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Manage Inferior Epigastric Bleeding

  • Titilayo Adegboyega
  • David E. RivadeneiraEmail author
Chapter

Abstract

When performing laparoscopic or robotic surgery, the inferior epigastric vessels can be disrupted particularly with trocar insertion causing significant bleeding. In this chapter we discuss the relevant anatomy of the inferior epigastric vessels and its relationship to trocar insertion. We also discuss techniques and maneuvers that will aid in dealing with bleeding from the inferior epigastric pedicle.

Keywords

Inferior epigastric Bleeding Trocar Laparoscopy Robotic Hemostasis 

Suggested Reading

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    Wick MC, Klocker J, Grundtman C, Jaschke W, Chemelli A. Transcatheter embolization for the management of acute active inferior epigastric artery hemorrhages. J Endovasc Ther. 2013;20:561–7.CrossRefGoogle Scholar
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    Wong C, Merkur H. Inferior epigastric artery: surface anatomy, prevention and management of injury. Aust N Z J Obstet Gynaecol. 2016;56:137–41.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Huntington Hospital-Northwell Health, Department of Colorectal SurgeryHuntingtonUSA
  2. 2.Surgical Strategic InitiativesNorthwell HealthNew Hyde ParkUSA
  3. 3.Surgical Services and Colorectal SurgeryHuntington HospitalHuntingtonUSA
  4. 4.Hofstra University-Northwell School of MedicineHempsteadUSA

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