Management of Co-existing Intra-abdominal Disease in Aortic Surgery

Objectives the treatment of abdominal aortic aneurysms more than 5 cm in diameter is well accepted, but controversy surrounds the management of concomitant serious intra-abdominal lesions diagnosed in the perioperative period. This study was undertaken to demonstrate that synchronous surgery is feas...

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Bibliographic Details
Published in:European journal of vascular and endovascular surgery 2000-01, Vol.19 (1), p.43-46
Main Authors: Oshodi, T.O., Abraham, J.S., Brigg, J.K., Kelly, J.F.
Format: Article
Language:English
Subjects:
Aged
Aorta, Abdominal - surgery
Aortic aneurysm
Aortic Aneurysm, Abdominal - complications
Aortic Aneurysm, Abdominal - surgery
Arterial Occlusive Diseases - complications
Arterial Occlusive Diseases - surgery
Co-existing abdominal disease
Digestive System Diseases - complications
Digestive System Diseases - surgery
Female
Humans
Male
Retrospective Studies
Risk Factors
Synchronous surgery
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Summary:Objectives the treatment of abdominal aortic aneurysms more than 5 cm in diameter is well accepted, but controversy surrounds the management of concomitant serious intra-abdominal lesions diagnosed in the perioperative period. This study was undertaken to demonstrate that synchronous surgery is feasible and safe in this group of patients.Design in 1978 a decision was made to undertake combined operations on all patients with an aortic aneurysm of 5 cm or more in diameter and a significant non-vascular intra-abdominal lesion requiring surgery. Methods the case records of 676 patients who had aortic grafting for aneurysmal disease or the urgent management of occlusive disease between 1978 and 1998 were analysed retrospectively. Setting district general hospital. Results fifty-six (8%) patients had co-existing intra-abdominal disease treated at the time of aortic graft surgery. There were three (5%) hospital deaths and seven patients required early reoperation. One patient developed a subphrenic abscess and there were three superficial wound infections. There has been no clinical evidence of aortic graft infection in this series. Conclusion this single centre experience with synchronous surgery demonstrates that it is safe and does not appear to predispose to an increased risk of graft infection.
ISSN:1078-5884
1532-2165
DOI:10.1053/ejvs.1999.0925