{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:49:44Z","timestamp":1782604184093,"version":"3.54.5"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2004,5,27]],"date-time":"2004-05-27T00:00:00Z","timestamp":1085616000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Anatomy"],"published-print":{"date-parts":[[2004,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The inferior epigastric artery (IEA) is at risk of injury in laparoscopic surgery. Current descriptions of the course of the IEA do not provide surface landmarks useful to the surgeon. This study aimed to define surface relations and propose guidelines for safer trocar placement. The posterior surfaces of the anterior abdominal walls of 30 preserved cadavers were dissected. The surface anatomy of 60 IEAs and their branches were defined. At the level of the anterior superior iliac spine (ASIS), the IEA is 38% \u00b1 18% (95% confidence interval [CI]) from the midline to the ASIS. At the mid\u2010inguinal point the relation is 40% \u00b1 17% and at the umbilicus 40% \u00b1 22%. The pattern of branches is highly variable. Although giving guidelines for trocar insertion can be treacherous, we found the following to be of value: 1) the midline is avascular; 2) the main stem of the IEA will be avoided if trocars are inserted more than two\u2010thirds of the distance along a horizontal line between the midline and the ASIS; and 3) IEA branches are least frequently found in the lowest part of the abdomen lateral to the artery. Clin. Anat. 17:400\u2013408, 2004. \u00a9 2004 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ca.10192","type":"journal-article","created":{"date-parts":[[2004,5,27]],"date-time":"2004-05-27T21:01:30Z","timestamp":1085691690000},"page":"400-408","source":"Crossref","is-referenced-by-count":51,"title":["Surface anatomy of the inferior epigastric artery in relation to laparoscopic injury"],"prefix":"10.1002","volume":"17","author":[{"given":"J.","family":"Epstein","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Arora","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Ellis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2004,5,27]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2508.1997.680474.x"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-198401000-00001"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2000.01540.x"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1995.tb01800.x"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1054\/bjps.1999.3257"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(98)01294-6"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-199310000-00044"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(94)90076-0"},{"key":"e_1_2_1_10_1","first-page":"121","article-title":"Variability in origin and topography of the inferior epigastric and obturator arteries","volume":"55","author":"Jakubowicz M","year":"1996","journal-title":"Folia Morphol (Warsz)"},{"key":"e_1_2_1_11_1","first-page":"293","article-title":"The rectus abdominis muscle and the epigastric arteries","volume":"110","author":"Milloy FJ","year":"1960","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(01)00768-2"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.1998.11010059.x"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1089\/lps.1996.6.167"},{"key":"e_1_2_1_15_1","first-page":"348","article-title":"Use of a hand\u2010held Doppler to avoid abdominal wall vessels in laparoscopic surgery","volume":"76","author":"Whiteley MS","year":"1994","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_1_16_1","first-page":"485","article-title":"Pneumoperitoneum needle and trocar injuries in laparoscopy, a survey on possible risk factors and prevention","volume":"35","author":"Yuzpe AA","year":"1990","journal-title":"J Reprod Med"}],"container-title":["Clinical Anatomy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fca.10192","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ca.10192","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T18:03:44Z","timestamp":1696615424000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ca.10192"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,5,27]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2004,7]]}},"alternative-id":["10.1002\/ca.10192"],"URL":"https:\/\/doi.org\/10.1002\/ca.10192","archive":["Portico"],"relation":{},"ISSN":["0897-3806","1098-2353"],"issn-type":[{"value":"0897-3806","type":"print"},{"value":"1098-2353","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,5,27]]}}}