title: [Surgery of complicated aneurysms of the abdominal aorta].
abstract: Results of the surgical treatment of 107 patients with a complicated aneurysm of the abdominal aorta are presented. The general lethality for the period from 1966 to 1984 was 49,5%. In the recent years the postoperative lethality in patients with ruptured aneurysms has been reduced from 79,4% to 47,2%, in patients with threatening ruptures from 41,6% to 16%. The positive changes were due to a number of factors: less amount of prehospital diagnostic errors; earlier admission to the hospital, better urgent diagnosis of the abnormality by up-to-date non-invasive methods of examination (ultrasonic scanning, computer tomography, radionuclide angiography); using balloon catheters obturating the aorta above the ruptured aneurysm for temporary preoperative arrest of bleeding; selection of a less traumatic method of operation of the aneurysm resection without dissection of the aorta with intra-aortal prosthesis specific under conditions of the HBO-operating room; better resuscitation and anesthesiologic aid for this critical category of patients.
mesh_terms: D000328:Adult; D000368:Aged; D001012:Aorta, Abdominal / Q000601:surgery; D001019:Aortic Rupture / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D003951:Diagnostic Errors; D004630:Emergencies; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology; D008026:Ligation / Q000379:methods; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors
vernacular_title: Khirurgiia oslozhnennykh anerizm abdominal'noĭ aorty.