Premium
Inferior epigastric artery: Surface anatomy, prevention and management of injury
Author(s) -
Wong Clare,
Merkur Harry
Publication year - 2016
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/ajo.12426
Subject(s) - medicine , inferior epigastric artery , paracentesis , surgery , abdominal wall , catheter , safer , artery , peritoneal dialysis , general surgery , ascites , computer security , computer science
The anatomical position of the inferior epigastric artery ( IEA ) subjects it to risk of injury during abdominal procedures that are close to the artery, such as laparoscopic trocar insertion, insertion of intra‐abdominal drains, Tenckhoff ® catheter (peritoneal dialysis catheter) and paracentesis. This article aims to raise the awareness of the anatomical variations of the course of the IEA in relation to abdominal landmarks in order to define a safer zone for laparoscopic ancillary trocar placement. Methods of managing the IEA injury as well as techniques to minimise the risk of injury to the IEA are reviewed and discussed.