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Related Experiment Videos

Abdominal aortic aneurysm repair.

C P Cruz1, J C Drouilhet, F N Southern

  • 1Department of Surgery, Division of Vascular Surgery, Central Arkansas Veterans Healthcare System, Little Rock, AR 72205, USA.

Vascular Surgery
|September 21, 2001
PubMed
Summary

Open surgical repair of abdominal aortic aneurysms (AAA) in male veterans demonstrated low mortality and morbidity. This conventional open technique achieved rapid patient recovery, including early extubation and ambulation, with short hospital stays.

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Area of Science:

  • Vascular Surgery
  • Abdominal Aortic Aneurysm (AAA) Repair
  • Surgical Outcomes

Background:

  • Endovascular stent grafts are emerging for abdominal aortic aneurysm (AAA) repair.
  • A contemporary comparison with evolving endoluminal data is needed.
  • Retrospective review of conventional open AAA repair in a modern patient cohort.

Purpose of the Study:

  • Document outcomes of surgical AAA repair in a contemporary male veteran population.
  • Provide data for comparison with endovascular AAA repair techniques.

Main Methods:

  • Retrospective review of 121 consecutive, non-ruptured elective AAA repairs over 3 years.
  • Analysis of patient demographics, medical history, comorbidities, and operative details.
  • Evaluation of intraoperative and postoperative outcomes, including mortality, morbidity, and length of stay.

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Main Results:

  • Mean patient age 68.5 years; 80% had a smoking history; 73.5% had heart disease.
  • Operative time averaged 165 minutes; estimated blood loss was 1505 mL.
  • 30-day mortality rate was 1.6%; common morbidities (1.6%) included UTI, wound infection, stroke.
  • Mean ICU stay was 2.0 days; mean hospital stay was 6.6 days.
  • Patients were extubated in OR (78.5%), ambulated by 1.3 days, and received nutrition by 3.5 days.

Conclusions:

  • Conventional open AAA repair in this male veteran cohort showed low mortality and morbidity.
  • Patients experienced rapid recovery, including early extubation, oral intake, and ambulation.
  • Short ICU and hospital stays were achieved, supporting open repair's viability.