Elliptical transection for eversion endarterectomy enables efficient external carotid artery desobliteration.

Background: Eversion endarterectomy (EEA) of the internal carotid artery requires less distal surgical exposure than conventional patch reconstruction endarterectomy. However, the technical success after EEA was tremendously contradictive especially with respect to the external carotid artery (ECA) patency rate. The purpose of this study was to determine the effect of elliptical EEA on the quality and outcome of external carotid artery desobliteration.

Transverse small skin incision for carotid endarterectomy.

Background: The purpose of this report is to determine the feasibility of short transverse skin incision (STI < 4 cm) for eversion (EEA) and patch (PEA) endarterectomy with or without shunt by comparing it with the outcomes after long transverse skin incision (LTI 4-8 cm).

Methods: Of 164 elective consecutive patients (71 ± 2.73% symptomatic) operated at one institution over 24 months, 81 were treated with STI, while 83 patients received LTI.

A minimally invasive approach for aortobifemoral bypass procedure.

Surgical aortobifemoral bypass procedure for aortoiliac occlusive disease remains the gold standard treatment despite rapidly expanding range of indications for endovascular repair. Besides several disadvantages such as dysparaesthesias, hernias, and unpleasant outcome, transperitoneal exposure of the aorta is also associated with operative autonomic nerve injury. In five male patients, infrarenal aorta was exposed through a small (8 cm) supraumbilical midline incision.