Published December 31, 2022 | Version https://impactfactor.org/PDF/IJPCR/14/IJPCR,Vol14,Issue12,Article166.pdf
Journal article Open

Analysis of the Arrangement of Renal Hilar Structure and Their Variation

  • 1. Assistant Professor Department of Anatomy Pacific Institute of Medical Sciences, Udaipur
  • 2. Professor Department of Anatomy Pacific Institute of Medical Sciences, Udaipur

Description

Introduction: The hilum is the intermediate concavity of the kidney’s lateral edge that allows urinary vessels, lymphatic vessels, nerve plexus, as well as renal pelvis to transfer through it all and connect with the renal sinus. The main structures that pass through the hilum from front to back are the renal vein, urinary artery, as well as renal tubules. A subsidiary of the renal artery as well as distributaries of the renal vein typically transfers behind several renal pelvis. Variations in the configuration of renal hilar frameworks were frequently discovered by chance during investigatory image analysis as well as angiography methods. In the Indian population, nevertheless, there have been relatively few thorough anatomy research on the primary renal hilar systems. Researchers evaluated the configuration of significant renal hilar systems in the Indian population because it is important throughout urological surgical procedure as well as kidney transplantation. Aims and Objectives: To observe and document the renal hilar variation in samples of kidney specimens. Methods: The current study was conducted on 70 specimens from recently deceased bodies. The samples maintained in 10% formol saline were rinsed. After that, the samples were placed in a metallic tray, and the surrounding fat and other undesirable structures were carefully removed, but the structures at the hilum remained in place. The relationship between the renal arteries and the renal pelvis at the hilum was then studied broadly, and findings were made. Results: The renal vein was detected anteriorly in 69 (98.57%) kidneys and only 1 (1.25%) kidney was found with a renal artery anteriorly. The renal vessels were arranged anterior to posterior in the center of the hilum. The renal pelvis was seen to be two fold in each of the two 2 (2.85%) kidneys. Conclusion: There was a 1.25% difference in the arrangement of renal arteries when the hilum of the kidneys was examined anteriorly and in the center, whereas 2.85% of kidneys had a double renal pelvis posteriorly. In 12% of kidneys, the posterior division of the renal artery was visible behind the renal pelvis. Very little (1%) variance is seen here in the renal vessels’ middle and anterior positions. However, the location of the renal pelvis, which is always found posteriorly near the hilum, is the same. Occasionally, the renal artery’s posterior division is visible behind the renal pelvis.

 

 

 

Abstract (English)

Introduction: The hilum is the intermediate concavity of the kidney’s lateral edge that allows urinary vessels, lymphatic vessels, nerve plexus, as well as renal pelvis to transfer through it all and connect with the renal sinus. The main structures that pass through the hilum from front to back are the renal vein, urinary artery, as well as renal tubules. A subsidiary of the renal artery as well as distributaries of the renal vein typically transfers behind several renal pelvis. Variations in the configuration of renal hilar frameworks were frequently discovered by chance during investigatory image analysis as well as angiography methods. In the Indian population, nevertheless, there have been relatively few thorough anatomy research on the primary renal hilar systems. Researchers evaluated the configuration of significant renal hilar systems in the Indian population because it is important throughout urological surgical procedure as well as kidney transplantation. Aims and Objectives: To observe and document the renal hilar variation in samples of kidney specimens. Methods: The current study was conducted on 70 specimens from recently deceased bodies. The samples maintained in 10% formol saline were rinsed. After that, the samples were placed in a metallic tray, and the surrounding fat and other undesirable structures were carefully removed, but the structures at the hilum remained in place. The relationship between the renal arteries and the renal pelvis at the hilum was then studied broadly, and findings were made. Results: The renal vein was detected anteriorly in 69 (98.57%) kidneys and only 1 (1.25%) kidney was found with a renal artery anteriorly. The renal vessels were arranged anterior to posterior in the center of the hilum. The renal pelvis was seen to be two fold in each of the two 2 (2.85%) kidneys. Conclusion: There was a 1.25% difference in the arrangement of renal arteries when the hilum of the kidneys was examined anteriorly and in the center, whereas 2.85% of kidneys had a double renal pelvis posteriorly. In 12% of kidneys, the posterior division of the renal artery was visible behind the renal pelvis. Very little (1%) variance is seen here in the renal vessels’ middle and anterior positions. However, the location of the renal pelvis, which is always found posteriorly near the hilum, is the same. Occasionally, the renal artery’s posterior division is visible behind the renal pelvis.

 

 

 

Files

IJPCR,Vol14,Issue12,Article166.pdf

Files (296.9 kB)

Name Size Download all
md5:e6961002849930ff091f64ccd07516c1
296.9 kB Preview Download

Additional details

Dates

Accepted
2022-11-28

References

  • 1. Moore KL, Agur AMR. Essential clinical anatomy. 2nd ed. Baltimore: Lippincott, Williams & Wilkins; 2002: 180-85.2. Walsh PC, editor. Campbell's urology (V-1). 8th ed. Philadelphia: Saunders; 2002:19-35. 3. Palmer PES, editor. Manual of diagnostic ultrasound. 1st ed. USA: World Health Organization; 1995: 154- 55. 4. Cochard LR. Netter's atlas of human embryology. 1st ed. USA: Icon Learning System LLL; 2002: 161-65. 5. Sutton D, editor. Textbook of radiology and imaging (V-2). 6th ed. New York: Churchill Livingston; 1998:1131-33. 6. Jacob S. Atlas of human anatomy. 1st ed. UK: Churchill Livingstone; 2002: 124-25. 7. Datta AK. Essentials of human anatomy (part1). 8th ed. Calcutta: Current Books International; 2008: 294-96. 8. Standring S, Borley NR, Collins P et al. Kidney. In Standring, S. (Ed.). Gray's anatomy: The anatomical basis of clinical practice. 40th ed. London Churchill livingstone; 2008:1225- 1238. 9. Sinnatamby CS. Last's Anatomy Regional and Applied. 12th Ed. China: Churchill Livingstone Elsevier; 2011. Chapter 5, Abdomen; p283. 10. Snell RS Clinical anatomy. 9th ed. Baltimore: Lippincott Williams and Wilkins; 2012: 207. 11. Nuygen M M, Gill I S, Ellison L M. The evolving presentation of renal carcinoma in the United States: trends from surveillance, epidemiology and end results program. J Urology. 2006; 176 (6): 2397-400. 12. Huang W. C, Levey A. S, Serio A. M, et al. chronic kidney disease after nephrectomy in patients with renal cortical tumours: a retrospective cohort study. Lancet Oncol. 2006;7(9):735- 40. 13. Desai M. M, Gill I. S. Laparoscopic partial nephrectomy for tumour: current status at the Cleveland Clinic. BJU Int. 2005;95(2):41-45. 14. Rapp D. E, Orvieto M. A, Gerber G. S, et al. En bloc stapling of renal hilum during laparoscopic nephrectomy and nephroureterectomy. Urology. 2004; 64(4):655-59. 15. NS A, BV SR, KV V. Study of Arrangement of Renal Hilar Structures in Human Cadavers. Int J Anat Res 2018;6(2):4890-96. 16. Jadhav SD, Zambare BR. Anatomical Study of Arrangement of Renal Hilar Structures In Indian Adult Human Cadavers. Natl J Integr Res Med. 2015 May 1;6(3):49-53. 17. Gupta R, Chawla K, Aggarwal A. Clinical aspects of renal artery variation. IJSRM. 2014; 2:1657-60. 18. Hassan SN, Khalil M, Khalil M. Variation in the Arrangement of Structures at Hilum of Human Kidney. Bangladesh Journal of Anatomy. 2012;10(2):76-9. 19. Khan A., & Tidman D. M. M. Causes of Medication Error in Nursing. Journal of Medical Research and Health Sciences. 2022; 5(1): 1753– 1764.