Complex Embryology
Complex Anatomy
Complex Physiology
Complex Functions
https://www.turkcerrahi.com/wp-content/uploads/pelvic-floor-and-external-anal-sphincter-anatomy.jpeg
Multiple Functional Units
Highly Vascular
https://thoracickey.com/principles-of-vascular-surgery/
We have no
Proximal and distal control
Hemostasis
Simple- Arterial
difficult - Venous
Very difficult- Capillary
Hemostasis
Even more difficult-
Sinusoid,
Malformation,
Difficult access,
No Proximal and distal control