Skip to main content
Journal cover image

The relationship of the umbilicus to the aortic bifurcation: implications for laparoscopic technique.

Publication ,  Journal Article
Hurd, WW; Bude, RO; DeLancey, JO; Pearl, ML
Published in: Obstet Gynecol
July 1992

OBJECTIVE: We evaluated the location of the umbilicus relative to the aortic bifurcation and the left common iliac vein where it crosses the midline. METHODS: Abdominal computed tomography images from 35 reproductive-age women were retrospectively reviewed to determine the location of the umbilicus. The results were correlated with body mass index using Pearson correlation coefficient and a two-tailed paired t test. RESULTS: The location of the umbilicus, but not the aortic bifurcation, was more caudal in heavier women and negatively correlated with body mass index. In nonobese women, the mean location of the umbilicus was 0.4 cm caudal to the aortic bifurcation, and was at or cephalad to the bifurcation in eight of 15 (53%). In overweight women, the mean umbilical location was 2.4 cm caudal to the bifurcation, and in obese women, 2.9 cm caudal to the bifurcation. In the last two groups of subjects, the umbilicus was located at the level of the bifurcation in six of 20 (30%). In every case, the umbilicus was located cephalad to where the common iliac vein crossed the midline. CONCLUSIONS: The umbilicus is often located at or cephalad to the aortic bifurcation, and consistently located cephalad to where the left common iliac vein crosses the midline. The laparoscopic approach should take these relationships into account to minimize injuries to major retroperitoneal vessels.

Duke Scholars

Published In

Obstet Gynecol

ISSN

0029-7844

Publication Date

July 1992

Volume

80

Issue

1

Start / End Page

48 / 51

Location

United States

Related Subject Headings

  • Umbilicus
  • Obstetrics & Reproductive Medicine
  • Obesity
  • Middle Aged
  • Laparoscopy
  • Humans
  • Female
  • Body Mass Index
  • Aorta, Abdominal
  • Adult
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Hurd, W. W., Bude, R. O., DeLancey, J. O., & Pearl, M. L. (1992). The relationship of the umbilicus to the aortic bifurcation: implications for laparoscopic technique. Obstet Gynecol, 80(1), 48–51.
Hurd, W. W., R. O. Bude, J. O. DeLancey, and M. L. Pearl. “The relationship of the umbilicus to the aortic bifurcation: implications for laparoscopic technique.Obstet Gynecol 80, no. 1 (July 1992): 48–51.
Hurd WW, Bude RO, DeLancey JO, Pearl ML. The relationship of the umbilicus to the aortic bifurcation: implications for laparoscopic technique. Obstet Gynecol. 1992 Jul;80(1):48–51.
Hurd, W. W., et al. “The relationship of the umbilicus to the aortic bifurcation: implications for laparoscopic technique.Obstet Gynecol, vol. 80, no. 1, July 1992, pp. 48–51.
Hurd WW, Bude RO, DeLancey JO, Pearl ML. The relationship of the umbilicus to the aortic bifurcation: implications for laparoscopic technique. Obstet Gynecol. 1992 Jul;80(1):48–51.
Journal cover image

Published In

Obstet Gynecol

ISSN

0029-7844

Publication Date

July 1992

Volume

80

Issue

1

Start / End Page

48 / 51

Location

United States

Related Subject Headings

  • Umbilicus
  • Obstetrics & Reproductive Medicine
  • Obesity
  • Middle Aged
  • Laparoscopy
  • Humans
  • Female
  • Body Mass Index
  • Aorta, Abdominal
  • Adult