Are there any health benefits to being torn apart
When is preventive intervention useful for an abdominal aortic aneurysm?
Both open surgery and endovascular surgery can lead to serious complications. You can also die as a result of the surgery. The risk of dying in the first 30 days after surgery is higher with open surgery than with endovascular surgery. However, this difference no longer exists four years after the operation.
Surgery can also cause other complications, such as a stroke or pulmonary complications. It can damage the heart muscle or limit the function of the kidney. After the surgery, sexuality may be temporarily impaired.
Open surgery is usually associated with greater blood loss than endovascular surgery. In addition, open surgery leaves a larger scar. Sometimes there is also a hernia in the area of the surgical scar that has to be operated on. Another procedure may be necessary for other reasons - usually a minor procedure with one. For example, the vascular prosthesis can close after an open operation.
After an endovascular procedure, the stent prosthesis can slip or it does not hold tight. Even if the stent prosthesis could not be inserted correctly, further surgery may be necessary. The procedure can also injure the femoral artery through which it is advanced. More surgical treatment is required after endovascular surgery than after open surgery.
Men are more likely to develop an aneurysm of the abdominal aorta than women. Therefore, in most of the studies, almost exclusively men were treated. The information in the following table therefore applies to men in overall good health. The table gives an overview of the differences between the two methods. It shows how common potential complications are.
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