Volume 11 Supplement 1
XXIII Annual Meeting of the Italian Society of Geriatric Surgery
Ruptured aneurysm: therapy of abdominal compartment syndrome post EVAR
© Alberti et al; licensee BioMed Central Ltd. 2011
Published: 24 August 2011
Materials and methods
Thirty-day mortality was 22.6% (12/53). Early mortality was recorded in unstable patients only. Stable patients (24) had no mortality in the first 30 days. Among patients who underwent retro-peritoneal drainage, the 30-day mortality rate was 33.3% (3/9). At a median follow up of 34 months (33.8 + 17.0) 3 patients died of aneurysm or procedure related causes.
One of the priorities in the management of r-EVAR is to prevent and eventually treat the ACS. A surgical evacuation of the retroperitoneal hematoma through extraperitoneal access has considerable advantages, mainly in high risk and older patients. In r-EVAR the particular factor is the retroperitoneal hematoma. Therefore we perform abdominal decompression via retroperitoneal access.
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