The femoral nerve was excised along this distance and the vessel branches (superficial
epigastric artery and vein) were ligated and separated.
Its branches are the deep circumflex femoral artery and the inferior
epigastric artery.
Next important landmark is the inferior
epigastric artery. Next step is to identify the cord structures and separate them form our field in order to create a space for laying a mesh.
Corona mortis (CM) is defined as an arterial or venous anastomosis between anastomotic branches of the obturator artery (OA) and the interior
epigastric artery (IEA) over the superior pubic ramus (SPR) (Baena et al, 2015; Al Talalwah, 2016; Tajra et al., 2016; Wada et al., 2017).
A blunt-tipped needle was inserted into the dissected
epigastric artery, and the elevated flap was placed in the perfusion bioreactor [Figure 1]b and [Figure 1]c.
One such complication is puncture of the inferior
epigastric artery which in the past has been reported to have led to catastrophic complications such as perforation, laceration, and dissection which lead to retroperitoneal hemorrhages [6].
Inadequate embolisation of a PA due to extrauterine feeding arteries, such as the internal pudendal artery, ovarian artery, inferior
epigastric artery, or contralateral uterine artery can lead to embolisation failure.
Major complications were found in 7 (4%) patients: postoperative retroperitoneal bleeding requiring transfusion (1.14%), GIA malfunction (0.6%),
epigastric artery injury (0.6%), bowel injury (0.6%), pneumonia (0.6%), and incisional hernia (0.6%).
The flap graft was raised in pedicular form at the left caudal superficial
epigastric artery and vein.
Rectus sheath hematoma is a blood collection in the sheath of the anterior rectus muscle caused by
epigastric artery damage or tearing of one or more muscle fibers [1].
Although the inferior
epigastric artery is sometimes preferred for this kind of reconstruction, in this case, it would probably have been too small for the reconstruction; also, the availability of a long and healthy aortic patch and the fact that during benching we did not know the status of the recipient vessels made us decide to take this approach.
In micro vascular auto transplantation the testicular artery is anastomosed to inferior
epigastric artery under microscope.
