• Title/Summary/Keyword: Retroperitoneal exposure

Search Result 3, Processing Time 0.017 seconds

Retroperitoneal Approach for the Surgical Treatment of Abdominal Aortic Aneurysm; One Case Report (복막후방접근방법을 이용한 상복부 대동맥류의 외과적 치료;1례 보고)

  • 홍순필
    • Journal of Chest Surgery
    • /
    • v.26 no.6
    • /
    • pp.492-495
    • /
    • 1993
  • We experienced one case of surgical treatment of abdominal aortic aneurysm using retroperitoneal approach. The transperitoneal route has been the standard surgical approach for elective and emergency treatment of aneurysmal or occlusive disease. Among its cited advantages for aortic reconstruction are familarity with the exposure, easy access to the infrarenal aorta and iliac vessels, possibility of simultaneous inspection of the intra-abdominal viscera, and speed of opening and closure.Despite the proved versatility of the transperitoneal approach, it is commonly associated with prolonged ileus, increased third space fluid loss, and significant pulmonary complications. The retroperitoneal approach, on the other hand, has many advantages; excellent exposure for the repair of juxtarenal or suprarenal abdominal aortic aneurysms and visceral vessel occlusive disease, fewer postoperative complications, decreased postoperative third-space fluid losses from intraoperative evaporation and ileus, and improved postoperative pulmonary function. Atherosclerosis was most common cause of abdominal aortic aneurysm. Dacron graft[18mm] was replaced successfully.Postoperative course was uneventful and he was discharged in good condition.

  • PDF

Left Common Femoral to Right Common Iliac Venous Bypass Through a Retroperitoneal Exposure

  • Cuen-Ojeda, Cesar;Bobadilla-Rosado, Luis O;Garcia-Alva, Ramon;Arzola, Luis H.;Anaya-Ayala, Javier E.;Hinojosa, Carlos A.
    • Vascular Specialist International
    • /
    • v.34 no.4
    • /
    • pp.117-120
    • /
    • 2018
  • The endovascular recanalization of the iliocaval system has replaced venous surgical reconstructions as the primary treatment option in severe post-thrombotic syndrome (PTS). We herein present a 51-year-old female with previous deep venous thrombosis, complicated with PTS with a large and complex circumferential calf ulcer measuring 25 cm of length in the left lower extremity. Venogram revealed a complete and extensive occlusion in the left iliofemoral system. A surgical bypass from the left common femoral vein to the right common iliac vein was performed. Patient recovered well and after 12 months postoperation her large wound is healing favorably with a clean and well granulated bed. Iliofemoral venous bypass is a feasible treatment for non-healing ulcer of lower extremity.

Effects of Rhus verniciflua Stokes (RVS) Extract on Diet-induced Obesity in C57BL/6 mouse (옻나무 추출물이 식이에 의한 비만유도 C57BL/6 mouse에 미치는 영향)

  • Kim, Jung-Hee;Lee, Hye-Won;Ko, Byoung-Seop;Kim, Ho-Kyoung;Jeon, Won-Kyung
    • Korean Journal of Pharmacognosy
    • /
    • v.34 no.4 s.135
    • /
    • pp.339-343
    • /
    • 2003
  • We investigated the effects of Rhus verniciflua Stokes (RVS) on high fat diet- induced obesity in C57BL/6 that received ad libitum exposure to a high fat diet for 8 weeks. Male C57BL/6 mice weighing $20.1{\pm}0.95\;g$ were divided into four groups and the body weight and food intake were weighed for 8 weeks. After the administration of RVS extract, the liver, subcutaneous and retroperitoneal adipose tissue in the mice were weighed and common blood count in whole blood and biochemical parameters in plasma were measured. It was founded that body weight increase was significantly suppressed by the oral administration of RVS extract in group with high fat diet. Weight of subcutaneous adipose tissue and concentration of triglyceride in plasma from mice which were administrated RVS extract were lower than obesity control group. These results suggest that RVS extract may effect on inhibition of diet-induced obesity.