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Reparación abierta de aneurisma de la aorta abdominal - Recovery

Nombres alternativos

Reparación abierta de aneurisma aórtico abdominal (AAA); Reparación abierta de aneurisma aórtico

Después del procedimiento:

La mayoría de las personas permanecen hospitalizadas durante 5 a 10 días. Durante una hospitalización, usted:

  • Estará en la unidad de cuidados intensivos (UCI), donde lo vigilarán muy de cerca inmediatamente después de la cirugía. Posiblemente necesite un respirador durante el primer día.
  • Tendrá una sonda vesical.
  • Tendrá una sonda nasogástrica para ayudar a drenar los líquidos por uno o dos días. Luego, empezará a tomar líquidos y después a comer.
  • Recibirá medicamentos para mantener la sangre diluida.
  • Lo animarán a sentarse en el lado de la cama y luego caminar.
  • Usará medias especiales para prevenir coágulos de sangre en las piernas.
  • Le pedirán que use un respirador para ayudar a despejar los pulmones.
  • Recibirá analgésicos intravenosos o dentro del espacio que rodea la médula espinal (epidural).

Pronóstico:

La recuperación total de una cirugía abierta para reparar un aneurisma aórtico puede demorar de 2 o 3 meses. La mayoría de las personas se recuperan por completo de esta cirugía.

La mayoría de las personas a quienes se les repara un aneurisma antes de que se rompa (abra) tienen un buen pronóstico.

  • Reviewed last on: 11/18/2010
  • Shabir Bhimji, MD, PhD, Specializing in General Surgery, Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Gloviczki P, Ricotta JJ II. Aneurysmal vascular disease. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 65.

De Bruin JL, Baas AF, Buth J, Brinssen M, Verhoeven EL, Cuypers PW, et al: DREAM Study Group. Long-term outcome of open or endovascular repair of abdominal aortic aneurysm. N Engl J Med; 2010:362:1881-1889.

United Kingdom EVAR Trial Investigators, Grenhalgh RM, Brown LC, Powell JT, Thompson SG, Epstein D, Sculpher MJ. Endovascular versus open repair of abdominal aortic aneurysm. N Engl J Med; 2010;362:1863-1871.

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