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[Anastomotic aneurysm]
B M Harnoss1, H Zühlke, G Matura
1Abteilung Allgemein-, Gefäss- und Thoraxchirurgie, Klinikum Steglitz der Freien Universität Berlin.
The incidence of postoperative suture aneurysms shows a generally regressive tendency. Within the last 10 years, we diagnosed anastomotic aneurysms in 66 of a total of 2,494 patients undergoing vascular reconstruction with implantation of alloplastic material at our clinic. Aneurysms were primarily located in the inguinal region (88%); intraabdominal suture aneurysms were diagnosed in 9% of all cases. Infection was the cause of postoperative anastomotic insufficiency in eleven cases (17%) with staphylococci and E. coli being the dominant pathogens.
The incidence of postoperative suture aneurysms shows a generally regressive tendency. Within the last 10 years, we diagnosed anastomotic aneurysms in 66 of a total of 2,494 patients undergoing vascular reconstruction with implantation of alloplastic material at our clinic. Aneurysms were primarily located in the inguinal region (88%); intraabdominal suture aneurysms were diagnosed in 9% of all cases. Infection was the cause of postoperative anastomotic insufficiency in eleven cases (17%) with staphylococci and E. coli being the dominant pathogens.