A new technique for laparoscopic aortobifemoral grafting in occlusive aortoiliac disease

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Laparoscopic aortobifemoral grafting allows to cure aortoiliac disease

Methods: The technique is the result of 6 years of in vitro and animal experimentation. It also represents the end result of prior clinical research with laparoscopy-assisted aortoiliac surgery and totally laparoscopic retroperitoneal aortobifemoral bypass grafting. The technique consists of the creation of a flap of retroperitoneum that is used to separate the intraperitoneal organs from the content of the retroperitoneal cavity. Surgery can then be conducted with no intrusion of any intraabdominal organ into the operative field. Another advantage is that the pneumoperitoneum is equally distributed among the two cavities. A conventional aortobifemoral bypass procedure is then performed with laparoscopic instrumentation.

Results: The described technique has been performed in three patients to date. The patients' intraoperative blood loss did not exceed 500 ml, and no complication arose. The intraoperative need for crystalloids was of the order of 3 L (almost half the quantity usually administered). The patients' analgesia requirement was low in these patients, and return to walking was rapid. They were sent home between the fourth and sixth postoperative days.

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Noha, Kenya

Hey this is Noha from Kenya, I was facing the disease called aortoiliac disease, for which I went to India for my treatment. I am glad I was treated the best there with competitive edge. The doctors were skilled and I thank them all for the great service.

Keith Hansen

Hi, I am Keith Hansen from Ireland, I went to India that long to treat my aortoiliac disease treatment. I am glad I got the best treatment there thanks to the skilled doctors and highly recognised hospital, which made all the difference. I am glad I got this treatment in India on time and got the best result.