Laparoscopic surgery in developing countries. T. E. Udwadia. 250 × 185 mm. Pp. 348. Illustrated. 1997. New Delhi: Jaypee Brothers Medical Publishers. US $40
✍ Scribed by E. Q. Archampong
- Publisher
- John Wiley and Sons
- Year
- 1997
- Tongue
- English
- Weight
- 132 KB
- Volume
- 84
- Category
- Article
- ISSN
- 0007-1323
No coin nor oath required. For personal study only.
✦ Synopsis
Elective open repair of abdominal aortic aneurysm reduces the risk of premature death from aortic rupture. Surgery is evidence based for aneurysms more than 5 5 cm in diameter, provided the operative mortality rate does not greatly exceed 5 per cent. Endovascular surgery for aneurysms is novel, exciting and requires the acquisition of new skills by established practitioners. It has been enthusiastically embraced by fashionable vascular surgeons. Interventional radiologists and surgeons who have yet to use some of the devices improvised and marketed after Parodi's will find all they need in this book to try their hand. There are chapters on the Min Tec, Chuter-Gianturco, Endovascular Technologies, Corvita, Sydney, Ivancev-Malmo, Parodi and Perth systems; fillers on renal damage, ischaemiareperfusion injury and colonic perfusion; and the usual vogue chapter on quality of life. Endovascular surgery can be performed most easily on small subclinical aneurysms. The operative mortality rate is currently around twice that of open repair. The immediate and early technical failure rates are high. Complications are common. The durability and efficacy of successful grafts are unknown. Try it if you must, but not on me.
J. Collin