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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Related Experiment Video

Updated: Apr 23, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
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Mini-invasive aortic surgery: personal experience.

Francesco Spinelli1, Francesco Stilo, Michele La Spada

  • 1From the *Unit of Vascular Surgery, Department of Cardiovascular and Thoracic Sciences, and †Department of Neuroscience, Psychiatric and Anaesthesiological Sciences, University of Messina, Messina, Italy.

Innovations (Philadelphia, Pa.)
|September 20, 2014
PubMed
Summary
This summary is machine-generated.

Minilaparotomy (MINI) repair for abdominal aortic aneurysms offers a significantly shorter recovery period compared to conventional open repair (OPEN), maintaining similar safety and quality. This suggests MINI can be broadly indicated for surgical candidates.

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Area of Science:

  • Vascular Surgery
  • Minimally Invasive Surgery
  • Aortic Aneurysm Repair

Background:

  • Conventional open repair (OPEN) for infrarenal abdominal aortic aneurysms is a well-established procedure.
  • Minilaparotomy (MINI) presents a less invasive alternative, potentially offering improved patient recovery.
  • Comparative data on MINI versus OPEN for abdominal aortic aneurysms are crucial for surgical decision-making.

Purpose of the Study:

  • To retrospectively evaluate the clinical outcomes of minilaparotomy (MINI) for abdominal aortic aneurysm repair.
  • To compare the results of MINI with conventional open repair (OPEN) in terms of safety, efficacy, and recovery.
  • To assess the feasibility of expanding indications for MINI in abdominal aortic aneurysm surgery.

Main Methods:

  • Retrospective analysis of 234 patients (2005-2012) with elective infrarenal abdominal aortic aneurysms.
  • Patients were surgically treated with either OPEN (113 patients) or MINI (121 patients) based on specific inclusion criteria.
  • Key outcomes registered included mortality, complications, operative time, blood loss, pain management, diet progression, ambulation, and hospital stay.

Main Results:

  • MINI demonstrated a significantly shorter time to solid diet (2.1 vs 3.5 days) and earlier ambulation (2.1 vs 4.1 days) compared to OPEN.
  • Postoperative hernia rates at 3 years were comparable (18% MINI vs 23% OPEN).
  • While operative time was longer for MINI (218.7 vs 191.4 min), complication rates and mortality were not significantly different between the groups.

Conclusions:

  • Minilaparotomy (MINI) repair for abdominal aortic aneurysms provides a significantly shorter recovery period for patients.
  • MINI achieves comparable quality and safety to conventional open repair (OPEN).
  • The study suggests expanding the indications for MINI to all suitable surgical candidates without local contraindications.