Naoki Hayashida1, Masahisa Masuda2, Yoko Pearce3, Satoshi Kuwabara4. 1. Department of Cardiovascular Surgery, Chiba Cardiovascular Center, Ichihara, Chiba, Japan. 2. Department of Cardiovascular Surgery, Chiba Medical Center, Chiba, Chiba, Japan. 3. Pearce Clinic, Chiba, Chiba, Japan. 4. Department of Neurology, Chiba University, Chiba, Chiba, Japan.
Abstract
OBJECTIVE: To evaluate the incidence of wound complications after the retroperitoneal approach for abdominal aortic aneurysm (AAA) repair, and to ascertain the cause of abdominal bulge (AB). SUBJECTS AND METHODS: Forty-three patients with AAA repair via the retroperitoneal space were retrospectively investigated. Wound complications and their incidence were studied by chart review. The thickness of the abdominal wall muscle was measured by follow-up computed tomography films. Compound muscle action potentials (CMAPs) of the abdominal rectus muscle were examined for three bulge patients and three non-bulge patients. RESULTS: Wound hypoesthesia (30%), wound numbness (21%), AB (7%), and wound pain (2%) were found in these patients. The thickness of the abdominal wall muscle was reduced in the incision side. CMAP of abdominal rectus muscle in the incision side disappeared only in AB patients. CONCLUSIONS: (1) Wound hypoesthesia and numbness displayed a high incidence. (2) Atrophy of the abdominal wall muscle in the incision side was found in these patients. (3) The cause of AB is considered to be muscle atrophy induced by denervation injury of an 11th intercostal nerve. (4) To avoid an eleventh intercostal nerve injury must be deemed the most effective method for preventing AB.
OBJECTIVE: To evaluate the incidence of wound complications after the retroperitoneal approach for abdominal aortic aneurysm (AAA) repair, and to ascertain the cause of abdominal bulge (AB). SUBJECTS AND METHODS: Forty-three patients with AAA repair via the retroperitoneal space were retrospectively investigated. Wound complications and their incidence were studied by chart review. The thickness of the abdominal wall muscle was measured by follow-up computed tomography films. Compound muscle action potentials (CMAPs) of the abdominal rectus muscle were examined for three bulge patients and three non-bulge patients. RESULTS: Wound hypoesthesia (30%), wound numbness (21%), AB (7%), and wound pain (2%) were found in these patients. The thickness of the abdominal wall muscle was reduced in the incision side. CMAP of abdominal rectus muscle in the incision side disappeared only in AB patients. CONCLUSIONS: (1) Wound hypoesthesia and numbness displayed a high incidence. (2) Atrophy of the abdominal wall muscle in the incision side was found in these patients. (3) The cause of AB is considered to be muscle atrophy induced by denervation injury of an 11th intercostal nerve. (4) To avoid an eleventh intercostal nerve injury must be deemed the most effective method for preventing AB.
Authors: R P Cambria; D C Brewster; W M Abbott; M Freehan; J Megerman; G LaMuraglia; R Wilson; D Wilson; R Teplick; J K Davison Journal: J Vasc Surg Date: 1990-02 Impact factor: 4.268
Authors: G A Sicard; J M Reilly; B G Rubin; R W Thompson; B T Allen; M W Flye; K B Schechtman; P Young-Beyer; C Weiss; C B Anderson Journal: J Vasc Surg Date: 1995-02 Impact factor: 4.268