Author/Editor		Klokočovnik, Tomislav
Title		Kirurško zdravljenje iliakalnih anevrizem: prikaz primera
Translated title		Surgical reconstruction iliac aneurysm: case report
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 67, št. 5
Publication year		1998
Volume		str. 277-8
Language		slo
Abstract		Background. Aneurysms of pelvic arteries occur quite seldom. The aneurysm is most frequently attended by abdominal aortas, and they are particularly located on iliac arteries (communes, external, internal). We think of them by symptoms as tension and pains in the lower abdomen, disorders in urination, or in the excrement leak. We prove them by arteriography, ultrasound examination of the lower abdomen, or by the computer tomography. Conclusions. Treatment of an aneurysm is surgical. A common surgical approach to the bilateral aneurysm is the lower mediano-medio-laparotomy. This approach is frequently atended by complications (intensine paresis, ileum) which prolong the postoperative convalescence. In the presented case the left retroperitoneal approach is applied, and its advantage is a smaller risk of postoperative complications, it shortens the time of hospitalisation, and it decreases the treatment costs.
Summary		Izhodišča. Anevrizme pelvičnih arterij so dokaj redke. Najpogosteje spremljajo anevrizmo abdominalne aorte, najdemo pa jih zlasti na iliakalnih arterijah (komunis, eksterni, interni). Nanje pomislimo ob simptomih, kot so napetost in bolečine v spodnjem abdomnu, motnje pri odtoku urina ali uhajanje blata. Dokažemo jih z arteriografijo, ultrazvočno preiskavo spodnjega abdomna ali z računalniško tomografijo. Zaključki. Zdravljenje anevrizme je kirurško. Običajen kirurški pristop pri bilateralni anevrizmi je spodnja mediano media laparotomija. Ta pristop pogosto spremljajo zapleti (pareza črevesja, ileus), ki daljšajo pooperativno okrevanje. V prikazanem primeru je uporabljen levi retroperitonealni pristop, katerega prednost je manjša nevarnost pooperativnih zapletov, skrajša se čas hospitalizacije in zniža stroške zdravljenja.
Descriptors		ILIAC ANEURYSM AGED LAPAROTOMY