Abdominal aorta aneurysms: Open repair experience in the last 5 years
Carlos Luis Torrealba Malpica- Ricardo Gallardo Ossio
- Cristobal Orellana Gajardo
- Carolina Bonomo Miranda
- Joaquín Torres Rojas
- José Ignacio Torrealba Fonck
Published 2025-05-11
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Abstract
Objective: To report the experience of our center in the last 5 years with the open repair of abdominal aortic aneurysms.
Materials and Method: Observational, retrospective and descriptive study, where all elective open repairs of abdominal aortic aneurysms in the last 5 years were analyzed.
Results: A total of 44 clinical records were reviewed. The average age was 73 ± 3.7 years. 97.2% of the patients had a history of hypertension, 90.9% had a history of smoking. 7 (15,9%) postoperative complications were recorded. Perioperative mortality was 4.5%. The average follow-up was 37.3 ± 13.70 months. An incidence of inci-sional hernia of 9% was recorded.
Discussion: The endovascular approach offers some advantages com-pared to the open one in the short term, however, it has higher long-term mortality. Open repair, although it is a more morbid technique, offers better survival and fewer complications in the long term.
Conclusion: Open repair of abdominal aortic aneurysms is an effective alternative if the patient’s condition allows it.