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MINI CUT
A modern approach to Aortoiliac Occlusive Disease
December 19,2023
A major health risk left
if untreated
01
AIOD
02
Table of contents
03 You can describe the
topic of the section
here
Epidimolgy
You can describe the
topic of the section
here
Introduction
04 You can describe the
topic of the section
here
Findings
01 Aorta illeac occlusive disease
Into a promising upcoming surgical
method of treatment
Introduction
Obstructive arterial diseases are a complex
disease comprising atherosclerosis of arteries
Very difficult to treat despite modern existing
treatment methods
Atherosclerotic pathology of Iliac arteries where
thrombectomy and endarterectomy fails and the only
management is aorto-femoral or bifemoral bypass surgeries
The classical surgery indicates a total laparotomy
Epidimology
Estimates ranged from 3.56% to
>14% in a general population
increased prevalence in the elderly,
estimating 14%-20% over 70 years
and 23% over 80 years old
Preponderance is higher in male
and non-Hispanic black populations
rare but another significant etiology
is large vessel vasculitis,
specifically Takayasu arteritis.
Why infra renal segment of Aorta
 clamping of Aorta and some of its major
branches
 infra-renal segment doesn’t have branches ,
no oozing of blood , left unclamped
Findings from
radiology
Findings from radiology
40
No of patients in traditional &
experimental method
22
conventional total laparotomy
18
supra-umbilical mini-cut method
Traditional method
• Exposure of femoral arteries by groin
inscision assisted by ultrasonography
• Flap lifted lateral to femoral artery
• Profunda femoris artery exposure
• ligation of lateral circumflex femoral artery
• Slitting of inguinal ligament to prevent
compression of the graft
• Ligation of vein of sorrow
• Blunt dissection on ant surface of external
illliac artery
Traditional method
Our statistics
Mini cut
Procedure to be added
Epidural anastesia catheterization
Procedure to be added
Our statistics
Traditional Mini cut
V
S
0
2
4
6
8
10
12
14
16
Avg. duration of
operation
Avg. duration in
post opp. Ward
Wound healing Total duration of
hospitalization.
RESULTS & OUTCOMES
TRADITIONAL METHOD EXPERIMENT METHOD
PARAMETERS TRADITIONAL
METHOD
EXPERIMENTAL
METHOD
PAIN KILLERS Tramadol,
Trimeperidine,
Sebason
Diclophenac,
Paracetamol,
Catheralac
DRAINS No collection No collection
Post opp.
Complications
Respiratory
difficulties, Slow
wound healing,
Ventral hernia.
No
complications
noted yet.
“Surgeons : where skills meets compassion
and every incision tells a story of healing
and courage and the relentless pursuit of
restoring lifes intricate symphony
- someone famous
Authors
6th course
International Medical Faculty,
Medical Academy named after S.I
Georgievsky of CFU, Crimea,
Russia
Sannidhya Acharyya Prabu kumaran
Prajith kumar H.M Balasubramanian
saran
4th course
International Medical Faculty,
Medical Academy named after S.I
Georgievsky of CFU, Crimea,
Russia
4th course
International Medical Faculty,
Medical Academy named after S.I
Georgievsky of CFU, Crimea,
Russia
4th course
International Medical Faculty,
Medical Academy named after S.I
Georgievsky of CFU, Crimea,
Russia
Supervisors & Head of department
Vascular surgeon
and Scientific
supervisor
Dr. Alexander Tsaturyan
General surgeon
, professor ,
Head of
department
Dr. Vichislav
Mykhailichenko
Vascular surgeon
and Scientific
supervisor
dr Ibrahim
mukramov
Thank you ,
pleased to answer your
questions
95%
Patient
satisfaction
Jupiter is a gas giant and
the biggest planet in the
Solar System
Innovations
90%
Jupiter is a gas
giant and the
biggest planet in
the Solar System
Progress
Saturn 20%
Jupiter 70%
Venus 50%
Mercury is the
smallest planet
Saturn is a gas giant
and has several
rings
Alternative resources
Resources
Vectors:
● Surgical elements illustrated set
● Surgical lab illustrated background I
● Surgical lab illustrated background II
● Cartoon doctors nurse
● Cartoon healthcare professionals
with coats
Did you like the resources on this template? Get
them for free at our other websites:
Photos:
● Doctors preparing surgical procedure
● Close up doctor wearing equipment
● Medium shot doctors talking patient
Icons:
● Medicine icon Pack

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MINI CUT a modern approach to laparotomy.

  • 1. MINI CUT A modern approach to Aortoiliac Occlusive Disease December 19,2023
  • 2. A major health risk left if untreated 01 AIOD 02 Table of contents 03 You can describe the topic of the section here Epidimolgy You can describe the topic of the section here Introduction 04 You can describe the topic of the section here Findings
  • 3. 01 Aorta illeac occlusive disease Into a promising upcoming surgical method of treatment
  • 4. Introduction Obstructive arterial diseases are a complex disease comprising atherosclerosis of arteries Very difficult to treat despite modern existing treatment methods Atherosclerotic pathology of Iliac arteries where thrombectomy and endarterectomy fails and the only management is aorto-femoral or bifemoral bypass surgeries The classical surgery indicates a total laparotomy
  • 5.
  • 6. Epidimology Estimates ranged from 3.56% to >14% in a general population increased prevalence in the elderly, estimating 14%-20% over 70 years and 23% over 80 years old Preponderance is higher in male and non-Hispanic black populations rare but another significant etiology is large vessel vasculitis, specifically Takayasu arteritis.
  • 7. Why infra renal segment of Aorta  clamping of Aorta and some of its major branches  infra-renal segment doesn’t have branches , no oozing of blood , left unclamped
  • 9.
  • 11. 40 No of patients in traditional & experimental method 22 conventional total laparotomy 18 supra-umbilical mini-cut method
  • 12. Traditional method • Exposure of femoral arteries by groin inscision assisted by ultrasonography • Flap lifted lateral to femoral artery • Profunda femoris artery exposure • ligation of lateral circumflex femoral artery • Slitting of inguinal ligament to prevent compression of the graft • Ligation of vein of sorrow • Blunt dissection on ant surface of external illliac artery
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 19.
  • 21. Mini cut Procedure to be added Epidural anastesia catheterization
  • 22.
  • 24.
  • 25.
  • 28. 0 2 4 6 8 10 12 14 16 Avg. duration of operation Avg. duration in post opp. Ward Wound healing Total duration of hospitalization. RESULTS & OUTCOMES TRADITIONAL METHOD EXPERIMENT METHOD
  • 29. PARAMETERS TRADITIONAL METHOD EXPERIMENTAL METHOD PAIN KILLERS Tramadol, Trimeperidine, Sebason Diclophenac, Paracetamol, Catheralac DRAINS No collection No collection Post opp. Complications Respiratory difficulties, Slow wound healing, Ventral hernia. No complications noted yet.
  • 30. “Surgeons : where skills meets compassion and every incision tells a story of healing and courage and the relentless pursuit of restoring lifes intricate symphony - someone famous
  • 31. Authors 6th course International Medical Faculty, Medical Academy named after S.I Georgievsky of CFU, Crimea, Russia Sannidhya Acharyya Prabu kumaran Prajith kumar H.M Balasubramanian saran 4th course International Medical Faculty, Medical Academy named after S.I Georgievsky of CFU, Crimea, Russia 4th course International Medical Faculty, Medical Academy named after S.I Georgievsky of CFU, Crimea, Russia 4th course International Medical Faculty, Medical Academy named after S.I Georgievsky of CFU, Crimea, Russia
  • 32. Supervisors & Head of department Vascular surgeon and Scientific supervisor Dr. Alexander Tsaturyan General surgeon , professor , Head of department Dr. Vichislav Mykhailichenko Vascular surgeon and Scientific supervisor dr Ibrahim mukramov
  • 33. Thank you , pleased to answer your questions
  • 34. 95% Patient satisfaction Jupiter is a gas giant and the biggest planet in the Solar System
  • 35. Innovations 90% Jupiter is a gas giant and the biggest planet in the Solar System Progress Saturn 20% Jupiter 70% Venus 50% Mercury is the smallest planet Saturn is a gas giant and has several rings
  • 37. Resources Vectors: ● Surgical elements illustrated set ● Surgical lab illustrated background I ● Surgical lab illustrated background II ● Cartoon doctors nurse ● Cartoon healthcare professionals with coats Did you like the resources on this template? Get them for free at our other websites: Photos: ● Doctors preparing surgical procedure ● Close up doctor wearing equipment ● Medium shot doctors talking patient Icons: ● Medicine icon Pack