AI Article Synopsis
- - Perigraft seroma (PGS) is a rare complication that can occur after aortoiliac reconstructive surgery, as illustrated by a case involving an 86-year-old man who developed a large 17.3-cm PGS after surgery for an abdominal aortic aneurysm.
- - The patient experienced abdominal distension and discomfort, leading to difficulty eating, prompting a hybrid treatment approach that involved relining the original graft and open drainage of the seroma.
- - The procedure was successful, completely alleviating the patient's symptoms, and he showed no recurrence of PGS two years post-operation, suggesting this technique may be a viable option for managing this complication.
Article Abstract
Perigraft seroma (PGS) is a relatively rare complication of aortoiliac reconstructive surgery. We, herein, describe a case of a large PGS that was managed by using a hybrid technique of relining the original graft with simultaneous open drainage. An 86-year-old man with a 17.3-cm diameter PGS after prosthetic bifurcated graft replacement for abdominal aortic aneurysm was admitted to our hospital. He presented with abdominal distension and discomfort and had difficulty in taking food. The entire relining of the original covered stent graft with GORE EXCLUDER using aortic extension cuff and iliac extenders and simultaneous open evacuation of PGS were successfully performed. The symptoms of the patient totally improved, and no recurrence was detected at 2 years after the operation. This technique would be a feasible treatment option for this rare complication.
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| http://dx.doi.org/10.1016/j.avsg.2018.07.073 | DOI Listing |
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