Vienna Hypogastric

Hypogastric vein

History of origin The hypogastric vein, or hypogastric vein (lat. vena hypogástrica), is one of the large veins of the human body, draining blood from the abdominal cavity to the inferior vena cava.

**Vena hypogastric** is a large connecting vein of the abdominal cavity, supplying blood to the pelvis and the upper part of the lower extremities. Occurs in 90% of cases. The largest number of cases of the location of the great hypogastric vein is associated with a change in the position of the venous organs and an increase in pressure in the system. Length about 425 mm, width - 347 mm. Along its length, the vein usually has three main segments - vertical abdominal, descending and ascending. Of these, the ascending segment lies between the superior epigastric openings (incompertens - lat.) and passes into the area of ​​the urogenital diaphragm. The blood supply is formed to a greater extent at the junction of the ascending and descending segments, so here the likelihood of blood reflux is highest, which is considered the main cause of post-traumatic relapses of intra-abdominal infection and purulent complications of various origins. To prevent this problem, operating doctors strive to avoid any separation of the walls from the inner muscle layer. Before final suturing of the posterior layer of the peritoneum, a muscle bridge is cut out from the base of the epigastric vessels (branches of the first left inflow of the abdominal aorta), which is fixed with catgut sutures to the posterior wall of the epigastrium. In this case, the risk of developing intravascular voids, hematomas and other undesirable phenomena is significantly reduced.

As is the case with many other large veins of the human body, there are many reasons for its thrombosis and recanalization. And yet, perhaps, the main reason for the development of such a process is infectious and inflammatory complications after surgery on the pelvic organs. The probability of such processes increases sharply with various forms of regeneration.