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Surgical anatomy of supraumbilical port placement: implications for robotic and advanced laparoscopic surgery.

Authors
  • Bedaiwy, Mohamed A1
  • Zhang, Areiyu2
  • Henry, Drisana3
  • Falcone, Tommaso3
  • Soto, Enrique3
  • 1 Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, British Columbia, Canada; Department of Obstetrics and Gynecology, University Hospitals Case Medical Center, Cleveland, Ohio. Electronic address: [email protected] , (Canada)
  • 2 Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, British Columbia, Canada. , (Canada)
  • 3 Department of Obstetrics and Gynecology, University Hospitals Case Medical Center, Cleveland, Ohio.
Type
Published Article
Journal
Fertility and sterility
Publication Date
Apr 01, 2015
Volume
103
Issue
4
Identifiers
DOI: 10.1016/j.fertnstert.2015.01.013
PMID: 25681858
Source
Medline
Keywords
License
Unknown

Abstract

It is prudent for the surgeon to be cognizant of distance variations and risk of vessel injury with obese patients. If the supraumbilical entry is necessary, it is recommended to do so at 5 cm cephalad to the umbilicus. These anatomical relationships should be considered to avoid injury to the aorta and the IVC as well as intraligamentary preperitoneal insufflation.

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