Pakistan Journal of Medical Sciences

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ISSN 1681-715X

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ORIGINAL ARTICLE

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Volume 26

October - December 2010

Number  4


 

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A comparison between minilaparotomy and
conventional approach for the surgical therapy
of Aortailiac Occlusive disease

Dolunay Odabasi1, Hasan Ekim2 , Adem Kiymaz3

ABSTRACT

Objective: To search for less traumatizing measures for Aortic Occlusive Disease (AOD) surgeries to improve the recovery from surgery. Another objective was comparison of retroperitoneal minilaparotomy (RML) with conventional transperitoneal classic median laparotomy (TCML) with respect to per-operative and post-operative outcome and complications.

Methodology:. It was a retrospective comparative study. All patients undergoing AOD surgery were enrolled. Our comparative data of 20 patients who had AOD surgery by TCML (TCML group) performed from January 2003 to December 2006 and 20 cases of patients who had AOD surgery by RML (RLM group) performed from January 2006 to December 2009 is presented. Chi-square and Fischer test with significance of p value being taken at 0.05 were used for categorical data, while studentís t test was used for continuous data.

Results: Mean age, gender, the operation and aortic occlusion time was similar between the TCML and RLM groups. The length of stay in the intensive care unit (ICU) and total hospital stay in the RLM group was statistically shorter compared to the TCML group(p<0.05). Major complications were rare in both the groups.

Conclusion: During AOD surgery, RLM appears to be an attractive alternative to traditional TCLM with fewer complications.

KEY WORDS: Aorta, Arterial Occlusive Diseases, Minilaparotomy, Vascular Surgical Procedures.

Pak J Med Sci    October - December 2010    Vol. 26 No. 4    832-836

How to cite this article:

Odabasi D, Ekim H , Kiymaz A. A comparison between minilaparotomy and conventional approach for the surgical therapy of Aortailiac Occlusive disease. Pak J Med Sci 2010;26(4):832-836


1. Dolunay Odabasi, MD,
2. Hasan Ekim MD,
3. Adem Kiymaz,
1-3: Department of Cardiovascular Surgery,
School of Medicine,
Yuzuncu Yil University,
Van, Turkey.

Correspondence:

Dr. Dolunay Odabasi,
Department of Cardiovascular Surgery,
School of Medicine,
Yuzuncu Yil University, Van,
TURKEY.
E-mail: dolunayodabasi@yahoo.com

* Received for Publication: April 26, 2010

* Revision Received: May 8, 2010

* Revision Accepted: August 2, 2010



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