AI Summary & Key Takeaways
AI InsightThe striking difference:, between the mortality rates in two groups, leads the authors to the conclusion that, elective surgery is warranted even in small abdominal aortic aneurysms
📌 3 Key Takeaways
Abstract
Onehuadred and fiftyfive patients were operated for abdominal aortic aneurysm between January 1988 - October 1993. 92 % of the patients were male and 8 % of patients were female, with a mean age of 68.9 + 8.9 years. 111 patients were operated under elective conditions, while 44 were urgently operated for a ruptured aneurysm. 77 % of the aneursyms were infrarenal while 23 % were suprarenal. The aneursymatic part was replaced with a synthetic graft using the inclusion technique. 55 % of the patients received a straight tube, while 45 % of the patients received a Y graft. The early mortality in the elective group was 3.6 %, versus 23 % in the vrgent group. The striking difference:, between the mortality rates in two groups, leads the authors to the conclusion that, elective surgery is warranted even in small abdominal aortic aneurysms
Özet
Ocak 1988- Ekim 1993 tarihleri arasında 155 olgu abdominal aort anevrizması nedeniyle ameliyat edilmiştir. Olguların % 92'si erkek, % 8'i kadın olup yaş ortalaması 68.9 + 8.9 yıldır. En genç hasta 29, en yaşlı hasta 89 yaşındaydı. Yüzonbir olgu elektif olarak ameliyata alınırken, 44 olgu rüptüre olan anevrizma nedeniyle acil olarak ameliyata alındı. Anevrizmaların % 77'si infrarenal, % 23'ü suprarenal lokalizasyondaydı. Tüm olgularda inklüzyon tekniği kullanılarak suni damar replasmanı yapıldı. % 55 olguda düz graft, % 45'inde ise pantolon graft uygulandı. Elektif grupta erken mortalite % 3.6, acil olarak alınan grupta ise % 23 idi. Sonuç olarak, acil ve elektif olarak ameliyat edilen hastaların mortaliteleri arasındaki fark, küçük-orta boy anevrizmalarda bile elektif cerrahi girişimi ön plana çıkaracak nitelikte bulunmuştur.