{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T07:04:48Z","timestamp":1791529488329,"version":"4.3.4"},"reference-count":12,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T00:00:00Z","timestamp":1650585600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Anatomy"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Better understanding of the surgical anatomy of the triangle of doom and the triangle of pain with fixed bony landmarks like the anterior superior iliac spine (ASIS) and the pubic symphysis (PS) can help in defining a safe location for trocar placement during laparoscopic surgeries and minimize neurovascular complications. Ten cadavers were dissected bilaterally to explore the surgical anatomy of both the triangles. ASIS and PS were evaluated in relation to the deep inguinal ring, external iliac artery, femoral nerve, and inferior epigastric artery. The deep inguinal ring was located at a depth of ~3\u2009cm, about 4.9\u2009\u00b1\u20090.56\u2009cm along the <jats:italic>y<\/jats:italic>\u2010axis and 6.2\u2009\u00b1\u20090.94\u2009cm along the <jats:italic>x<\/jats:italic>\u2010axis, from the ASIS. The external iliac artery was located ~4.33\u2009\u00b1\u20090.6\u00a0cm along the <jats:italic>y<\/jats:italic>\u2010axis and 7.29\u2009\u00b1\u20090.76 along the <jats:italic>x<\/jats:italic>\u2010axis from the ASIS. The inferior epigastric artery was at ~4.31\u2009\u00b1\u20090.38\u2009cm from the midline at the level of ASIS. This knowledge can help in the surface localization of both the triangles and prevent injury to the various neurovascular structures in relation to these triangles. In the current study, cranial to the ASIS lying at a distance of &gt;5\u00a0cm from the midline was observed to be a safe zone for accessory trocar placement. The umbilical port has been observed to be safe for trocar placement. The mean angle between ductus deferens and testicular vessels was observed to be 43.5\u00b0\u2009\u00b1\u20094.79\u00b0, which could help in determining their relative locations during various surgical procedures.<\/jats:p>","DOI":"10.1002\/ca.23886","type":"journal-article","created":{"date-parts":[[2022,4,15]],"date-time":"2022-04-15T10:54:30Z","timestamp":1650020070000},"page":"899-905","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Revisiting the surgical anatomy of the triangle of doom and the triangle of pain"],"prefix":"10.1002","volume":"35","author":[{"given":"Richa","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Anatomy PGIMER  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4910-1796","authenticated-orcid":false,"given":"Tulika","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Anatomy PGIMER  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9116-8380","authenticated-orcid":false,"given":"Chiman","family":"Kumari","sequence":"additional","affiliation":[{"name":"Department of Anatomy PGIMER  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6523-5052","authenticated-orcid":false,"given":"Anjali","family":"Aggarwal","sequence":"additional","affiliation":[{"name":"Department of Anatomy PGIMER  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisy","family":"Sahni","sequence":"additional","affiliation":[{"name":"Department of Anatomy PGIMER  Chandigarh India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-021-01626-x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.23671"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2005.08.010"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-011-0791-0"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200005000-00016"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2007.07.016"},{"issue":"8","key":"e_1_2_6_8_1","first-page":"e10018","article-title":"Iatrogenic arterial perforation during endovascular interventions","volume":"12","author":"Rizk T.","year":"2020","journal-title":"Cureus"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000109151.53296.07"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.22559"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(00)00416-5"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1096\/fasebj.2021.35.S1.05259"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/ases.12744"}],"container-title":["Clinical Anatomy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ca.23886","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ca.23886","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ca.23886","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T12:59:27Z","timestamp":1692622767000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ca.23886"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,22]]},"references-count":12,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1002\/ca.23886"],"URL":"https:\/\/doi.org\/10.1002\/ca.23886","archive":["Portico"],"relation":{},"ISSN":["0897-3806","1098-2353"],"issn-type":[{"value":"0897-3806","type":"print"},{"value":"1098-2353","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,22]]},"assertion":[{"value":"2021-09-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}