Endovascular repair of abdominal aortic aneurysm: acute rupture with circulatory shock and ongoing haemorrhage requiring emergency intervention under local anaesthesia

We wish to present and highlight the feasibility of an endovascular approach under local anaesthesia for acute rupture of abdominal aortic aneurysm with circulatory collapse and ongoing haemorrhage requiring emergency intervention.

Transperitoneal exclusion: a simple third world solution for abdominal aortic aneurysm

We present an operation never described before for dealing with abdominal aortic aneurysms by exclusion via a midline trans-abdominal approach. This breakthrough holds many advantages over conventional aneurysmorrahphy and requires further clinical trials (AU)

Transabdominal exclusion for treatment of infrarenal abdominal aortic aneurysm

Perioperative management of patients for repair of infrarenal abdominal aortic aneurysms (AAA) presents a formidable task in the third world setting, given the limitations of operative time, lack of blood and intensive care facilities. We present a simple surgical technique for repair of infrarenal AAA, never described before. This requires minimal pre- and post-operative care facilities and could be easily performed by a general surgeon in a third world setting.(AU)

Primary aortoenteric fistula

One hundred and thirty-eight patients with abdominal aortic aneurysms were treated by aneurysmorrhaphy over an eleven-year period. Six patients, all male and aged 60 - 74 years, were found to have developed primary aorteonteric fistulae. Four patients presented with bleeding into the gastrointestinal tract in association with a tender abdominal swelling. In the other two cases, the aneurysm was discovered at emergency laparatomy for gastrointestinal haemorrhage. The presence of the fistula was confirmed at operation in five patients and at autopsy in one. Two patients died, one from a massive gastrointestinal haemorrhage to surgery, the other from sepsis complicated by adult respiratory distress syndrome and renal failure following operation (AU)

Retroperitoneal exclusion vs transperitoneal aneurysmorraphy for abdominal aortic aneurysms - abstract

Blood loss, fluid and electrolyte imbalance, prolonged paralytic ileus and respiratory problems all contribute to the morbidity and mortality in patients having abdominal aortic aneurysmorraphy. Our experience, using a new technique of "extraperitoneal exclusion", shows that the morbidity and blood transfusiion requirements are less than in conventional transperitoneal exclusion", shows that the morbidity and blood transfusion requirements are less than in conventional transperitoneal aneurysmorraphy. Comparison of 18 exclusions with 12 transperitoneal cases shows a lower blood loss, shorter hospital stay, less paralytic ileus and respiratory complications in the former group. In a developing country, such as ours, with limited intensive care facilities, blood bank stores and hospital beds, aneurysmorraphy by this exclusion technique needs to be considered as the method of choice in patients with aorto-iliac aneurysms (AU)