A Shorter Skin Incision Technique for the Repair of Infrarenal Abdominal Aortic Aneurysms

Hiromatsu, Shinichi; Egawa, Noriko; Hosokawa, Yukio; Ishihara, Kenji; Yokokura, Hiroko; Tanaka, Atsuhisa; Aoyagi, Shigeaki

doi:10.1007/s00595-006-3353-z

Cited by 8 publications

(9 citation statements)

References 17 publications

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“…Some studies have shown that the time to first flatus is 2-3 PODs and the time to resuming a diet is 4-8 PODs following transperitoneal abdominal aortic surgery [6,9,10,17]. Similar to previous reports, the number of days to first flatus and to resuming food intake was 2.35 and 3.86 days, respectively, in our control group.…”

Section: Discussionsupporting

confidence: 87%

“…Furthermore, reports indicate that early oral intake does not reduce the duration of postoperative ileus or increase the rate of nasogastric tube reinsertion significantly [6]. Minimally invasive surgery, such as minilaparotomy, laparoscopic procedures, and endovascular surgery, may lead to earlier recovery of postoperative bowel function and shorter hospital stays, because of reduced tissue trauma [7][8][9][10][11]. However, minimally invasive techniques are not available for all surgical procedures and we must devise new surgical techniques to address these issues.…”

Section: Introductionmentioning

confidence: 99%

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Gum chewing enhances early recovery of bowel function following transperitoneal abdominal aortic surgery

et al. 2012

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Gum chewing enhances early recovery of bowel function following transperitoneal abdominal aortic surgery

et al. 2012

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“…22,25,26 The MINI patients did not need a significant increase in fluid recovery because of less intestinal edema and earlier return to oral intake. 22,25,26 The MINI patients did not need a significant increase in fluid recovery because of less intestinal edema and earlier return to oral intake.…”

Section: Discussionmentioning

confidence: 98%

Mini-invasive Aortic Surgery: Personal Experience

Spinelli

Stilo

Spada

et al. 2014

Innovations�(Phila)

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Objective In this study, we retrospectively evaluated our experience in minilaparotomy (MINI) and compared the results with conventional open repair (OPEN). Methods From January 2005 to December 2012, we surgically treated 234 consecutive patients with elective infrarenal abdominal aortic aneurysms, 195 men and 39 women, with a mean age of 74 years. Inclusion criteria for MINI were not ruptured abdominal aortic aneurysm, increased surgical risk, anatomical limits for endovascular repair, no previous surgical invasion of the abdominal cavity, and no requirement for concomitant abdominal surgical invasion. Surgical treatment was OPEN in 113 patients (48.3%) and MINI through an 8- to 14-cm incision in 121 patients (51.7%). Epidural anesthesia has been added in 26.5% and in 19.3% of the MINI and OPEN patients, respectively. Mortality, complications, aortic clamping time, operative time, need for postoperative morphine therapy, time to solid diet, and length of hospital stay were registered. Results The MINI has been performed in all patients selected, with 72 aortoaortic grafts and 49 aortobisiliac grafts. Early mortality was 1.6% versus 3.5% ( P > 0.5); 1-, 3-, and 5-year mortality were 7% versus 9%, 19% versus 22%, and 29% versus 34% ( P > 0.5); complications were 12.2% versus 26.6% ( P > 0.05); mean (SD) clamping time was 48 (12) versus 44 (14) minutes ( P > 0.5); mean (SD) operative time was 218.72 (41.95) versus 191.44 (21.73) minutes ( P > 0.025); mean (SD) estimated intraoperative blood loss was 425.64 (85.95) versus 385.30 (72.41) mL ( P > 0.1); mean (SD) morphine consumption in the group given epidural and the group not given epidural was 0 (2) and 2 (2) mg intravenously (IV) versus 2 (4) ( P < 0.5) and 4 (3) mg IV ( P > 0.1); mean (SD) ambulation was 2.1 (0.6) versus 4.1 (2.7) ( P < 0.5); mean (SD) time to solid diet was 2.1 (0.4) versus 3.5 (1.6) ( P < 0.5); and mean (SD) length of hospital stay was 4.9 (1.64) versus 7.35 (1.95) days ( P > 0.05), in the MINI and OPEN groups, respectively. Postoperative hernia at 3 years was 18% versus 23% in the MINI and OPEN groups ( P < 0.5), respectively. Conclusions The MINI gives the patients a significantly shorter period of recovery with the quality and safety of the OPEN. This experience suggested extending the indication to all surgical candidates without local limitations.

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“…The length of the abdominal skin incision for abdominal aortic aneurysm repair has been determined to impact on the presence of ileus and time to return to normal diet. Hiromatsu and colleagues established that those patients with a skin incision of less than 15cm had a significantly smaller incidence of ileus when compared to a group of patients that had a skin incision of greater than 20cm (Hiromatsu et al, 2007). Laparoscopic repair has also demonstrated a shorter period of ileus and a quicker return to diet when compared to open repair (Coggia et al, 2005).…”

Section: Risk Factorsmentioning

confidence: 99%

Gastrointestinal Complications of Abdominal Aortic Aneurysms

Nugent¹,

Neary²

2011

Diagnosis, Screening and Treatment of Abdominal, Thoracoabdominal and Thoracic Aortic Aneurysms

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A Shorter Skin Incision Technique for the Repair of Infrarenal Abdominal Aortic Aneurysms

Abstract: We define minimally invasive vascular surgery as surgery performed with a small abdominal skin incision that does not expose the intestine to air while providing a good operative field that does not place any undue stress on the surgeon.

Cited by 8 publications

References 17 publications

Gum chewing enhances early recovery of bowel function following transperitoneal abdominal aortic surgery

Gum chewing enhances early recovery of bowel function following transperitoneal abdominal aortic surgery

Mini-invasive Aortic Surgery: Personal Experience

Gastrointestinal Complications of Abdominal Aortic Aneurysms

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