Identification of safe trocar insertion sites guided by ultrasonography to minimize epigastric vessel injuries in pediatric laparoscopic procedures - Takeaways - MDSpire

Identification of safe trocar insertion sites guided by ultrasonography to minimize epigastric vessel injuries in pediatric laparoscopic procedures

  • By

  • Cemal Bilir

  • Zeynep Ayvat Öcal

  • May 14, 2026

  • 0 min

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  • 1

    Deep epigastric vessels are frequently injured during trocar insertion in pediatric laparoscopic surgery, risking significant bleeding.

  • 2

    This study utilized Doppler ultrasonography to map the location of deep epigastric vessels in 90 pediatric patients.

  • 3

    Mean distances of deep epigastric vessels from the midline varied significantly, with no notable differences between genders.

  • 4

    Safe avascular areas for trocar placement were identified, enhancing the safety of laparoscopic procedures in children.

  • 5

    Ultrasonography proved effective for visualizing deep epigastric vessels, aiding in the prevention of vascular injuries during surgery.

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