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Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices
Published on: September 8, 2023
Combined gastrointestinal and abdominal aortic aneurysm operations
T B Hugh1, J Masson, A R Graham
1Department of General Surgery, St Vincent's Hospital, Darlinghurst, New South Wales.
The Australian and New Zealand Journal of Surgery
|October 1, 1988
Summary
This study reviewed gastrointestinal conditions during aneurysm surgery. It found that concurrent gastrointestinal procedures are generally unnecessary and should be avoided in most abdominal aneurysm operations.
Area of Science:
- Gastroenterology
- Vascular Surgery
- Surgical Outcomes
Background:
- Gastrointestinal (GI) surgical conditions can coexist with abdominal aortic aneurysm (AAA) disease.
- Management decisions for concurrent GI pathology during AAA repair require careful consideration.
Purpose of the Study:
- To report the experience with GI surgical conditions in patients undergoing AAA operations.
- To review the management of GI pathology in association with AAA treatment.
Main Methods:
- Retrospective review of 154 consecutive AAA operations.
- Analysis of coincidental GI conditions and postoperative complications.
Main Results:
- 11% of patients had gallstones; 4% had other GI conditions.
- 8 patients (5.2%) experienced postoperative GI complications.
- 4 of 12 deaths (3.2%) were GI-related, but often not preventable by concurrent surgery.
Conclusions:
- The frequency of concurrent GI disorders is too low for definitive outcome analysis.
- Secondary GI procedures during AAA surgery should be avoided in most cases due to low risk of untreated GI conditions.
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