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The location of abdominal wall blood vessels in relationship to abdominal landmarks apparent at laparoscopy.

Publication ,  Journal Article
Hurd, WW; Bude, RO; DeLancey, JO; Newman, JS
Published in: Am J Obstet Gynecol
September 1994

OBJECTIVE: Our purpose was to evaluate the location of the major blood vessels of the abdominal wall relative to landmarks apparent at laparoscopy. STUDY DESIGN: Abdominal computed tomographic images of 21 reproductive-aged women at an academic center were retrospectively reviewed to determine the location of the inferior epigastric, superficial epigastric, and superficial circumflex iliac arteries and the lateral rectus muscle margins in relation to the symphysis pubis, the umbilicus, and the abdominal midline. These locations were correlated with each other and with body mass index using Pearson's correlation coefficient. RESULTS: Above the symphysis the inferior and superficial epigastric arteries were 5.6 +/- 1.0 cm (mean +/- SD) and 5.5 +/- 2.0 cm from the midline, respectively. Although the location of these two vessels correlated (r = 0.6, p = 0.02), the mean difference in their location was 1.4 +/- 1.1 cm. Near the level of the umbilicus the superficial epigastric and circumflex iliac arteries and the lateral rectus muscle margin were 4.6 +/- 1.4 cm, 10.7 +/- 1.7 cm, and 7.6 +/- 1.5 from the midline, respectively. Only the lateral rectus muscle margin correlated with body mass index (r = 0.65, p = 0.004). CONCLUSION: When laparoscopic landmarks are not visible to guide placement, lateral trocars should be placed approximately 8 cm from the midline and at least 5 cm above the symphysis to minimize the risk of vessel injury.

Duke Scholars

Published In

Am J Obstet Gynecol

DOI

ISSN

0002-9378

Publication Date

September 1994

Volume

171

Issue

3

Start / End Page

642 / 646

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Retrospective Studies
  • Rectus Abdominis
  • Pubic Symphysis
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Laparoscopy
  • Iliac Artery
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hurd, W. W., Bude, R. O., DeLancey, J. O., & Newman, J. S. (1994). The location of abdominal wall blood vessels in relationship to abdominal landmarks apparent at laparoscopy. Am J Obstet Gynecol, 171(3), 642–646. https://doi.org/10.1016/0002-9378(94)90076-0
Hurd, W. W., R. O. Bude, J. O. DeLancey, and J. S. Newman. “The location of abdominal wall blood vessels in relationship to abdominal landmarks apparent at laparoscopy.Am J Obstet Gynecol 171, no. 3 (September 1994): 642–46. https://doi.org/10.1016/0002-9378(94)90076-0.
Hurd WW, Bude RO, DeLancey JO, Newman JS. The location of abdominal wall blood vessels in relationship to abdominal landmarks apparent at laparoscopy. Am J Obstet Gynecol. 1994 Sep;171(3):642–6.
Hurd, W. W., et al. “The location of abdominal wall blood vessels in relationship to abdominal landmarks apparent at laparoscopy.Am J Obstet Gynecol, vol. 171, no. 3, Sept. 1994, pp. 642–46. Pubmed, doi:10.1016/0002-9378(94)90076-0.
Hurd WW, Bude RO, DeLancey JO, Newman JS. The location of abdominal wall blood vessels in relationship to abdominal landmarks apparent at laparoscopy. Am J Obstet Gynecol. 1994 Sep;171(3):642–646.
Journal cover image

Published In

Am J Obstet Gynecol

DOI

ISSN

0002-9378

Publication Date

September 1994

Volume

171

Issue

3

Start / End Page

642 / 646

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Retrospective Studies
  • Rectus Abdominis
  • Pubic Symphysis
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Laparoscopy
  • Iliac Artery
  • Humans
  • Female