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Abdominal Aortic Aneurysm Repair

It is a surgery , which helps to fix the widened part in the aorta, called an aneurysm. The aorta which is known as the large artery that carries the blood to the abdomen,pelvis and legs. An aortic aneurysm, is when part of the artery becomes too large and balloons outward.

Why the Procedure is Performed

This procedure is sometimes done in an emergency, when there is bleeding inside the body from the aneurysm.

If you have an abdominal aortic aneurysm there may be no symptoms or problems as such, but the doctor would have diagnosed the problem on after a CT scan was done for a different reason. There is also a risk that the aneurysm may suddenly break open and rupture, if do not do surgery to repair it, it may be risky depending on your overall health.

The physician would decide whether, the risk of doing the surgery is better than the risk of a ruptured aneurysm. The doctor would recommend surgery if the aneurysm is:

  • The aneurysm is larger
  • Growing rapidly and (a little less than 1/4 inch over the last 6-12 months)
  • Risks

The risks for this surgery are higher if you have:

  • Heart disease
  • Kidney failure
  • Lung disease
  • Past stroke

There are also Other serious medical problems

There are risks, and complications with older people.

Risks for any surgery are:
  • Risks of blood clots which may travel to the lungs
  • Breathing problems
  • Heart attack or stroke
  • Infection, including in the lungs (pneumonia), urinary tract, and belly
  • Reactions to medicines

Risks for this surgery are:

  • After or before the surgery there is a risk of bleeding
  • Nerve can be damaged, causing pain or numbness in the leg
  • Intestines or near by organs can be damaged
  • Infection of the graft
  • The Ureter, can be damaged , which carries urine from the kidneys to the bladder
  • No sex drive or the inability to get an erection
  • Poor blood supply to the legs, kidney and other organs
  • Injury to the spinal cord
  • Infections in the wound

Before the Procedure

The doctor will examine carefully and order a round of tests before the surgery.

Keep the doctor informed on what drugs you are taking, and present the prescription

If you smoke, then you should quit for about 4 weeks before the surgery.

Two weeks before he surgery:

You would need to visit your doctor to make sure all your medical problems, like diabetes,high blood pressure,heart or lung problems are well treated

There are certain drugs which the doctor will ask you to stop taking like, aspirin, ibuprofen (Anvil, Motoringng)clodhopperr Placidd),leprosy (Aleve, Naproxen), and other drugs like these. Ask the doctor which are the drugs you would need to take on the day of the surgery

Do NOT drink anything after midnight the day before your surgery, including water.

On the day of your surgery:

The doctor will instruct you what is the medication for you to take with a small sip of water

The doctor or nurse will tell you when you should arrive at the hospital

After the Procedure

The patient stays in the hospital after the surgery for about 5-10 days.

  • You will be kept in the ICU where you will be monitored very closely right after the surgery. Your would be on a breathing machine on the first day
  • A catheter will be fixed , to drain out the urine
  • For 2 days after a surgery , a tube would be inserted in your nose into your stomach to help drain the fluids, later on you can eat and drink by yourself
  • You would receive medication to keep for thinning the blood
  • Have a urinary catheter
  • Be encouraged to sit on the side of the bed and then walk
  • Wear special stockings to prevent blood clots in your legs
  • Be asked to use a breathing machine to help clear your lungs
  • Receive pain medicine into your veins or into the space that surrounds your spinal cord (epidural)