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Open Surgical Treatment of Aneurysm of the Infrarenal Abdominal Aorta: Still Valuable in an Endovascular Era

Namazov Ilgar, Namazova Kamala* , Hasanov Fuad, Muradov Nizami, Guliyev Rasim, Aslanov Azer,Ahmadov Sadiq, Ibrahimova Gulnar, Ahmadova Ulviyya, Murvaladova Narmin

The article's topic is devoted to the surgical treatment of aneurysms of the infrarenal aorta, the achievements we have achieved in the perioperative period, and the prevention of possible complications that may arise in the postoperative period. For this purpose, clinical materials from 125 patients were analysed. The average diameter of the abdominal aorta was 6.3 cm. Indications for OSR were an aneurysm neck <4 mm (23.8%), unilateral iliac artery aneurysms (11.5%), bilateral iliac artery aneurysms (9.3%), iliac artery tortuosity >40° of angulation (13.1%), extensive aortic thrombus (16.4%), and aortic neck angulation >45° (13.7%), patient preference (12.2%). Surgery “Repair of the aneurysm using a tube graft” in 34 patients; “Aorto-biilac graft” in 50 patients, "Aortobifemoral bypass” was performed on 41 patients. In patients, the surgery was performed using general anesthesia combined with epidural anesthesia. The duration of the operation was 293.0 ± 11.87 minutes. The Cell Saver apparatus was used for autotransfusion. The average volume of blood loss was 3252.5 ± 219.12 ml. Mortality in the postoperative period occurred in 3.2% of patients. Causes of death; major bleeding in 1 patient; 1 patient had intestinal obstruction and 2 patients had acute myocardial infarction.