Early surgical and vascular complications after open repairs of aortoiliac aneurysms
Authors:
M. Pirkl 1,2; F. Krampota 1; T. Daněk 1; Michal Černý 1
Authors place of work:
Oddělení cévní a plastické chirurgie, Chirurgická klinika, Pardubická nemocnice, NPK, a. s.
1; Fakulta zdravotnických studií, Univerzita Pardubice
2
Published in the journal:
Rozhl. Chir., 2018, roč. 97, č. 11, s. 499-503.
Category:
Original articles
Summary
Introduction:
The surgical procedures due to aortoiliac aneurysm (AAA) represent the most demanding procedures in conventional vascular surgery. This is due, among other things, to the relatively frequent systemic and surgical complications in polymorbid and often urgently operated patients. Surgical and vascular complications after resections of aortoiliac aneurysms are relatively common, and reintervention due to these complications is reported to range around 14%.
Method:
Retrospective clinical study of a group of patients undergoing surgical management for aortoiliac aneurysms in the period from 1 January 2010 to 31 December 2017 at the Department of Vascular and Plastic Surgery of Pardubice Hospital NPK.
Results:
In a group of 240 patients (205 males, 35 females), mortality reached a total of 10.4%, with mortality in elective cases 3.4% and 31.1% in urgent procedures (37.5% in AAA rupture). Overall, in the elective group, we recorded a total of 29 (16.2%) surgical and/or vascular complications with the necessity of 16 (8.9%) surgical, endovascular or combined interventions. In the emergency group, these complications were recorded 30 times (49%) with the need for intervention in 19 cases (31.1% of emergency procedures).
Conclusion:
Open surgical procedures on AAA are accompanied by a high incidence of systemic and surgical and/or vascular complications. These patients therefore require high attention and quality of intensive care in the postoperative period, focusing on early diagnosis and subsequent treatment of these complications.
Key words:
aortoiliac aneurysm − surgical complications – bleeding − limb ischemia − abdominal compartment syndrome
Zdroje
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Štítky
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