American Journal of Obstetrics & Gynecology
Volume 202, Issue 3 , Pages 234.e1-234.e5 , March 2010

Anterior abdominal wall nerve and vessel anatomy: clinical implications for gynecologic surgery

Presented at the 29th Annual Scientific Meeting of the American Urogynecologic Society, Chicago, IL, Sept. 4-6, 2008.

  • David D. Rahn, MD

      Affiliations

    • Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX
  • ,
  • John N. Phelan, PhD

      Affiliations

    • Department of Cell Biology, University of Texas Southwestern Medical Center, Dallas, TX
  • ,
  • Shayzreen M. Roshanravan, MD

      Affiliations

    • Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX
  • ,
  • Amanda B. White, MD

      Affiliations

    • Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX
  • ,
  • Marlene M. Corton, MD

      Affiliations

    • Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX

Received 7 July 2009 ,Revised 31 July 2009 ,Accepted 27 October 2009.

References 

  1. Cardosi RJ, Cox CS, Hoffman MS. Postoperative neuropathies after major pelvic surgery. Obstet Gynecol. 2002;100:240–244
  2. Luijendijk RW, Jeekel J, Storm RK, et al. The low transverse Pfannenstiel incision and the prevalence of incisional hernia and nerve entrapment. Ann Surg. 1997;225:365–369
  3. Stark E, Oestreich K, Wendl K, Rumstadt B, Hagmüller E. Nerve irritation after laparoscopic hernia repair. Surg Endosc. 1999;13:878–881
  4. Bergqvist D, Bergqvist A. Vascular Injuries during gynecological surgery. Acta Obstet Gynaecol Scand. 1987;66:19–23
  5. Saber AA, Meslemani AM, Davis R, Pimentel R. Safety zones for anterior abdominal wall entry during laparoscopy: a CT scan mapping of epigastric vessels. Ann Surg. 2004;239:182–185
  6. Hurd WW, Pearl ML, DeLancey JO, Quint EH, Garnett B, Bude RO. Laparoscopic injury of abdominal wall blood vessels: a report of three cases. Obstet Gynecol. 1993;82:673–676
  7. Nahabedian MY, Dellon AL. Outcome of the operative management of nerve injuries in the ilioinguinal region. J Am Coll Surg. 1997;194:265–268
  8. Whiteside JL, Barber MD. Ilioinguinal/iliohypogastric neurectomy for management of intractable right lower quadrant pain after cesarean section: a case report. J Reprod Med. 2005;50:857–859
  9. Gross CR. Iliohypogastric nerve injury. Am J Surg. 1981;142:628
  10. Tobin G, Clark S, Peacock EE. A neuromuscular basis for the development of indirect inguinal hernia. Arch Surg. 1976;111:464
  11. Hurd WW, Bude RO, DeLancey JOL, Newman JS. The location of abdominal wall blood vessels in relationship to abdominal landmarks apparent at laparoscopy. Am J Obstet Gynecol. 1994;171:642–646
  12. Nichols DH. Incisions. In:  Nichols DH,  Clarke-Pearson DL editor. Gynecologic, obstetric, and related surgery. St Louis: Mosby; 2000;p. 197–226
  13. Sriprasad S, Yu DF, Muir GH, Poulsen J, Sidhu PS. Positional anatomy of vessels that may be damaged at laparoscopy: new access criteria based on CT and ultrasonography to avoid vascular injury. J Endourol. 2006;20:498–503
  14. Whiteside JL, Barber MD, Walters MD, Falcone T. Anatomy of ilioinguinal and iliohypogastric nerves in relation to trocar placement and low transverse incisions. Am J Obstet Gynecol. 2003;189:1574–1578
  15. Quint EH, Wang FL, Hurd WW. Laparoscopic transillumination for the location of anterior abdominal wall blood vessels. J Laparoendosc Surg. 1996;6:167–169
  16. Hurd WW, Amesse LS, Gruber JS, Horowitz GM, Cha GM, Hurteau JA. Visualization of the epigastric vessels and bladder before laparoscopic trocar placement. Fertil Steril. 2003;80:209–212

 Cite this article as: Rahn DD, Phelan JN, Roshanravan SM, et al. Anterior abdominal wall nerve and vessel anatomy: clinical implications for gynecologic surgery. Am J Obstet Gynecol 2010;202:234.e1-5.

 Reprints not available from the authors.

PII: S0002-9378(09)02094-8

doi: 10.1016/j.ajog.2009.10.878

American Journal of Obstetrics & Gynecology
Volume 202, Issue 3 , Pages 234.e1-234.e5 , March 2010