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Related Experiment Videos

[In Process Citation].

Zoltán Oláh1, László Hidi, László Entz

  • 1Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti Tanszék, Semmelweis Egyetem, Általános Orvostudományi Kar 1122 Budapest, Városmajor u. 68.

Magyar Sebeszet
|August 19, 2015
PubMed
Summary

Medial visceral rotation (MVR) offers excellent exposure for upper abdominal aortic reconstruction, facilitating complex vascular repairs. This approach minimizes morbidity compared to thoracolaparotomy, proving beneficial in aortic surgery.

Keywords:
medial visceral rotationmedialis visceralis rotációsuprarenal aortasuprarenalis aorta

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Area of Science:

  • Vascular Surgery
  • Surgical Techniques
  • Abdominal Aorta

Context:

  • Exposure of the upper abdominal aorta and its branches is critical for vascular reconstruction.
  • Traditional approaches include transperitoneal, retroperitoneal, and thoracolaparotomy.
  • Left medial visceral rotation (MVR) presents an alternative for accessing this challenging region.

Purpose:

  • To evaluate the efficacy and outcomes of left medial visceral rotation (MVR) in aortic surgery.
  • To compare MVR with other surgical approaches for upper abdominal aortic reconstruction.

Summary:

  • The study involved six patients undergoing MVR for various aortic conditions, including aneurysms, atherosclerosis, pseudoaneurysms, and aortic dissection.
  • Procedures included thrombendarterectomy, bypass grafting, and aortic interposition.
  • Average operation time was 231 minutes, with a 43-minute cross-clamping time. Hospital stay averaged 16 days. Complications included spleen injury and reoperations for bleeding; two patients developed renal failure.

Impact:

  • Transabdominal medial visceral rotation provides adequate exposure for acute or elective vascular reconstruction of the upper abdominal aorta.
  • MVR allows for better intraoperative bleeding control and easier access to visceral arteries compared to thoracolaparotomy.
  • Minimizes morbidity, particularly pulmonary complications, associated with opening multiple body cavities.