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[Prosthetic separation in the retroperitoneum in reconstructive arterial surgery]
F Giordanengo1, P L Vandone, F Varini
1Istituto di Chirurgia Generale e Cardiovascolare, Università degli Studi di Milano.
Minerva Cardioangiologica
|December 1, 1993
Summary
Retroperitoneal prosthetic dehiscence is a severe complication in aorto-iliac pathology surgery. This study analyzes 3410 cases, finding a decreasing incidence of related complications like fistula and pseudoaneurysm over the last 8 years.
Area of Science:
- Vascular Surgery
- Abdominal Aortic Aneurysm Repair
- Prosthetic Reconstruction
Context:
- Analysis of 3410 retroperitoneal prosthetic reconstructions for aorto-iliac pathology over 25 years.
- Focus on complications including prosthetic dehiscence, vasculo-enteric fistula, and pseudoaneurysm.
- Data sourced from the General and Cardiovascular Institute of Milan.
Purpose:
- To evaluate the incidence and trends of retroperitoneal prosthetic dehiscence.
- To identify etiologic factors, diagnostic procedures, and surgical approaches for managing this complication.
- To assess changes in complication rates over the past 25 years, particularly the last 8.
Summary:
- 39 cases of retroperitoneal prosthetic dehiscence were identified among 3410 reconstructions.
- The incidence of dehiscence in patients initially operated at the institute was 1.03%.
- A notable decrease in vasculo-enteric fistula and pseudoaneurysm incidence was observed in the last 8 years (0.9%).
Impact:
- Provides insights into the evolving management of severe complications in aorto-iliac prosthetic reconstructions.
- Highlights a potential reduction in specific complications, suggesting improvements in surgical techniques or patient selection.
- Offers valuable data for surgeons and researchers focusing on vascular reconstruction outcomes.