Evidence map›Paper›PMID 37568334›Full record

ReviewJournal of clinical medicine2023

Systematic Review and Meta-Analysis of the Variants of the Obturatory Artery.

Gioia Brachini, Matteo Matteucci, Paolo Sapienza, Roberto Cirocchi, Alessandro Favilli, Stefano Avenia, Isaac Cheruiyot, Giovanni Tebala, Piergiorgio Fedeli, Justin Davies and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 4 countries.

Gioia BrachiniDepartment of Surgery, Sapienza University, Viale del Policlinico 155, 00161 Rome, Italy.
Matteo MatteucciDepartment of Medicine and Surgery, University of Milan, 20122 Milan, Italy.
Paolo SapienzaDepartment of Surgery, Sapienza University, Viale del Policlinico 155, 00161 Rome, Italy.ORCID 0000-0002-0198-7930
Roberto CirocchiDepartment of Medicine and Surgery, University of Perugia, 06132 Perugia, Italy.ORCID 0000-0002-2457-0636
Alessandro FavilliDepartment of Medicine and Surgery, University of Perugia, 06132 Perugia, Italy.ORCID 0000-0002-1556-0962
Stefano AveniaDepartment of Medicine and Surgery, University of Perugia, 06132 Perugia, Italy.
Isaac CheruiyotDepartment of Human Anatomy, University of Nairobi, P.O. Box 30197, Nairobi 00100, Kenya.
Giovanni TebalaDepartment of Surgery, Azienda Ospedaliera Santa Maria di Terni, 05100 Terni, Italy.ORCID 0000-0001-7152-4096
Piergiorgio FedeliDepartment of Legal Medicine, University of Camerino, 62032 Camerino, Italy.ORCID 0000-0003-2287-2582
Justin DaviesCambridge Colorectal Unit, Addenbrooke's Hospital, University of Cambridge, Cambridge CB0QQ, UK.
Justus RandolphGeorgia Baptist College of Nursing, Mercer University, Atlanta, GA 30341, USA.ORCID 0000-0001-6733-5380
Bruno CirilloDepartment of Surgery, Sapienza University, Viale del Policlinico 155, 00161 Rome, Italy.ORCID 0000-0003-1889-2644
Policlinico Umberto I · ITUniversity of Perugia · ITAzienda Ospedaliera S.Maria · ITMercer University · USUniversità di Camerino · ITUniversity of Cambridge · GBUniversity of Milan · ITUniversity of Nairobi · KE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKnowledge of vascular anatomy and its possible variations is essential for performing embolization or revascularization procedures and complex surgery in the pelvis. The obturator artery (OA) is a branch of the anterior division of the internal iliac artery (IIA), and it has the highest frequency of variation among branches of the internal iliac artery. Possible anomalies of the origin of the obturator artery (OA) should be known when performing pelvic and groin surgery, where its control or ligation may be required. The purpose of this systematic review and meta-analysis, based on Sanudo's classification, is to analyze the origin of the obturator artery (OA) and its variants.

methodsThirteen articles published between 1952 and 2020 were included.

resultsThe obturator artery (OA) was present in almost all cases (99.8%): the pooled prevalence estimate for the origin from the IIA axis was 77.7% (95% CI 71.8-83.1%) vs. 22.3% (95% CI 16.9-28.2%) for the origin from EIA axis. In most cases, the obturator artery (OA) originated from the anterior division trunk of the internal iliac artery (IIA) (61.6%).

conclusionsPerforming preoperative radiological examination to determine the pelvic vascular pattern and having the awareness to evaluate possible changes in the obturator artery can reduce the risk of iatrogenic injury and complications.

Indexed as

external iliac artery (EIA)internal iliac artery (IIA)obturator artery (OA)

Identifiers

PMID37568334
PMCPMC10420221
OpenAlexW4385345332

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.