Emergency surgical treatment of a ruptured abdominal aortic aneurysm: a 10-year experience in diagnosis and treatment

Basit Öğe Kaydı
dc.authoridHalici, Umit/0000-0002-1289-8829
dc.authoridSunar, Hasan/0000-0002-1276-8549
dc.authoridHalici, Umit/0000-0002-1289-8829
dc.authorwosidHalici, Umit/C-4015-2019
dc.authorwosidSunar, Hasan/A-8685-2018
dc.authorwosidHalici, Umit/AAL-7079-2020
dc.contributor.authorHalici, Umit
dc.contributor.authorYuksel, Volkan
dc.contributor.authorHuseyin, Serhat
dc.contributor.authorOkyay, Ahmet
dc.contributor.authorCanbaz, Suat
dc.contributor.authorSunar, Hasan
dc.date.accessioned2024-06-12T10:50:13Z
dc.date.available2024-06-12T10:50:13Z
dc.date.issued2014
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: This study aims to report the results of emergency operations of ruptured abdominal aortic aneurysm. Methods: Between February 2001 and February 2011, 20 patients (1 female, 19 males; mean age 64.9 +/- 9.4 years; range 50 to 77 years) who were admitted to the emergency department and underwent emergency operation for ruptured abdominal aort aneurysm were retrospectively analyzed. Combined left thoracotomy + median laparotomy was performed in one patient (5%), while median laparotomy alone was performed in others. Aaortic cross clamping was applied following heparinization. In patients in whom aortic cross clamping was not suitable (n=3), proximal bleeding control was performed through occlusion by endoclamping with a Foley catheter. Aneurysmectomy + aortobifemoral bypass was performed in six patients (30%), aneurysmectomy + aortobiiliac bypass in 10 (50%), aneursymectomy + abdominal aortic graft interposition in two (10%), explorative laparotomy in one (5%), and thoracic + abdominal exploration in one (5%). Polytetrafluoroethylene (PTFE) pant graft (80%) and Dacron tube graft (10%) were used as graft materials during surgery. Results: In the early postoperative period, ischemic colitis developed in one patient (5%), prolonged entubation (>72 hours) in four (20%), wound infection in one (5%), arrhythmia in two (10%), and disseminated intravascular coagulation in one (%5). The mean duration of intensive care unit and hospital stay were 3.8 +/- 2.1 days and 8.5 +/- 3.4 days, respectively. Total mortality was seen in four patients (20%). Conclusion: We believe that early diagnosis of a ruptured abdominal aort aneurysm and endoclamping with a Foley catheter or an intraaortic balloon occlusion in patients who are ineligible for aortic cross clamping may increase the success of an emergency operation.en_US
dc.identifier.doi10.5606/tgkdc.dergisi.2014.9172
dc.identifier.endpage569en_US
dc.identifier.issn1301-5680
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-84907243931en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage564en_US
dc.identifier.urihttps://doi.org/10.5606/tgkdc.dergisi.2014.9172
dc.identifier.urihttps://hdl.handle.net/20.500.14551/17924
dc.identifier.volume22en_US
dc.identifier.wosWOS:000339225600013en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.publisherBaycinar Medical Publ-Baycinar Tibbi Yayinciliken_US
dc.relation.ispartofTurk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal Of Thoracic And Cardiovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAbdominal Painen_US
dc.subjectEmergency Operationen_US
dc.subjectRuptured Abdominal Aort Aneurysmen_US
dc.subjectMortality-Rateen_US
dc.subjectRepairen_US
dc.subjectSurvivalen_US
dc.titleEmergency surgical treatment of a ruptured abdominal aortic aneurysm: a 10-year experience in diagnosis and treatmenten_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu