Neurovasculature of high and low tie ligation of the inferior mesenteric artery

Amy Campbell; Angus MacDonald; Raymond  Oliphant; David  Russell; Quentin A. Fogg

doi:10.1007/s00276-018-2092-3

Neurovasculature of high and low tie ligation of the inferior mesenteric artery

Amy Campbell (Lead / Corresponding author), Angus MacDonald, Raymond Oliphant, David Russell, Quentin A. Fogg

Postgraduate Medicine

Research output: Contribution to journal › Article › peer-review

10 Citations (Scopus)

192 Downloads (Pure)

Abstract

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.

Original language	English
Pages (from-to)	1343-1348
Number of pages	6
Journal	Surgical and Radiologic Anatomy
Volume	40
Issue number	12
Early online date	1 Sept 2018
DOIs	https://doi.org/10.1007/s00276-018-2092-3
Publication status	Published - 1 Dec 2018

Keywords

High tie
Histology
Inferior mesenteric artery
Low tie
Neurovasculature

ASJC Scopus subject areas

Anatomy
Surgery
Pathology and Forensic Medicine
Radiology Nuclear Medicine and imaging

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10.1007/s00276-018-2092-3Licence: CC BY

Final Published VersionFinal published version, 1.38 MBLicence: CC BY

Cite this

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abstract = "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 theinnervation in a high tie procedure.Conclusion: This study suggests that a high tie should be avoided if the low tie is oncologically viable.",

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AU - Campbell, Amy

AU - MacDonald, Angus

AU - Oliphant, Raymond

AU - Russell, David

AU - Fogg, Quentin A.

PY - 2018/12/1

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N2 - 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 theinnervation in a high tie procedure.Conclusion: This study suggests that a high tie should be avoided if the low tie is oncologically viable.

AB - 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 theinnervation in a high tie procedure.Conclusion: This study suggests that a high tie should be avoided if the low tie is oncologically viable.

KW - High tie

KW - Histology

KW - Inferior mesenteric artery

KW - Low tie

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Neurovasculature of high and low tie ligation of the inferior mesenteric artery

Abstract

Keywords

ASJC Scopus subject areas

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