 بہترین ہمارے جانتے ہیں، سانجا سانیال پرپسیر دیکارٹمنٹ شیر یہ ساتھ سکتے ہیں، ریڈل ہیلوم اور ریڈل بیسکلیچیر ایک کچھ بہت ہی بہترین اور ایک بہترین کاملیہ یہ سپائن کیڈیبر ہے، میں سالنگہ کوئی بہترین کامر پرسنگتے ہیں جس کو پرکے سیٹ پر کتنیز ہمارے جاتا ہے یہ اپڑامل ایورٹہ ہے اور ہمارے جاتا ہے جب اپڑامل ایورٹہ ہے مجھے قام بہت سامت پر مجھے کوئی ہے جو ایدارہ جاتا ہے۔ ساتھ اس سے بود کوجب Jackie سیٹھے ہیں تو۔ اس جانتے کی کوئی بود کا ا seventeen سیٹھا ہے جس؟ ایک کوئی بود کو جاتا ہے پر کوجب ہے وہاں سے بود سے باہت سیٹھا ہے یہاں یہ پڑھنا چاہے کہ ساتھ ب tenant ایدارہ وہاں کوئی بود کا اینکی ہے دیکھنٹ دنیا ہمارے ساتھ چاہے کہ میں سلتنا چاہے کہ پاکہ میں کیکس صرف پر بھی جاتا ہوں And we can see first of all, this is one regional artery arising from the abdominal heurata. This is number one. When I lift the infantry ofinikeva, youí see yet a second eneminal artery. This is the secondchemical artery. Coming from the abdominal aorta. And we see a thirddanial artery. Also coming from the abdominal leverage. So we see three separate regional arteries coming from the abdominal交en bleed and entering into the kidney separately. So let's trace them once more. So this is the first one. We can see it is coming across and it is انگران میں اگران میں بہت منمل ناوٹہ کی جانتے ہیں جب اولاہ پر کچھ بھی گئی اور جو ایک پاک پاسییر جانتے ہیں اور اس برائیک سے دیکھتا ہے سب سے ایک انگران ہے ، اور اس کے جانتے ہیں۔ ایک حالی ماہ investigation ہوتے ہیں ، انجاہلہ ہی جانتا ہوئی싼 بہت جانتے ہیں جانتے ہیں کہ یہ جانتے ہیں کہ جانتے ہیں کہ یہ جانتے ہیں کہ جانتے ہیں مطلب چیکزانک والے کلسیان سستمتر ان کا لطیقت because چاہتے ہیں ، لیکن اگر ایک الثانی دہ ساتھ جاہر ساتھ ہے ، اگر ساتھ ہے لطیقت کے دائیت میں groansائے جو ہم مجھے مجھے دایس ہوسکتے ہیں۔ اس میں اطاخ ایک دلخل اکامبنیگ یا گران بیدان بیدانی اور ایک دلخل اکامبنیگ یا ایک پراج concept پراج شکیل سیوڈیر ہماری حرام فرانسی جو ہماری حرام اپ分 کو تابع offen کی طرح کامل ہ drive匹 1 شوی the نون جب吻 liftedن pled سیوی one میون میونamm چاریم تو پوچھتے ہیں تو پرج ن د kitten because we have already seen there are three separate renal arteries so therefore this first renal artery this branch corresponds to the superior polar artery this one corresponds to the anterior superior branch then the main renal artery that we traced from here this goes as the posterior renal artery and it's going on the posterior aspect as we can see here but it's also giving this branch here this corresponds to the anterior inferior branch we also notice that the main renal artery which we mentioned this one is giving this branch here this is the right superior gland this is the artery from the renal artery going to the right superior gland and the last artery that we picked up here which we said goes behind the ureter this corresponds to the inferior branch which goes to the inferior pole so this is how we can relate normally as the kidney ascends up during embryonic development it is the posterior most structure and therefore the renal vessels they are all located in front and the pelvic system is located behind but the fact that this renal artery the ureter is running in front it indicates that this particular renal artery and this portion of the kidney developed in a different way and this is in a strictly speaking a postulate now let's take a look at the vein as i mentioned this is the inferior vena keba and we can see that the inferior vena keba is giving rise to this branch here which is the main renal vein and the renal vein immediately is dividing into two principal divisions and it's dividing further and it's entering into the hilum of the kidney and finally as i mentioned earlier this is the renal pelvis and the calisis this is the hyalurrophic kidney therefore the pelvic calisis system is hyalurrophic you can see the very widely dilated renal sinus and these are the pelvic calisis system converging onto the renal pelvis and this is the pelvic ureteric junction and we can see the ureter is running in front of the lowest branch the renal artery so this is what we see on the right side now let's take a look at the left side left side kidney is also hyalurrophic we will start with the left renal vein because the left renal vein as we know is longer than the right renal vein and it is located in front of the abdominal aorta so this is the left renal vein the left renal vein is dividing into three branches one branch has been broken here because it was thrombosed and we can see the other two branches which are entering we notice that the left renal vein is receiving this vein here this is the vein from the left supra renal gland and we know that the left supra renal vein drains into the left renal vein and it also communicates with the left inferior phrenic vein we also notice the left renal vein is receiving these two veins these are the gonadal in this case the testicular vein there are two in this particular cadaver having mentioned the real veins now let's come to the renal arteries so again let's start from the abdominal aorta we see this artery this is the main renal artery and the renal artery as it comes towards the kidney it divides into two branches one branch we can see is this one this is going on the posterior aspect and this is the anterior branch which we have cut we supplies the anterior surface of the kidney then we notice yet another branch coming independently from the abdominal aorta and it is this one here this one is arising from the aorta approximately the same level as the artery of the other side and it is going again behind the ureter and it is going to the lower pole of the kidney and this one we can see is accompanied by a completely independent renal vein part of that is visible here so therefore again to trace the segmental arteries this being the main renal artery the anterior branch this is the anterior superior this is the anterior inferior the posterior division this portion is the superior polar and the rest of this is the posterior branch and this branch independently is the inferior branch so that is what we can postulate about the segmental distribution on the left side and finally again to conclude we can see this is the pelvic lice system and this is the renal pelvis formed by the union of the major and the minor calisis and this is the pelvic uretric junction and again on this side also we notice that the ureter is running in front of the lowest branch the clinical significance of this is that because the right kidney is receiving three separate renal branches if one or more of these branches get blocked or there's any pathology there will still be blood supply from the other branches and the embryological significance that we postulated is also another possibility that we should keep in mind so these are the findings which i wanted to show to you on the renal sinuses in the renal hyalem on both the sides Thank you very much for watching. Dr. Sanjay Sanyal signing out. Mr. Kendall Khamberbatch is the camera person. If you have any questions or comments, please put them in the comment section below. Have a nice day.