Sultan Technique for Aorto- Bi-Iliac Endarterectomy For Leriche Syndrome скачать в хорошем качестве

Sultan Technique for Aorto- Bi-Iliac Endarterectomy For Leriche Syndrome

Leriche Syndrome is total aorto-bi-iliac occlusion in Young males. This 42 years old male patient was complaining of disabling claudication and erectile dysfunction. Through a midline incision, we open the retro-peritoneum. We applied Stansky Aortic Side Clamping just below both renal arteries and clamp both External and Internal Iliac arteries by Vessel Occlude Loops. We open the aorto in longitudinal fashion toward the Left common iliac artery then we perform aorto iliac endarterectomy, then we open the right common iliac artery as a separate arteriotomy, both arteriotomy were extended towards the proximal External iliac Arteries. After cleaning the endarterectomy side to the sturdy aortic adventitia we primarily close the aorto, Both Common and External Iliac arteries by 3/0 proline. The advantage for young age patients is avoiding the use of Dacron graft. We close the retroperitoneal area by 2/0 Monocryl and the abdomen with loop 2/0 Maxon and 4/0 sub-cuticular Monocryl . Patient was discharged 72 hours post surgical intervention.