Aortobifemoral bypass surgery using mini-laparotomy technique

ABSTRACT

This study was carried out to compare mini-laparotomy technique of aortofemoral bypass with the conventional surgical procedure. Six cases of aortobifemoral bypass performed using a mini-laparotomy incision [6 cm] between year 2007 and 2009. The mean aortic cross-clamp time was 10.6 +/- 3.5 minutes and the mean duration of the operation was 95.7 +/- 28.9 minutes. In all cases, bowel sounds appeared at 4 to 10 hours postoperatively and oral nutrition was started after 24 hours. The mean hospital stay was 4.4 days. Mini-laparotomy technique is safe and effective for aortobifemoral bypass operations; with the advantages of short operation time, optimal aortic exposure, easy and safe aortic cross-clamping, limited postoperative pain and scar tissue, early mobilization and resumption of intestinal functions, and short hospitalization