The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on laparoscopic repair of abdominal aortic aneurysm.
Description:
A midline minilaparotomy incision is made for insertion of one of the surgeon's hands for hand assisted laparoscopic surgery (HALS). Three or more small skin incisions are made for insertion of a laparoscope and instruments. Clamps are applied above and below the aneurysm and its sac is opened. Thrombus is removed and patent lumbar arteries are sutured from the inside of the aneurysm. A prosthetic vascular graft is anastomosed to the proximal and distal ends of the aorta. The aneurysm wall and the posterior parietal peritoneum are closed to cover the graft.
Arrangement:
Other (see guidance)
Topic Area:
Cardiovascular
Surgical procedures
Specialty:
Cardio-thoracic surgery
Specialist advice has been sought from:
Vascular Society of Great Britain and Ireland
Association of Laparoscopic Surgeons of Great Britain and Ireland
Date notified to NICE:
29 March 2005
Provisional consultation date:
Spring 2007
IP Pub Date:
22 August 2007
Contact
Details:
Project manager (for general enquiries or comments)
(for general enquiries or comments)
