Retroperitoneal exclusion vs transperitoneal aneurysmorraphy for abdominal aortic aneurysms - abstract

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)