Anatomy of the Abdominal Wall and Vaginal Entry in Relation to Complications of Access and Injury in Laparoscopy

  • Tom A. J. Schneider


In the early days of laparoscopic surgery in procedures such as diagnostic laparoscopy and tubal ligation, the Veress-needle and trocar were only placed in the relatively avascular midline (Fig. 1.1). Consequently, injuries of the abdominal wall vessels were rare. Vessel injuries of the abdominal wall have become more common with the development of more complicated laparoscopic procedures with placement of large-bore trocars laterally.


Anterior Abdominal Wall Anterior Superior Iliac Spine Tubal Ligation Posterior Vaginal Wall Inferior Epigastric Artery 
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The author would like to thank Rob Stoeckart, Edward Breedveld, Joris Harlaar, and Claire Pellikaan for their assistance.


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Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  • Tom A. J. Schneider
    • 1
  1. 1.Department of Obstetrics and Prenatal MedicineErasmus MC UniversityRotterdamThe Netherlands

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