| Where is the aorta? Is it worth palpating the aorta prior to laparoscopy? | |
| | |
MedLine Citation:
|
PMID: 17364289 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Injury to major retroperitoneal vessels is the most catastrophic complication of laparoscopy. Knowledge of the site of the aortic bifurcation prior to inserting the umbilical port would be expected to reduce the risk of this type of injury. The aim of the study is to determine the feasibility of identifying the aortic bifurcation by palpation prior to the operation. METHODS: We studied 100 patients undergoing laparoscopic surgery or laparotomy. After prepping and draping, the operating surgeon felt for the aortic bifurcation to determine its position in relation to the umbilicus. We then related our findings to the height, weight, and body mass index of the patient. RESULTS: The aorta could not be palpated in 15% of cases, including almost 2/3 of women who were obese (body mass index >30). In the remaining 85% cases, where the aorta was palpable, the bifurcation was above the level of the umbilicus in 30 (35%) cases, at the umbilicus in 45 (53%) cases, and below in 10 (12%) cases. We did not find any significant effect of body mass index, height, or weight on the level of the aortic bifurcation by palpation. No vascular injury occurred in the laparoscopic cases during the study. CONCLUSIONS: The aortic bifurcation is palpable in the majority of women undergoing surgery, including 93% of those with a low or normal body mass index who are at higher risk of vascular injury. We recommend the routine palpation for the aortic bifurcation as a simple means to reduce the risk of injury to a major retroperitoneal vessel. |
| | |
Authors:
|
Dimitrios Polyzos; Nikolaos Papadopoulos; Lynne Chapman; Panos Papalampros; Vasiliki Varela; Pietro Gambadauro; Adam Magos |
Related Documents
:
|
11466149 - Aortic transsection after blunt chest trauma. 17574179 - Epithelioid angiosarcoma of the aorta in a 47-year-old man: a case report and literatur... 11845639 - Secondary hypertension in a migrant farm worker: a case report of coarctation of the ao... 3229869 - Complete transposition with posteriorly located aorta and multiple ventricular septal d... 8402709 - Intracranial solitary-type infantile myofibromatosis. 3563779 - Apical hypertrophic cardiomyopathy. a case report. 6412579 - Benign familial neonatal convulsions. 7459919 - The treatment of hyperparathyroidism by transcatheter techniques. 10708359 - Medical management of eosinophilic granuloma of the cervical spine. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Acta obstetricia et gynecologica Scandinavica Volume: 86 ISSN: 0001-6349 ISO Abbreviation: Acta Obstet Gynecol Scand Publication Date: 2007 |
Date Detail:
|
Created Date: 2007-03-16 Completed Date: 2007-04-12 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0370343 Medline TA: Acta Obstet Gynecol Scand Country: Denmark |
Other Details:
|
Languages: eng Pagination: 235-9 Citation Subset: IM |
Affiliation:
|
Minimally Invasive Therapy Unit & Endoscopy Training Centre, University Department of Obstetrics and Gynaecology, Royal Free Hospital, Pond Street, Hampstead, London, NW3 2QG, England. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aorta / anatomy & histology* Blood Vessels / injuries Body Height Body Mass Index Body Weight Female Humans Laparoscopy / adverse effects, methods* Obesity / pathology Palpation* Prospective Studies Retroperitoneal Space / blood supply* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Lower uterine blood supply: extrauterine anastomotic system and its application in surgical devascul...
Next Document: Maternal deaths after elective cesarean section for breech presentation in the Netherlands.