal iliac artery is extremely variable. The most common variants of the parietal branches of the internal iliac artery are shown in Fig. 67 . The internal iliac artery usually divides at a variable level into an anterior and a posterior trunk.
74. Anatomic specimen (adult, lateral view; the right hip bone has been completely removed). 75. Corresponding drawing to Fig. 74. Anatomy and Innervation of the Rhabdosphincter: Female On macroscopic examination, the sphincteric muscle is encountered on the ventral and lateral aspects of the urethra. Microscopically, this muscle corresponds to the omega-shaped rhabdosphincter in the male. On histologic examination, in the cranial two-thirds of the urethra, three smooth muscle layers can be identified forming an outer and an inner longitudinal and a middle transverse layer.