Retroperitoneal approach for vascular surgery
Khullar, Rajesh (2002) Retroperitoneal approach for vascular surgery. In: Congress of Endoscopic and Laparoscopic Surgeons of Asia, 2002 [ELSA 2002], 19-21 Sep 2002, Tokyo, Japan.
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Minimal access surgery has proved its worth as a patient friendly and feasible technique in several surgical procedures. With its advantages being repeatedly reproduced, newer procedures are constantly being added to the list of those being performed by minimal access. One such area is in patients suffering from obliterative vascular disease. These patients require large abdominal incisions for exposing retroperitoneal vessels for grafting. Patients requiring Aortofemoral or ileofemoral bypass procedures can be benefited by accessing and exposing the proximal vessels for grafting by minimal access. The approach to the aorta is retroperitoneal and to the iliac vessels preperitoneal. The access used by us is entirely extra peritoneal. After exposing, dissecting and looping the main iliac vessel, a tunnel for graft placement is made by minimal access. The final abdominal incision size for suturing the graft in place ranges from 3-5" and patient recovery has been satisfactory. We present here our initial experience in this field in which this procedure has been performed on ten patients.
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