{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T21:44:56Z","timestamp":1793828696649,"version":"4.6.1"},"reference-count":19,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2016,12,1]],"date-time":"2016-12-01T00:00:00Z","timestamp":1480550400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic & Advanced Surgical Techniques"],"published-print":{"date-parts":[[2016,12,1]]},"abstract":"Abstract<\/jats:title>\n \n Background:<\/jats:title>\n The identification of retropubic vasculature is not easy under the pressure of insufflated gas during totally extraperitoneal (TEP) inguinal hernioplasty. We aimed to present the usefulness of a maneuver that allows the clear identification of retropubic vasculature.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Vascular anatomy on the retropubic surface in 364 patients who underwent the TEP procedure from January 2005 to September 2015 was evaluated. In patients after July 2014, the pressure in the workspace was decreased from 14 to 8\u2009mmHg before fixation of the mesh to clearly identify the veins. The results before and after July 2014 were compared.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Demographic features were not significantly different between two periods. The number of hemipelvises in the first and second periods was 398 and 77, respectively. The rate of identification of venous corona mortis was 31% in the second period, whereas it was 1.0% in the first period (\n P<\/jats:italic>\n \u2009=\u2009.000). The identification of thick (5.5% versus 10.3%;\n P<\/jats:italic>\n \u2009=\u2009.123) and thin (22.8% versus 36.3%;\n P<\/jats:italic>\n \u2009=\u2009.014) arterial structures and their sum were increased in the second period (28.4% versus 46.7%;\n P<\/jats:italic>\n \u2009=\u2009.002). The rate of retropubic bleeding was zero in the second period, while it was 1.5% in the first period.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n During TEP hernioplasty, the pressure of insufflated gas more than 10\u2009mmHg in the preperitoneal space hinders the correct identification of vessels on the retropubic surface. The proposed maneuver, to decrease the pressure in the workspace to 8\u2009mmHg, can provide clear identification of all vessels, which decreases the potential risk of vascular injury.<\/jats:p>\n <\/jats:sec>","DOI":"10.1089\/lap.2016.0080","type":"journal-article","created":{"date-parts":[[2016,9,9]],"date-time":"2016-09-09T14:41:35Z","timestamp":1473432095000},"page":"978-984","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Low Pressure is Necessary to View and to Protect Corona Mortis During Totally Extraperitoneal Hernia Repair"],"prefix":"10.1177","volume":"26","author":[{"given":"Erdem","family":"Kinaci","sequence":"first","affiliation":[{"name":"Istanbul Training and Research Hospital","place":["Turkey"]},{"name":"Inonu University","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa","family":"Ates","sequence":"additional","affiliation":[{"name":"Inonu University","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abuzer","family":"Dirican","sequence":"additional","affiliation":[{"name":"Inonu University","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dincer","family":"Ozgor","sequence":"additional","affiliation":[{"name":"Inonu University","place":["Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,12,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004640000194"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016470410001708100"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-009-0534-7"},{"key":"e_1_3_3_5_2","first-page":"179","article-title":"Anastomotic vessels in the retropubic region: Corona mortis","volume":"62","author":"Sarikcioglu L","year":"2003","unstructured":"Sarikcioglu L, , Sindel M, , Akyildiz F, , Gur S. Anastomotic vessels in the retropubic region: Corona mortis. Folia Morphol (Warsz), 2003; 62:179\u2013182.","journal-title":"Folia Morphol (Warsz)"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20390"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-003-8800-y"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e3181df22a8"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.4293\/108680812X13427982376347"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-013-3001-9"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01569144"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2009.0084"},{"key":"e_1_3_3_13_2","first-page":"173","volume-title":"Master Techniques in Surgery Series - Hernia","author":"Powers KA","year":"2013","unstructured":"Powers KA, , Jones DB. Totally extraperitoneal hernai repair (Chapter 16). In: Jones DB (ed). Master Techniques in Surgery Series - Hernia. Philadelphia: Wolters Kluwer Health; 2013, p. 173."},{"key":"e_1_3_3_14_2","article-title":"Corona mortis; in vivo anatomical knowledge and the risk of injury in totally extraperitoneal inguinal hernia repair","author":"Ates M","year":"2015","unstructured":"Ates M, , Kinaci E, , Kose E, , Soyer V, , Sarici B, , Cuglan S, , Korkmaz F, , Dirican A. Corona mortis; in vivo anatomical knowledge and the risk of injury in totally extraperitoneal inguinal hernia repair. Hernia, 2015; (in press), Doi: 10.1007\/s10029-015-1444-8.","journal-title":"Hernia"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.3.5.674"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12076"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-2353(1997)10:5<328::AID-CA7>3.0.CO;2-M"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199608000-00012"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1159\/000147807"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/aja.1000700206"}],"container-title":["Journal of Laparoendoscopic & Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2016.0080","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2016.0080","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2016.0080","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T12:16:08Z","timestamp":1779192968000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2016.0080"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12,1]]},"references-count":19,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2016,12,1]]}},"alternative-id":["10.1089\/lap.2016.0080"],"URL":"https:\/\/doi.org\/10.1089\/lap.2016.0080","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,12,1]]}}}