Injury of epigastric vessels at laparoscopy: diagnosis and management

Rosnay, Philippe de; Chandiramani, Manju; Usman, Sana; Owen, E.J.

doi:10.1007/s10397-010-0653-5

Cited by 10 publications

(2 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Injury to the inferior epigastric vessels is relatively uncommon. Still, it may occur in up to 2% of cases during insertion of trocars or widening of an incision that is performed to allow passage of a cannula or removal of tissue from the peritoneal cavity [ 11 ]. To reduce the risk of injury, we suggest the careful placement of ports.…”

Section: Discussionmentioning

confidence: 99%

Major Bleed Post Minimally Invasive Surgical Repair of Inguinal Hernia

Gupta¹,

Burgos²,

Rodriguez³

et al. 2020

Cureus

View full text Add to dashboard Cite

At our center, over 200 patients undergo minimally invasive repairs of inguinal hernias every year using a laparoscope and a robotic-assisted technique. In three patients who underwent a minimally invasive procedure for uncomplicated indirect inguinal hernia, the postoperative course was complicated with bleeding and required an exploratory laparotomy. Post-procedure, the patients developed tachycardia and hypotension with a drop in hemoglobin, for which the patients required surgical re-exploration in an emergent fashion. The factors leading to bleeding were analyzed and are reported herein to increase awareness and prevent the occurrence of these complications during inguinal hernia surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Major Bleed Post Minimally Invasive Surgical Repair of Inguinal Hernia

Gupta¹,

Burgos²,

Rodriguez³

et al. 2020

Cureus

View full text Add to dashboard Cite

show abstract

“…124 (2023) No. 2, p. 108-142 preventable, one third of trocar-related complications are observed during secondary trocar insertion (de Rosnay et al, 2011). Therefore, many articles, either anatomical or surgical, tried to establish the safety zone of the second trocar placement in the AAW (Rahn et al, 2010;Mohammadhosseini and Shirani, 2011).…”

Section: Vascular Injury Of the Anterior Abdominal Wall In Secondary ...mentioning

confidence: 99%

Vascular Anatomy and Variations of the Anterior Abdominal Wall – Significance in Abdominal Surgery

et al. 2023

View full text Add to dashboard Cite

Detailed knowledge of the human anatomy is an integral part of every surgical procedure. The majority of surgery related complications are due to a failure to possess appropriate knowledge of human anatomy. However, surgeons pay less attention of the anatomy of the anterior abdominal wall. It is composed of nine abdominal layers, which are composed of fascias, muscles, nerves, and vessels. Many superficial and deep vessels and their anastomoses supply the anterior abdominal wall. Moreover, anatomical variations of these vessels are often presented. Intraoperative and postoperative complications associated with entry and closure of the anterior abdominal wall could compromise the best surgical procedure. Therefore, sound knowledge of the vascular anatomy of the anterior abdominal wall is fundamental and a prerequisite to having a favourable quality of patient care. The purpose of the present article is to describe and delineate the vascular anatomy and variations of the anterior abdominal wall and its application in abdominal surgery. Consequently, the most types of abdominal incisions and laparoscopic accesses will be discussed. Furthermore, the possibility of vessels injury related to different types of incisions and accesses will be outlined in detail. Morphological characteristics and distribution pattern of the vascular system of the anterior abdominal wall is illustrated by using figures either from open surgery, different types of imaging modalities or embalmed cadaveric dissections. Oblique skin incisions in the upper or lower abdomen such as McBurney, Chevron and Kocher are not the topic of the present article.

show abstract