Some Information About the Abdominal Aortic Aneurysm Repair Surgery

2 Answers

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My splenic aneurysm is 1.4 cm.  Is it true that if it is smaller than 2, usually no surgery if done for it?
The most ideal treatment for splenic aneurysms is surgical resection before the aneurysm is ruptured.
(1) obvious symptoms, suspected ruptured aura or have ruptured bleeding;
(2) The diameter of the tumor is ≥ 2cm;
(3) The diameter of the tumor is <2cm, but there is a tendency to continue to increase;
(4) Pregnant women or women of childbearing age should undergo elective surgery before or during pregnancy;
(5) Spleen aneurysms accidentally discovered during open surgery, if the condition allows, should also seek to remove;
(6) Splenic aneurysms caused by invasion, trauma, infection, etc. of adjacent organs, should be surgically removed as soon as possible.
2. Interventional therapy
In recent years, with the advancement of interventional techniques, splenic artery embolization, splenic artery endovascular exclusion and spring embolization assisted by spring embolization have achieved good results in the treatment of splenic aneurysms. At present, endovascular intervention has become the first treatment of the splenic artery.

Once the splenic aneurysm ruptures, the mortality rate is extremely high, so early diagnosis is extremely important, and strive for timely surgery or interventional treatment before the aneurysm rupture.
 
I don't have insurance but symptoms are coming back and aneurysm is bigger
Surgery is the best of course, if you can't take the surgery, try your best to manage BP, pulse, cholesterol and blood glucose. How to do it? Avoid processed foods, avoid fat, avoid sauce, eat vegetables, eat fruits, and take good rest.
What are the risks of having surgery at 5 cm.
The most common complications of open aneurysm repair are cardiac ischemia (reduced blood flow to the heart leading to damage to the heart muscles) and respiratory complications.
Colonic ischemia (reduced blood flow to the bowel) occurs in about 10% of the patients. It resolves on its own in most individuals.
Sexual dysfunction is seen in a small proportion of individuals
Tar coloured smelly stool or blood in vomit, few months or years after the surgery. This is an uncommon but treatable complication caused due to a connection formed between the gut and the aorta.
Infection of the graft is an uncommon complication, which can be corrected by replacing the synthetic graft with a blood vessel from the body of the affected individual.
This procedure of EVAR reduces the risk which commonly accompany open aneurysm repair, but it comes with its own set of complication.
Endoleak: when the graft is not sealed properly at the two ends of the aneurysm sac, the blood keeps on circulating in an aneurysm and causes it to grow which may eventually leads to a rupture.
Local complication like blood clot or infection, where catheters were introduced are seen in 1-10% of individuals
Misplacement of the graft which might interrupt blood supply to the kidney. Some of the affected individuals may have to be on dialysis for their life.
Infection of graft leading to fever and back pain.
Recovery
The recovery period for open aneurysm repair is about a month while that for EVAR is nearly 2 weeks. Following an open aneurysm repair your doctor will advise you to avoid bearing down and strenuous activities for few days. You will be advised to keep the wound clean with the help of mild soap and water, and to ensure that the wound is dry. If you have undergone an EVAR, you will be required to have a lifelong follow up with CT scans to detect Endoleak and to check that the graft is in a proper place.
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