Early Complications in Patients Undergoing Elective Open Surgery for Infrarenal Aortic Aneurysms

Janczak, Dariusz; Bąkowski, Wojciech; Bąkowska, Katarzyna; Marschollek, Karol; Marschollek, Paweł; Malinowski, Maciej; Chabowski, Mariusz

doi:10.29271/jcpsp.2019.11.1078

Cited by 2 publications

(1 citation statement)

References 22 publications

(52 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…5 AAA are usually asymptoms 6,7 before rupture, but they may cause abdominal pain radiating to the back. 8 Because ultrasound is safe, easy, economical, and accurate, it is a helpful diagnostic imaging modality. However, due to intestinal gas and obesity, certain infrarenal aortas are difficult to see.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Normal Diameter of Infra-Renal Aorta in a Pakistani Population Using Contrast-Enhanced Computed Tomography

Ullah¹,

Imtiaz²,

Ullah³

et al. 2022

J Ayub Med Coll Abbottabad

View full text Add to dashboard Cite

Background: It is a common observation that the aortic size of Pakistani population is relatively less as compared to western population. Till now there is no study which has measured the dimensions of abdominal aorta in local population.The standard diameter of an artery across the body is critical for clinicians to recognize when an artery has become aneurysmal. This study aims to present the results of a local population's normal diameter of an infrarenal aorta and how it varies by age, gender, weight, height, body mass index (BMI) and body surface area (BSA). Methods: This cross-sectional observational study was conducted in Vascular Surgery Department, at Combined Military Hospital (CMH), Peshawar, from July 2020 to November 2021.Participants in the study included all patients who underwent a contrast-enhanced computed tomography (CT) scan of the abdomen for any reason other than cardiovascular disease.The infrarenal abdominal aorta's mean internal diameter (anteroposterior and transverse diameter) was assessed. SPSS v 23 was used to analyze the data and present it as frequency and percentages. The Pearson correlation coefficient assessed the correlation between aortic diameters, weight, height, BMI, and BSA. Result: Recruitment of a total of 250 patients was done in this study. Males were 194 (77.6%), while the rest were female patients. The patients' mean age was 39.6±12.8 years. The mean anteroposterior (AP) diameter of the infrarenal aorta was 16.13±2.32 mm. The mean transverse diameter (TD) was 15.96±2.34 mm. The infrarenal diameter of the aorta was smaller in women when compared to men, and the calibre of the aorta increased with the increasing age of the patients. There was a statistically significant positive relationship between their age and the average diameter of the infrarenal aorta (p<0.001) among both men and women. Conclusion: Clinicians and vascular surgeons will benefit from the findings in diagnosing and treating abdominal aortic aneurysms. Hence, thoughtful consideration should be made before formulating intervention protocols.

show abstract

Section: Introductionmentioning

confidence: 99%

Evaluation of Normal Diameter of Infra-Renal Aorta in a Pakistani Population Using Contrast-Enhanced Computed Tomography

Ullah¹,

Imtiaz²,

Ullah³

et al. 2022

J Ayub Med Coll Abbottabad

View full text Add to dashboard Cite

show abstract

Association of Diabetes Mellitus With Postoperative Complications and Mortality After Non-Cardiac Surgery: A Meta-Analysis and Systematic Review

et al. 2022

View full text Add to dashboard Cite

BackgroundAlthough a variety of data showing that diabetes mellitus (DM) (Type 1 or Type 2) is associated with postoperative complication, there is still a lack of detailed studies that go through the specific diabetic subgroups. The goal of this meta-analysis is to assess the relationship between DM and various complications after non-cardiac surgery.MethodsWe searched articles published in three mainstream electronic databases (PubMed, EMBASE, Web of science) before November, 2020. A random effects model was conducted since heterogeneity always exist when comparing results between different types of surgery.ResultsThis paper included 125 studies with a total sample size of 3,208,776 participants. DM was a risk factor for any postoperative complication (Odds ratio (OR)=1.653 [1.487, 1.839]). The risk of insulin-dependent DM (OR=1.895 [1.331, 2.698]) was higher than that of non-insulin-dependent DM (OR=1.554 [1.061, 2.277]) for any postoperative complication. DM had a higher risk of infections (OR=1.537 [1.322, 1.787]), wound healing disorders (OR=2.010 [1.326, 3.046]), hematoma (OR=1.369 [1.120, 1.673]), renal insufficiency (OR=1.987 [1.311, 3.013]), myocardial infarction (OR=1.372 [0.574, 3.278]). Meanwhile, DM was a risk factor for postoperative reoperation (OR=1.568 [1.124, 2.188]), readmission (OR=1.404 [1.274, 1.548]) and death (OR=1.606 [1.178, 2.191]).ConclusionsDM is a risk factor for any postoperative complications, hospitalization and death after non-cardiac surgery. These findings underscore the importance of preoperative risk factor assessment of DM for the safe outcome of surgical patients.

show abstract

Early Complications in Patients Undergoing Elective Open Surgery for Infrarenal Aortic Aneurysms

Abstract: Objective: To assess the type and frequency of early postoperative complications in patients after open surgical infrarenal aneurysms repair and determination of their risk factors.

Cited by 2 publications

References 22 publications

Evaluation of Normal Diameter of Infra-Renal Aorta in a Pakistani Population Using Contrast-Enhanced Computed Tomography

Evaluation of Normal Diameter of Infra-Renal Aorta in a Pakistani Population Using Contrast-Enhanced Computed Tomography

Association of Diabetes Mellitus With Postoperative Complications and Mortality After Non-Cardiac Surgery: A Meta-Analysis and Systematic Review

Contact Info

Product

Resources

About