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Das Rupturierte Bauchaortenaneurysma — initiale Therapie aus chirurgischer Sicht

  • L. Lauterjung
Conference paper
Part of the Deutsche Gesellschaft für Chirurgie book series (DTGESCHIR, volume 1994)

Initial Treatment of Ruptured Abdominal Aortic Aneurysm from the Surgeon’s Perspective

Summary

In contrast to elective surgery for infrarenal abdominal aneurysms the mortality rate of ruptured aneurysms has not improved over the years. Own experience and a review of the literature suggest three basic goals for achieving lower mortality: 1. Reducing the time interval between rupture and the surgical control of the bleeding, 2. refraining from reestablishing normal blood pressure by hemodilution, 3. admitting the patient to a competent surgical unit with experience in aortic surgery.

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Literatur

  1. 1.
    Hoffmann M, Avellone JC, Plecha FR, Rhodes RS, Donovan DL, Beven EG, DePalma RG, Frisch JA (1982) Operation for ruptured abdominal aortic aneurysms: A community-wide experience. Surgery 91:597Google Scholar
  2. 2.
    Amundsen S, Skjaerven R, Trippestad A, Soreide O and Members of the Norwegian Abdominal Aortic Aneurysms Trial. Is there an association between surgical volume, surgical experience, hospital type and operative mortality? Acta Chir Scand 156:323Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1994

Authors and Affiliations

  • L. Lauterjung
    • 1
  1. 1.Chirurgische KlinikKlinikum GroßhadernMünchenDeutschland

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