{"id":2147,"date":"2020-01-05T06:32:05","date_gmt":"2020-01-05T06:32:05","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJAnatRes\/?page_id=2147"},"modified":"2020-01-05T06:32:05","modified_gmt":"2020-01-05T06:32:05","slug":"ijar-2019-343","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2019-343","title":{"rendered":"IJAR.2019.343"},"content":{"rendered":"<div class=\"su-row\"><div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/www.ijmhr.org\/ijar.8.1\/IJAR.2019.343.pdf\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-cloud-download\" style=\"font-size:13px;color:#FFFFFF\"><\/i> DOWNLOAD PDF<\/span><\/a><\/div><\/div><\/div> <div class=\"su-column su-column-size-1-2\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><div class=\"su-button-center\"><a href=\"https:\/\/ijmhr.org\/ijar-vol-8-1.htm\" class=\"su-button su-button-style-default\" style=\"color:#FFFFFF;background-color:#6b0e00;border-color:#560c00;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:6px 16px;font-size:13px;line-height:20px;border-color:#98574d;border-radius:5px;-moz-border-radius:5px;-webkit-border-radius:5px;text-shadow:none;-moz-text-shadow:none;-webkit-text-shadow:none\"><i class=\"sui sui-book\" style=\"font-size:13px;color:#FFFFFF\"><\/i> Table of Contents<\/span><\/a><\/div><\/div><\/div><\/div>\n<h3 style=\"text-align: justify;\"><strong>Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n<h3 style=\"text-align: justify;\"><strong>Volume 8; Issue 1.1 (January 2020)<\/strong><\/h3>\n<h3 style=\"text-align: justify;\"><strong>Page No.:<\/strong>\u00a07221-7225<\/h3>\n<h3 style=\"text-align: justify;\"><strong>DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijar.2019.343<\/h3>\n<h3 style=\"text-align: justify;\">ANATOMICAL AND EMBRYOLOGICAL STUDY OF RENAL HILUM<\/h3>\n<p style=\"text-align: justify;\"><strong>Neeta Chhabra.<\/strong><\/p>\n<p style=\"text-align: justify;\">Associate Professor, Department Of Anatomy, GS Medical College and Hospital, NH-24, Near Railway Station, Pilkhuwa, Hapur, India.<\/p>\n<p style=\"text-align: justify;\"><strong>Address for Correspondence: <\/strong>Dr Neeta Chhabra<strong>, <\/strong>Associate Professor, Department Of Anatomy, Gs Medical College And Hospital, Nh-24, Near Railway Station, Pilkhuwa, Hapur -245304, India. Mobile: 9811113296 <strong>E-Mail:<\/strong> neetachhabra86@gmail.com<\/p>\n<h3 style=\"text-align: justify;\">ABSTRACT<\/h3>\n<p style=\"text-align: justify;\"><strong>Introduction<\/strong>: As per standard text, the anteroposterior topographical arrangement of renal hilar structures are: vein-artery-renal pelvis. However, hilar variations are very common. <strong>Aim<\/strong>: The present study intends to increase awareness of possible variations in the hilar anatomy as they are of immense importance in invasive renal interventions.<\/p>\n<p style=\"text-align: justify;\"><strong>Materials and methods<\/strong>: A careful dissection of 51 embalmed cadaveric kidneys was carried out for the proper visualization of renal hilar structures and their relations were clearly defined.<\/p>\n<p style=\"text-align: justify;\"><strong>Observations and Results<\/strong>: Enormous renal hilar variation was observed. We classified these renal variations in 8 different patterns. Normal hilar arrangement was seen in 25.5% kidneys and in 74.5% cases this arrangement is disturbed. 43.1% kidneys demonstrated presence of retropelvic structures. Anterior and posterior tributaries of renal vein were displayed in 9.8% of cases<\/p>\n<p style=\"text-align: justify;\"><strong>Conclusion<\/strong>: Knowledge of the pattern of renal hilar structures is of great importance in the interventional radiological &amp; laparoscopic renal surgeries thereby reducing the risk of vascular complications.<\/p>\n<p style=\"text-align: justify;\"><strong>Key words<\/strong>:\u00a0Hilum, Kidneys, Arrangement, Variation, Anatomy.<\/p>\n<p style=\"text-align: justify;\"><strong>REFERENCES<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify;\">Sinnatamby CS. Last\u2019s anatomy regional and applied.12<sup>th<\/sup> China:Churchill Livingstone Elsevier;2011:283.<\/li>\n<li style=\"text-align: justify;\">Snell RS. Clinical anatomy.9<sup>th<\/sup> Baltimore:Lippincott Williams and Wilkins;2012: 207.<\/li>\n<li style=\"text-align: justify;\">Standring S. Gray\u2019s Anatomy.The anatomical basis of clinical practice.40<sup>th<\/sup> Churchill Livingstone London;2008:1225-38.<\/li>\n<li style=\"text-align: justify;\">Moore KL, PerSand TVN. The developing human-clinically oriented embryology. 7<sup>th<\/sup>Philadelphia:Saunders;2003:288-96.<\/li>\n<li style=\"text-align: justify;\">Sutton D, editor. Textbook of radiology and imaging (V-2).6<sup>th<\/sup> New York: Churchill Livingston;1998:1131-33.<\/li>\n<li style=\"text-align: justify;\">Schwartz SI, editor. Principles of surgery (V-2).7<sup>th<\/sup>New York:McGraw-Hill; 1999:1755-56.<\/li>\n<li style=\"text-align: justify;\">Sadler TW. Langman\u2019s medical embryology.11<sup>th<\/sup> Baltimore:Lippincott Williams and Wilkins;2004:240.<\/li>\n<li style=\"text-align: justify;\">Gill IS, Colombo JR, Frank I, Moinzadeh A, Kapuk J, Desai M. Laparoscopic partial nephrectomy for hilar tumours. J Urol 2005;174(3):850-54.<\/li>\n<li style=\"text-align: justify;\">Rapp D E, Orvieo M A, Gerber G S et al. Enbloc stapling of renal hilum during laparoscopic nephrectomy and nephroureterectomy.Urology.2004;64(4):655-59.<\/li>\n<li style=\"text-align: justify;\">Bergman RA, Afifi AK , Miyauchi R. Virtual hospital:Illustrated encyclopedia of Human Anatomic Variations.2000.Available at <a href=\"http:\/\/www.virtual\">http:\/\/www.virtual<\/a> hospital com. Accessed 15 December 2018.<\/li>\n<li style=\"text-align: justify;\">Poirier E, Nicolas (1912).Description des arte\u0300ries. In: Traite\u0301 d\u2019Anatomie Humaine de Poirier P et Charpy A. 2<sup>nd<\/sup>Vol 2, part III. Masson et Cie, Paris, pp1014-1017.<\/li>\n<li style=\"text-align: justify;\">Kolster R (1901). Cited by Poirer. POIRIER E and NICOLAS A (1912). Description des art\u00e8res. In: Trait\u00e9 d\u2019Anatomie Humaine de Poirier P et Charpy A. 2nd Edition. Vol. 2, part III. Masson et Cie, Paris, pp 1014-1017<\/li>\n<li style=\"text-align: justify;\">Trivedi S, Athavale S, Kotgiriwar S. Normal and variant anatomy of renal hilar structures and its clinical significance. Int J Morphol 2011;29(4):1379-83.<\/li>\n<li style=\"text-align: justify;\">Naveen Kumar, Guru A, Aswini A P, Shetty S D, Nayak B, Narendra P. Evolution of the variant anatomical disposition of the renal hilar structures in South Indian adult human cadavers and its clinical implications. J Clin Diagn Res 2013;7(8):1543-46.<\/li>\n<li style=\"text-align: justify;\">Nayak SB, Sirasanagandla SR, Shetty SD, Kumar N. Multiple vascular variations at the vicinity of the left kidney. Anat Sci Int 2013;88(4):230-3.<\/li>\n<li style=\"text-align: justify;\">Sampaio F J, Favorito L A. Endopyelotomy. Anatomical study of the vascular relationships to ureteropelvic junction. J Urol 1991;97(2):73-77.<\/li>\n<li style=\"text-align: justify;\">Satyapal KS, Haffejee AA, Singh B, Ramsaroop L, Robbs J V, Kalideen JM. Additional\u00a0 renal arteries; Incidence and morphometry. Surg Radiol Anat 2001;23(1): 33-48.<\/li>\n<li style=\"text-align: justify;\">Jaao A Lucas S V, Kenia F C, Guilherme P G, Celina A F, Rafael A D. Analysis of renal hilum extraparenchymal structures in Brazilian adult human cadavers. Eur J Anat 2009;13(3):145- 53.<\/li>\n<li style=\"text-align: justify;\">Sampaio F J. The dilemma of crossing vessels at uretropelvic junction: precise anatomic study. J Endourol 1996;10(5):411-15.<\/li>\n<li style=\"text-align: justify;\">Hassan SM, Khalil M, Khalil M. Variation in arrangement of structures at hilum of human kidney. Bangladesh Journal of Anatomy 2012;10(2):76-79.<\/li>\n<\/ol>\n<p style=\"text-align: justify;\">\n\t\t\t <div class=\"promo1\" style=\"background-color:#f7f7f7; border-color: #6b0e00 #e8e6e6 #e8e6e6;\">\n             \t <span style=\"color: #800000;\"><strong>Cite this article:<\/strong><\/span> Neeta Chhabra. ANATOMICAL AND EMBRYOLOGICAL STUDY OF RENAL HILUM. Int J Anat Res 2020;8(1.1):7221-7225.\u00a0<strong>DOI:\u00a0<\/strong>10.16965\/ijar.2019.343\u00a0 \n             <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"<p>Type of Article:\u00a0\u00a0Original Research Volume 8; Issue 1.1 (January 2020) Page No.:\u00a07221-7225 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijar.2019.343 ANATOMICAL AND EMBRYOLOGICAL STUDY OF RENAL HILUM Neeta Chhabra. Associate Professor, Department Of Anatomy, GS Medical College and Hospital, NH-24, Near Railway Station, Pilkhuwa, Hapur, India. Address for Correspondence: Dr Neeta Chhabra, Associate Professor, Department Of Anatomy, Gs Medical College And Hospital,<br \/><a class=\"moretag\" href=\"https:\/\/www.ijmhr.org\/IntJAnatRes\/ijar-2019-343\">+ 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\/2147"}],"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=2147"}],"version-history":[{"count":1,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2147\/revisions"}],"predecessor-version":[{"id":2154,"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/pages\/2147\/revisions\/2154"}],"wp:attachment":[{"href":"https:\/\/www.ijmhr.org\/IntJAnatRes\/wp-json\/wp\/v2\/media?parent=2147"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}