Extended iliac exposure from the groin.
Knowledge of iliac artery and inguinal anatomy enables extraperitoneal exposure of the iliac arteries for surgical treatment of unilateral inflow disease. A method is presented for exposing the distal common iliac artery, the iliac bifurcation, and the full length of the external iliac artery by detachment and retraction of the inguinal ligament though a single extended groin incision. The indications for unilateral iliac artery exposure, revascularization, surgical anatomy, and technique of iliofemoral exposure through a single, extended groin incision are presented. Extended iliac exposure through a single, extraperitoneal exposure facilitates all methods of unilateral iliac revascularization and provides access for delivery of endovascular devices.
Schneider
D B
DB
Division of Vascular Surgery, Department of Surgery, University of California-San Francisco, San Francisco, CA 04143-0222, USA. SchneiderD@surgery.ucsf.edu
Sarkar
R
R
Messina
L M
LM
Stoney
R J
RJ
D000368:Aged; D000369:Aged, 80 and over; D005263:Femoral Artery / Q000601:surgery; D006119:Groin / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D012495:San Francisco