Midline extraperitoneal approach for elective abdominal aortic aneurysm repair.
The incidence of abdominal aortic aneurysms (AAA) is rising and elective repair is becoming more commonplace. We describe a new, simple midline extraperitoneal approach for AAA repair. It is particularly suitable for patients who have an inflammatory AAA, abdominal adhesions or a horseshoe kidney. This approach provides excellent exposure to the whole aortoiliac system without the need for separate incisions, whilst retaining the potential advantages of the extraperitoneal approach.
Quick
C R
CR
Addenbrooke's NHS Trust, Cambridge, U.K.
Chan
C L
CL
Sonoda
L I
LI
Hart
A J
AJ
D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000601:surgery*; D017558:Elective Surgical Procedures; D006801:Humans; D010537:Peritoneum; D014656:Vascular Surgical Procedures / Q000379:methods*