{"id":1005,"date":"2017-10-31T14:24:07","date_gmt":"2017-10-31T14:24:07","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=1005"},"modified":"2017-10-31T14:24:26","modified_gmt":"2017-10-31T14:24:26","slug":"ijar-2017-394","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2017-394","title":{"rendered":"IJAR.2017.394"},"content":{"rendered":"
<\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div>
<\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n

Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n

Volume 5; Issue 4.2 (November 2017)<\/strong><\/h3>\n

Page No.:<\/strong>\u00a04553-4557<\/h3>\n

DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2017.394<\/h3>\n

THE STUDY OF SACRAL HIATUS IN TAMILNADU AND ITS CLINICAL IMPORTANCE IN CAUDAL EDIPDURAL ANAESTHESIA<\/h3>\n

Senthamizhselvi\u00a0 R *1<\/sup>, Latha\u00a0 M 2<\/sup>, Sivaranjani\u00a0 K 3<\/sup>, Karthikeyan T 4<\/sup>, Siva K V 5<\/sup>.<\/strong><\/p>\n

*1 <\/sup>Assistant Professor, Department of Anatomy, Chengalpattu Medical College, Chengalpattu, Tamilnadu, India.<\/p>\n

\u00a02 <\/sup>Assistant Professor, Department of Anatomy, Madurai Medical College, Madurai, Tamilnadu, India.<\/p>\n

3 <\/sup>Assistant Professor, Department of Anatomy, Chengalpattu Medical College, Chengalpattu, Tamilnadu, India.<\/p>\n

4<\/sup> Assistant Professor, Department of Anatomy, Chengalpattu Medical College, Chengalpattu, Tamilnadu ,India.<\/p>\n

5<\/sup> II year MBBS student, Chengalpattu Medical College, Chengalpattu, Tamilnadu, India.<\/p>\n

CORRESPONDING AUTHOR ADDRESS FOR COMMUNICATION: <\/strong>Dr. R. Senthamizhselvi\u00a0 M.D.(Anatomy), Assistant Professor, Department of Anatomy, Chengalpattu Medical College, Chengalpattu, Tamilnadu, India. Contact no.: 9080637507\u00a0E-Mai: <\/strong>senrajselvi@gmail.com<\/p>\n

ABSTRACT<\/strong><\/p>\n

Background and Aims:<\/strong>\u00a0 The sacral hiatus is formed by the failure of lamina of the fifth sacral vertebra to meet in the median plane. The aim is to study the sacral hiatus, as the effectiveness of caudal epidural anaesthesia depends on the knowledge in anatomy of sacral hiatus and its variations.<\/p>\n

Materials and Methods: <\/strong>In this study 107 sacral bones of unknown sex are obtained from Chengalpattu medical college in Tamilnadu and studied under various parameters like shape, apex, base, length, width and anteroposterior diameter of the sacral hiatus using\u00a0 vernier caliper of accuracy 0.1mm.<\/p>\n

Results: <\/strong>The maximum number of sacra exhibits Inverted \u2018U\u2019 shaped sacral hiatus, with apex at S4 and base at S5. The average length, width and anteroposterior diameter are between 11-20mm, 11-15mm and 5-6mm respectively. Two sacra had absent sacral hiatus and 5 sacra had completely unfused lamina.<\/p>\n

Conclusion:<\/strong> Caudal epidural anaesthesia is impossible in persons with absent sacral hiatus. Completely unfused sacrum and abnormally elongated sacral hiatus can result in accidental subdural injection and subarachanoid injection. The size and shape of sacral hiatus varies considerably. The awareness of such variations is essential for the clinicians during caudal epidural approaches.<\/p>\n

Keywords:<\/strong> Sacra, Sacral hiatus, Caudal epidural anaesthesia.<\/p>\n

REFERENCES<\/strong><\/p>\n

    \n
  1. Standring S ed. Gray\u2019s Anatomy- The Anatomical Basis of Clinical Practice. 40th ed. London: Elsevier; 2008.724-728.<\/li>\n
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  3. Harold E.The sacrum and caudal block. Anesth Intensive care 2006;7(11):397-398.<\/li>\n
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  6. Shu-Yam Wong, Jihn-Yih Li, Chit-Chen, Chi-Hao Tseng, Shiue-Chin Liou, Shih-Chang Tsai et al. Caudal epidural block for minor gynecologic procedures in outpatient surgery. Chang Gung Med J 2004;27(2):116-120.<\/li>\n
  7. Weiner BK, Fraser RD. Foraminal injection for lateral lumbar disc herniation. J Bone Joint Surg Br 1997;79:804-807.<\/li>\n
  8. Vinod Kumar et al. Morphometrical study of sacral hiatus. J Anat Soc India 1992;41(1):7-13.<\/li>\n
  9. Nagar SK. A study of sacral hiatus in dry human sacra. J Anat Soc India 2004;53(2):18-21.<\/li>\n
  10. Sekiguchi M, Yabuki S, Satoh K, Kikuchi S. An anatomic study of sacral hiatus: A basis for successful caudal epidural block. Clin J. Pain 2004;20(1):51-54.<\/li>\n<\/ol>\n

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    \n \t Cite this article:<\/strong><\/span> Senthamizhselvi R, Latha M, Sivaranjani K, Karthikeyan T, Siva K V. THE STUDY OF SACRAL HIATUS IN TAMILNADU AND ITS CLINICAL IMPORTANCE IN CAUDAL EDIPDURAL ANAESTHESIA. Int J Anat Res 2017;5(4.2):4553-4557. DOI:\u00a0<\/strong>10.16965\/ijar.2017.394\u00a0 \n <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"

    Type of Article:\u00a0\u00a0Original Research Volume 5; Issue 4.2 (November 2017) Page No.:\u00a04553-4557 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2017.394 THE STUDY OF SACRAL HIATUS IN TAMILNADU AND ITS CLINICAL IMPORTANCE IN CAUDAL EDIPDURAL ANAESTHESIA Senthamizhselvi\u00a0 R *1, Latha\u00a0 M 2, Sivaranjani\u00a0 K 3, Karthikeyan T 4, Siva K V 5. *1 Assistant Professor, Department of Anatomy, Chengalpattu Medical College, Chengalpattu, Tamilnadu,
    + Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1005"}],"collection":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/comments?post=1005"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1005\/revisions"}],"predecessor-version":[{"id":1006,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/1005\/revisions\/1006"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=1005"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}