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Related to Middle sacral artery: Lateral sacral artery, Lumbar arteries
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Take care to visualize the middle sacral artery and either suture around it or cauterize it.
During dissection of the fat pad from the promontory, you can encounter the middle sacral artery.
The middle sacral artery presented in 30% of cases now caudally rising from the right common iliac artery, then from the left one (30%) or in most cases (40%), as a continuation of the abdominal aorta artery.

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