title: Inferior epigastric artery: Surface anatomy, prevention and management of injury.
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.
authors.affiliation: Sydney West Advanced Pelvic Surgery Unit, Blacktown Hospital, Blacktown, NSW, Australia.
authors.forename: Clare
authors.initials: C
authors.lastname: Wong
authors.affiliation: Sydney West Advanced Pelvic Surgery Unit, Blacktown Hospital, Blacktown, NSW, Australia.
authors.forename: Harry
authors.initials: H
authors.lastname: Merkur
mesh_terms: D034861:Abdominal Wall / Q000098:blood supply*; D059925:Anatomic Landmarks / Q000033:anatomy & histology; D019074:Epigastric Arteries / Q000033:anatomy & histology* / Q000293:injuries*; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology / Q000517:prevention & control; D010535:Laparoscopy / Q000009:adverse effects; D014950:Wounds, Penetrating / Q000209:etiology / Q000517:prevention & control* / Q000628:therapy
keywords: ancillary port placement; inferior epigastric artery; laparoscopy; trocar-associated injuries