Inferior epigastric artery: Surface anatomy, prevention and management of injury.

Authors :: Wong C
Merkur H
Source :: The Australian & New Zealand journal of obstetrics & gynaecology [Aust N Z J Obstet Gynaecol] 2016 Apr; Vol. 56 (2), pp. 137-41. Date of Electronic Publication: 2015 Dec 02.
Publication Year :: 2016
Abstract: 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.<br /> (© 2015 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.)

Subjects :: Anatomic Landmarks anatomy & histology
Humans
Intraoperative Complications etiology
Intraoperative Complications prevention & control
Laparoscopy adverse effects
Wounds, Penetrating etiology
Wounds, Penetrating therapy
Abdominal Wall blood supply
Epigastric Arteries anatomy & histology
Epigastric Arteries injuries
Wounds, Penetrating prevention & control

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