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Surgical Complications after Open Abdominal Aortic Aneurysm Repair: Intestinal Ischemia, Buttock Claudication and Sexual Dysfunction.
Ann Vasc Dis 2019; 12(2):157-162AV

Abstract

While surgical treatment for abdominal aortic aneurysm (AAA) is a standard operation, prevention of complication is important. Intestinal ischemia of the sigmoid colon and/or rectum after AAA surgery is severe and has a high mortality rate although occurrence frequency is low. The most important thing to prevent is the preoperative and intraoperative evaluation of the left hemicolon and rectal circulation. Measurement of inferior mesenteric artery stump pressure is also useful. From the viewpoint of prevention of buttock claudication, it is desirable that internal iliac artery (IIA) blood flow is preserved, but aggressive IIA reconstruction adaptation is considered to be low. For erectile function, it is important that the antegrade blood flow from the IIA to the internal pudendal artery on at least one side is preserved or reconstructed. To prevent retrograde ejaculation, it is important to preserve the superior hypogastric plexus and one side of the lumbar splanchnic nerve, and the hypogastric nerve. Understanding and mastering local anatomy and pathophysiology is important in preventing complications, and we must also remember that we always keep watchful surgical operations in mind in order to prevent tissue damage. (This is a translation of Jpn J Vasc Surg 2019; 28: 99-103.).

Authors+Show Affiliations

Division of Vascular Surgery, Department of Surgery, Tokyo Medical and Dental University Graduate School of Medical and Dental Sciences, Tokyo, Japan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31275467

Citation

Kudo, Toshifumi. "Surgical Complications After Open Abdominal Aortic Aneurysm Repair: Intestinal Ischemia, Buttock Claudication and Sexual Dysfunction." Annals of Vascular Diseases, vol. 12, no. 2, 2019, pp. 157-162.
Kudo T. Surgical Complications after Open Abdominal Aortic Aneurysm Repair: Intestinal Ischemia, Buttock Claudication and Sexual Dysfunction. Ann Vasc Dis. 2019;12(2):157-162.
Kudo, T. (2019). Surgical Complications after Open Abdominal Aortic Aneurysm Repair: Intestinal Ischemia, Buttock Claudication and Sexual Dysfunction. Annals of Vascular Diseases, 12(2), pp. 157-162. doi:10.3400/avd.ra.19-00038.
Kudo T. Surgical Complications After Open Abdominal Aortic Aneurysm Repair: Intestinal Ischemia, Buttock Claudication and Sexual Dysfunction. Ann Vasc Dis. 2019 Jun 25;12(2):157-162. PubMed PMID: 31275467.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical Complications after Open Abdominal Aortic Aneurysm Repair: Intestinal Ischemia, Buttock Claudication and Sexual Dysfunction. A1 - Kudo,Toshifumi, PY - 2019/7/6/entrez PY - 2019/7/6/pubmed PY - 2019/7/6/medline KW - abdominal aortic aneurysm KW - buttock claudication KW - intestinal ischemia KW - sexual dysfunction SP - 157 EP - 162 JF - Annals of vascular diseases JO - Ann Vasc Dis VL - 12 IS - 2 N2 - While surgical treatment for abdominal aortic aneurysm (AAA) is a standard operation, prevention of complication is important. Intestinal ischemia of the sigmoid colon and/or rectum after AAA surgery is severe and has a high mortality rate although occurrence frequency is low. The most important thing to prevent is the preoperative and intraoperative evaluation of the left hemicolon and rectal circulation. Measurement of inferior mesenteric artery stump pressure is also useful. From the viewpoint of prevention of buttock claudication, it is desirable that internal iliac artery (IIA) blood flow is preserved, but aggressive IIA reconstruction adaptation is considered to be low. For erectile function, it is important that the antegrade blood flow from the IIA to the internal pudendal artery on at least one side is preserved or reconstructed. To prevent retrograde ejaculation, it is important to preserve the superior hypogastric plexus and one side of the lumbar splanchnic nerve, and the hypogastric nerve. Understanding and mastering local anatomy and pathophysiology is important in preventing complications, and we must also remember that we always keep watchful surgical operations in mind in order to prevent tissue damage. (This is a translation of Jpn J Vasc Surg 2019; 28: 99-103.). SN - 1881-641X UR - https://www.unboundmedicine.com/medline/citation/31275467/Surgical_Complications_after_Open_Abdominal_Aortic_Aneurysm_Repair:_Intestinal_Ischemia,_Buttock_Claudication_and_Sexual_Dysfunction L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31275467/ DB - PRIME DP - Unbound Medicine ER -