FIELD: medicine.
SUBSTANCE: invention relates to medicine, in particular to vascular surgery. Complete longitudinal median laparotomy is performed, abdominal aorta aneurysm and its bifurcation are isolated, aneurysm is opened, orifice of lumbar arteries is sewn and intralumen bifurcate prosthetics is carried out. Additionally carried out is mobilisation of intestine and isolation of external and internal iliac arteries from both sides. Prosthetics of aorta and iliac arteries is performed by two bifurcate prostheses: first, proximal anastomosis of main branch of first bifurcate prosthesis with aorta is formed, after that carried out is formation of distal anastomoses of bifurcate branches of prosthesis with external and internal iliac arteries on the right. After that formation of proximal anastomosis of main branch of second bifurcate prosthesis with main branch of first prosthesis is performed in "an end-to-side" manner and distal anastomoses of bifurcate branches of second prosthesis with external and internal iliac arteries are formed on the left.
EFFECT: method increases safety of operational process and improves perfusion of internal iliac arteries.
8 dwg, 2 ex
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Authors
Dates
2010-12-10—Published
2009-07-01—Filed