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Open repair for Abdominal Aortic Aneurysms
open repairgeneral anaestheticcomplicationsrecoveryactivitypain managementlung functionmobility
Mr colin bicknell
Mr colin bicknell

Open repair for Abdominal Aortic Aneurysms

Mr Bicknell explains that open surgery is one of the main treatment options for abdominal aortic aneurysms (AAA). He explains the steps of the procedure, which involves a large cut in the abdomen. When the aorta is exposed, it is clamped above and below the aneurysm. The aneurysm is then opened up and a fabric tube is sown in. It is a major operation which requires a short stay in high dependency or intensive care unit, around 7-10 days in hospital, and a few weeks or months to recover. The short-term complications are higher than the endovascular (keyhole approach). But the main advantage is that the repair is usually more long lasting.

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Open repair for Abdominal Aortic Aneurysms

Mr Bicknell explains that open surgery is one of the main treatment options for abdominal aortic aneurysms (AAA). He explains the steps of the procedure, which involves a large cut in the abdomen. When the aorta is exposed, it is clamped above and below the aneurysm. The aneurysm is then opened up and a fabric tube is sown in. It is a major operation which requires a short stay in high dependency or intensive care unit, around 7-10 days in hospital, and a few weeks or months to recover. The short-term complications are higher than the endovascular (keyhole approach). But the main advantage is that the repair is usually more long lasting.

Open repair for Abdominal Aortic Aneurysms

Endovascular repair (EVAR) for Abdominal Aortic Aneurysms

Mr Bicknell explains that endovascular repair (keyhole surgery) is one of the main treatment options for abdominal aortic aneurysms (AAA). It involves a medical device called a stent graft. A small cut is made into the groin, and the stent graft is then fed up under X-ray guidance into the aorta. The main advantage over open repair is that there is less trauma, less complications shortly after the operation, and patients can usually go home within a day or two. But, in the long term, there can be leakage around the stent graft into the aneurysm (endoleak), which means there is a higher chance of having further procedures. This also means that you will need more regular follow up.

Endovascular repair (EVAR) for Abdominal Aortic Aneurysms
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