Type of Article: Original Research
Year: 2016 | Volume 4 | Issue 3 | Page No. 2692-2697
Date of Publication: 31-08-2016
DOI: http://dx.doi.org/10.16965/ijar.2016.308
Anandhi. V *1, Rajeswari. K 2, Christilda Felicia Jebakani
Anandhi. V * 1, Rajeswari. K 2, Christilda Felicia Jebakani 3.
*1 Associate Professor, K.A.P.V Government Medical College, Tiruchirapalli, Tamilnadu, India.
2 Associate Professor, Coimbatore Medical College, Coimbatore, Tamilnadu, India.
3 Professor, SRM Medical College and Research Centre, Tamilnadu, India.
Address: Dr. V. Anandhi, M.S. (Anatomy), Associate Professor of Anatomy, KAPV Government Medical College, Tiruchirappalli-620 001,Tamilnadu, India. Mobile No: Mobile No: +9194442 48184.
E-Mail: anandhinallaiah@rediffmail.com
ABSTRACT
Background: The versatility of the inferior epigastric artery as a vascular graft in various areas and the recognition of its growing importance in the anterior abdominal wall and retropubic region surgical disasters have all prompted me to study the inferior epigastric artery, with particular reference to the distance of the inferior epigastric artery from the important landmarks of the abdomen and pelvis. The results will prove to be a vital guide for the surgeons to select sites for trocar insertion to prevent fatal complications arising from injury to the inferior epigastric artery.
Materials and method: Study material consisted of 50 adult specimens from 16 male and 9 female cadavers studied by direct dissection method and predissectional dye injection method.
Results: Measurements were taken from the midline to the inferior epigastric artery at different levels of the anterior abdominal wall. The danger zones were delineated from the distances measured. Incisions and trocar insertions are to be avoided between 3cm and 8cm from the linea alba.
Conclusion: The distance of the inferior epigastric artery from the midline at various levels will provide a safe field to steer clear of the inferior epigastric artery while performing laparoscopic surgeries.
KEY WORDS: Inferior Epigastric Artery, Origin, Distance, Rectus Abdominis.
REFERENCES
- Henry Gray (1858)Gray’s Anatomy– 39’th edition P –1101
- Last R.J (1954) Last’s Anatomy – Ninth edition P -300
- Sir Henry Morris (1893) Human Anatomy – Eleventh edition P –725
- John E Skandalakis (2004) Skandalakis’Surgical Anatomy P-408- 438
- Buchanan A. M (1906) Manual of Anatomy –Eighth edition P -729,730
- Thomas Dwght (1907) Human Anatomy –Eighth edition P -820, 821.
- Sir John Bruce, Robert Walmsley, James A Ross (1964) Manual of Surgical Anatomy P – 294
- Giovanni Teodori, Philippe-PrimoCatmmi, Thomas Toscano and Massimo Bernardi. Use of inferior epigastric artery for CABG. Plastic Reconstructive Surgery 1984;73(1):1-16.
- Donald Serafin (1996)Atlas of microsurgical composite tissue transplantation P-227 -247
- Michael S Baggish, Mickey M.Karram (2001) Atlas of Pelvic Anatomy and Gynaecologic Sugery Second edition P 71-75
- Levent Sarikcioglu, Muzaffer Sindel,Feyyaz Akyildiz,Semih Gur. Anastomotic vessels in the retropubic region:Corona mortis Folia Morphol. 2003;62(3):179-182.
- TeLinde Richard W (1894) TeLinde’s Operative Gynaecology –Ninth edition P –99
- Alan A Saber, Ali M Meslemani, Robert Davis, Ronald Pimentis. Safety zones for Anterior Abdominal wall Entry during Laparoscopy-A CT scan Mapping of Epigastric vessels. Annals of Surgery. 2004;239(2):182-185.
- Boileau Grant J.C (1937) A Method of Anatomy - Sixth edition P211,212,357
- Hurd William W,Bude ,Ronald O,De Lancey, John O L;Newman, Joel S(1994) The location of Abdominal wall blood vessels in relationship to abdominal landmarks apparent at laparoscopy. American J of Obstetrics and Gynaec. 1994;171:642-6.
- Braithwaite JL. Variations in origin of the parietal branches of the internal iliac artery. Journal of anatomy. 1952 Oct;86(Pt 4):423.
Anandhi. V, Rajeswari. K, Christilda Felicia Jebakani. A STUDY OF THE ORIGIN AND COURSE OF THE INFERIOR EPIGASTRIC ARTERY AND ITS SIGNIFICANCE IN LAPAROSCOPIC SURGERY. Int J Anat Res 2016;4(3):2692-2697. DOI: 10.16965/ijar.2016.308