Clinical:Script for Abdominal Aortic Aneurysm Grafting

A Pantogen Operation Script on Wikisurgery

By Robin Knox and Michael Edwards

NO INFORMATION IN THIS SCRIPT SHOULD BE USED WITHOUT BEING APPROVED BY A FULLY TRAINED PRACTISING SURGEON

This script aims to contain all the information that one or more expert surgeons use when performing this operation. The amount of information greatly exceeds that provided in traditional How I Do It articles or videos.

The script describes:

Aorto-aortic straight graft

Aorto-bifemoral graft

Elective and emergency operations

Aortic transection and aortic inlay techniques

Procedures for concurrent distal aneurysms and stenoses

Femoral embolectomy

The various parts of the script, including the structure of Pantogen surgical scripts, are listed below.

Grafting an abdominal aortic aneurysm is one of the major challenges to the vascular surgeon.

The aneurysm is a dilatation of the wall of the aorta, the main artery running from the heart to the lower limbs.

It is a variant of atheromatous disease, which usually occludes an artery rather than weakening it.

There is always some atheromatous disease, either aneurysmal or occlusive, in the rest of the aorta and in the other major arteries of the body.

Parts of the script

Aortic aneurysm graft script acknowledgement

What this script covers

What this script does not cover

Overview of aortic aneurysm graft operation

Aortic aneurysm anatomy review

Aortic aneurysm pathology review

Aortic aneurysm review

Aortic aneurysm graft review

Aortic aneurysm clinical presentation

Aortic aneurysm case selection

Aortic aneurysm operation choices

LAYOUT OF OPERATION SECTIONS AND STEPS

SECTION 1.00 - WORK UP AND WHO SAFE SURGERY CHECK LISTS SIGN IN AND TIME OUT

SECTION 2.00 - OPERATION PLAN

SECTION 3.00 - PRELIMINARIES

SECTION 4.00 - PREPARING THE ABDOMEN

SECTION 5.00 - OPENING THE ABDOMEN (TRANSVERSE INCISION)

SECTION 6.00 - OPENING THE ABDOMEN (MIDLINE INCISION)

SECTION 7.00 - EXPLORING THE ABDOMINAL CAVITY

SECTION 8.00 - ASSESSING THE ANEURYSM

SECTION 9.00 - CONTROLLING THE UPPER END OF THE ANEURYSM

SECTION 10.00 - CONTROLLING THE LOWER END OF THE ANEURYSM

SECTION 11.00 - OPENING THE ANEURYSM

SECTION 12.00 - CHECKING THE ILIAC ARTERIES

SECTION 13.00 - CHOOSING A STRAIGHT OR Y GRAFT

SECTION 14.00 - DISSECTING OUT THE FEMORAL ARTERIES

SECTION 15.00 - MAKING THE VASCULAR TUNNELS

SECTION 16.00 - CHOOSING A TRANSECTION OR INLAY TECHNIQUE FOR ANASTOMOSIS

SECTION 17.00 - CUTTING THE GRAFT

SECTION 18.00 - UPPER ANASTOMOSIS WITH AORTIC TRANSECTION

SECTION 19.00 - UPPER ANASTOMOSIS WITH INLAY TECHNIQUE

SECTION 20.00 - LOWER ANASTOMOSIS WITH AORTIC TRANSECTION

SECTION 21.00 - LOWER ANASTOMOSIS WITH INLAY TECHNIQUE

SECTION 22.00 - LOWER ANASTOMOSIS WITH BIFEMORAL GRAFTS

SECTION 23.00 - CHECK HAEMOSTASIS

SECTION 24.00 - CLOSING THE ABDOMEN

SECTION 25.00 - FINAL TOUCHES AND WHO SAFE SURGERY CHECKLIST SIGN OUT

SECTION 26.00 - FEMORAL EMBOLECTOMY

AORTIC ANEURYSM GRAFTING: EQUIPMENT AND MATERIALS

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