2019
DOI: 10.3400/avd.ra.19-00038
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Surgical Complications after Open Abdominal Aortic Aneurysm Repair: Intestinal Ischemia, Buttock Claudication and Sexual Dysfunction

Abstract: While surgical treatment for abdominal aortic aneurysm (AAA) is a standard operation, prevention of complication is important. Intestinal ischemia of the sigmoid colon and/or rectum after AAA surgery is severe and has a high mortality rate although occurrence frequency is low. The most important thing to prevent is the preoperative and intraoperative evaluation of the left hemicolon and rectal circulation. Measurement of inferior mesenteric artery stump pressure is also useful. From the viewpoint of prevention… Show more

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Cited by 14 publications
(9 citation statements)
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“…This highlights the importance of being vigilant for postoperative complications after aortic aneurysm repair. [42][43][44] Failure to timely diagnose and treat patients with aortic aneurysms and aortic dissections is not only detrimental and potentially fatal to the patient, but also results in suffering for family members, as detailed by "emotional distress" and "loss of consortium" being prevalent reported injuries.…”
Section: Discussionmentioning
confidence: 99%
“…This highlights the importance of being vigilant for postoperative complications after aortic aneurysm repair. [42][43][44] Failure to timely diagnose and treat patients with aortic aneurysms and aortic dissections is not only detrimental and potentially fatal to the patient, but also results in suffering for family members, as detailed by "emotional distress" and "loss of consortium" being prevalent reported injuries.…”
Section: Discussionmentioning
confidence: 99%
“…Exact assessment of anatomical and morphological attributes by pre-operative CT or MR angiography is crucial to ensure the best possible outcome [ 288 ]. With both OSR and EVAR, due care has to be exercised with regard to branch vessels to ensure adequate blood flow in renal, superior mesenteric, lumbar, and internal iliac supply zones to prevent postoperative sexual dysfunction and ischemic complications caused by inadequate pelvic circulation [ 289 , 290 , 291 ].…”
Section: Diagnosis and Managementmentioning
confidence: 99%
“…Kudo et al 23 emphasized the importance for prevention of ED of preserving the blood flow from at least one IIA and the importance for prevention of RE of adequate preservation of the superior hypogastric plexus and lumbar splanchnic nerves.…”
Section: Discussionmentioning
confidence: 99%