EARLY MORBIDITY AND MORTALITY AFTER RETROPERITONEAL REPAIR OF THE ABDOMINAL AORTA WITH MODIFICATION OF THE PATIENT'S POSITION
Reffat, S., Shams, M., Shaarawy, M., Gamal, M., Saleh, O., Sherif, M., Almezaien, M. (2008). EARLY MORBIDITY AND MORTALITY AFTER RETROPERITONEAL REPAIR OF THE ABDOMINAL AORTA WITH MODIFICATION OF THE PATIENT'S POSITION. EKB Journal Management System, 27(1), 25-30. doi: 10.21608/ejsur.2008.371603
Sherif Reffat; Mohamed Shams; Mohamed Shaarawy; Mohamed Gamal; Omar Saleh; Mohamed Sherif; Mamdouh Almezaien. "EARLY MORBIDITY AND MORTALITY AFTER RETROPERITONEAL REPAIR OF THE ABDOMINAL AORTA WITH MODIFICATION OF THE PATIENT'S POSITION". EKB Journal Management System, 27, 1, 2008, 25-30. doi: 10.21608/ejsur.2008.371603
Reffat, S., Shams, M., Shaarawy, M., Gamal, M., Saleh, O., Sherif, M., Almezaien, M. (2008). 'EARLY MORBIDITY AND MORTALITY AFTER RETROPERITONEAL REPAIR OF THE ABDOMINAL AORTA WITH MODIFICATION OF THE PATIENT'S POSITION', EKB Journal Management System, 27(1), pp. 25-30. doi: 10.21608/ejsur.2008.371603
Reffat, S., Shams, M., Shaarawy, M., Gamal, M., Saleh, O., Sherif, M., Almezaien, M. EARLY MORBIDITY AND MORTALITY AFTER RETROPERITONEAL REPAIR OF THE ABDOMINAL AORTA WITH MODIFICATION OF THE PATIENT'S POSITION. EKB Journal Management System, 2008; 27(1): 25-30. doi: 10.21608/ejsur.2008.371603

EARLY MORBIDITY AND MORTALITY AFTER RETROPERITONEAL REPAIR OF THE ABDOMINAL AORTA WITH MODIFICATION OF THE PATIENT'S POSITION

The Egyptian Journal of Surgery
Volume 27, Issue 1, January 2008, Page 25-30  XML PDF (193.26 K)
Document Type: Original Article
DOI: 10.21608/ejsur.2008.371603
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Authors
Sherif Reffat* ; Mohamed Shams; Mohamed Shaarawy; Mohamed Gamal; Omar Saleh; Mohamed Sherif; Mamdouh Almezaien
Department of General Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
Abstract
Aim: Repair of the abdominal aorta is a major procedure that has a considerable morbidity and mortality. Efforts are exerted to reduce this operative risk, one of which is the surgical approach of the Aorta. This study was carried out to evaluate the retroperitoneal approach regarding morbidity and mortality during the operation and for 30 days afterward and to evaluate the accessibility of this approach while the patient in supine. 
Methods: Nineteen patients with a mean age of 65.5 years were admitted for the repair of Abdominal Aorta between March 2004 and March 2006. To repair the Aorta of these patients it was approached retroperitonealy, using the standard technique with modification of the patient’s position. Operative and post-operative data were measured and compared to the literature. 
Results: Mean operative time, intra-operative fluid replacement and ICU stays were less compared to the transperitoneal 
approach. Normal intestinal sounds were regained after 2 days in most of the patients. Mean hospital stay was 6.7 days with no mortality. 
Conclusion: This study supports that retroperitoneal approach has early morbidity and mortality that is comparable to the accepted rate of complications in literatures. This approach provides a convenient exposure to treat different anatomical 
lesion of the distal Aorta and iliac arteries, when we operate with the patient in the neutrally supine position.
Keywords
Aneurysm; Leriche syndrome; atherosclerosis
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