Key result
Emergency transabdominal repair of ruptured abdominal aortic aneurysms was associated with a 26.2% operative mortality rate, compared to 0.4% for elective repair of asymptomatic aneurysms.
Why the study?
What are the surgical outcomes and mortality rates of transabdominal emergency repair for ruptured abdominal aortic aneurysms compared to elective repair?
Observational (n=286)
No
What are the surgical outcomes and mortality rates of transabdominal emergency repair for ruptured abdominal aortic aneurysms compared to elective repair?
Transabdominal emergency repair of ruptured abdominal aortic aneurysms via midline laparotomy with rapid infrarenal cross-clamping is a feasible approach, though mortality remains significantly higher than in elective repair.
Reinforces elective AAA management to avert rupture; leaves open refinements for emergency transabdominal repair in observational cohorts.
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Sako et al. (2000) conducted an observational in Abdominal aortic aneurysm (AAA) (n=286). Emergency transabdominal repair vs. Elective repair of asymptomatic AAA was evaluated on Operative mortality. Emergency transabdominal repair of ruptured abdominal aortic aneurysms was associated with a 26.2% operative mortality rate, compared to 0.4% for elective repair of asymptomatic aneurysms.
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