Combined utero ovarian artery ligation (Quadruple ligation) was done in one patient, and two patients responded to bilateral internal iliac artery ligation (BIIL) or
hypogastric artery ligation (HAL).
Aggressive resection at the level of the low rectum requires extensive surgical dissection of the retrorectal space, with the potential for inadvertent injury to surrounding neurovascular structures, such as the pelvic splanchnic nerves and superior and inferior
hypogastric plexus.
The pain localization were found in the epigastric, umblical or/and
hypogastric region.
Exclusion criteria have been also proposed as follows: purely coccygeal, gluteal, or
hypogastric pain, exclusively paroxysmal pain, exclusive pruritus, presence of imaging abnormalities able to explain the symptoms.[3]
- Laterally: Ureter, internal iliac vessels and
hypogastric nerves.
Although percutaneous embolization of the
hypogastric and gonadal veins could be an alternative approach for pelvic venous congestion syndrome, in rare cases, complications such as coil migration may occur [1].
Due to severe adhesion of lesion during operation, the
hypogastric nerve near sacrospinous ligament may be injured during separation of uterine-rectal lacuna and excision of sacrospinous ligament, so patients may suffer from dysfunction of the rectum and bladder.
On physical examination, one may observe abdominal tenderness, presence of a
hypogastric palpable mass, arterial hypertension and oedema of lower extremities.
Objective: To study the efficacy of superior
hypogastric block as a method of pain relief for abdominal hysterectomy performed under spinal anaesthesia for benign indications.
Use of a
hypogastric flap and split-thickness skin grafting for a degloving injury of the penis and scrotum: A different approach.
Inferior mesenteric ganglion (IMG) is prevertebral ganglia,
hypogastric nerve which is gave off by IMG is major source of sympathetic nerve that dominate uterus (Schofield, 1952; Owman, 1981).
Palpation of the abdomen showed intense
hypogastric pain that increased with lower extremity movements and decreased at rest.