Effective bleeding control during aortic anastomosis is crucial. Key techniques include tightening loose sutures with figure-of-eight reinforcement, using tent-like sutures to compress bleeding points, and employing pledgets—either with the sandwich technique (two pledgets) or the top-cover method (single pledget)—to seal persistent leaks. These methods enhance precision and ensure patient safety.
Continue ReadingThe Role of Suction in Surgery: More Than Meets the Eye
Suction is an indispensable tool in surgery, crucial for ensuring a clear field and facilitating the surgeon’s work. It’s not just about removing blood; it can also act as a small retractor to create space around the target area. Mastering suction use is essential for seamless surgical procedures!
Continue ReadingTips and Tricks for Vascular Anastomoses
There follow some tips to use when performing a vascular anastomosis. Remember to minimally handle the tissues, especially when dealing with an atherosclerotic vessel. Hard …
Continue ReadingSurgical Tip for Exploring SMA Embolism: Artery to the Left of Vein
Pactical tip for vascular surgeons managing SMA embolism. It is highlighted that the anatomical relationship between the superior mesenteric artery (SMA) and vein (SMV) in the root of the mesentery is crucial, emphasizing the importance of identifying the SMA to the left of the SMV and recognizing the palpable “sausage-like” structure of an embolized artery during exploration.
Continue ReadingPruitt Inahara shunt for visceral perfusion during OSR of complex AAAs?
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Continue ReadingManaging a Large Iliac Aneurysm with Intraluminal Thrombus in Open Repair: Step-by-Step Guide
This guide outlines a step-by-step approach to managing large iliac aneurysms with thrombus in open repair, emphasizing careful dissection, controlled clamping, thrombus removal, and embolization prevention for optimal outcomes.
Continue ReadingHepatorenal Bypass in the Modern Era of Branched Endografts
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Continue ReadingInfrarenal aortic occlusion: how to treat
Occlusion of the infrarenal aorta is not uncommon, often occurring at or just below the level of the lowest renal artery. Is it distinct from …
Continue ReadingPopliteal anastomosis on a fem-pop BPG
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Continue ReadingAortoiliac endarterectomy, how to do it
Today, aortoiliac endarterectomy may be considered an unnecessary procedure. How will you ever need to do it with all these endovascular options? But never say …
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