Open AccessClinical significance of the variant anatomy of the left adrenal and testicular (ovarian) veins
Author(s) -
И. А. Ибатуллин,
С. И. Белых,
V K Larin,
O. A. Lobkarev
Publication year - 1991
Publication title -
kazanskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2587-9359
pISSN - 0368-4814
DOI - 10.17816/kazmj97172
Subject(s) - medicine , ligation , left renal vein , aldosterone , vein , adrenal gland , nephrectomy , ovarian vein , hormone , endocrinology , anatomy , kidney , inferior vena cava , ovary
Three variants of the confluence of the central vein of the adrenal gland with respect to the testicular vein were identified. With nephrectomy on the left without selective ligation of the renal vessels, a decrease in the level of adrenal cortical hormones (aldosterone, cortisol) was found in the first 10 days after the intervention. Targeted ligation of the left renal vein distal to the orifice of the testicular veins is recommended, which is important for the prevention of adrenal insufficiency in the early postoperative period.