Vascular

Abdominal Aortic Aneurysm Repair (Open)

OPERATION: Open Repair of Abdominal Aortic Aneurysm
ANAESTHETIC: General anaesthesia
ANTIBIOTICS: IV antibiotics at induction (prosthetic graft)
POSITION: Supine, abdomen and both groins prepared. Laminar flow theatre preferred.

INDICATION:
Infra-renal / juxta-renal abdominal aortic aneurysm [diameter] cm. Preoperative CT angiography reviewed — [elective / urgent]. Clamp position planned [infra-renal / supra-renal].

PROCEDURE:
WHO Checklist performed. Midline / transverse laparotomy. Self-retaining Omni-tract retractor applied.

EXPOSURE:
Small intestine reflected to the right in a bowel bag. Transverse colon reflected superiorly. Retroperitoneum dissected. Inferior mesenteric vein retracted or ligated. Renal vein retracted superiorly. Aortic neck and iliac arteries dissected. Heparin 5000 IU administered IV.

ANEURYSM REPAIR: