BACKGROUND: The purpose of this study was to determine whether a surgeon without special skills can perform minimal incision @entity1028 repair as safely and effectively as traditional retroperitoneal aneurysmectomy. METHODS: After informed consent, eligible @entity1 were randomized into minilaparotomy and retroperitoneal groups. The minilaparotomy repair consisted of a short transabdominal midline incision, intraabdominal retraction of the bowel, @entity548 with balloon catheters, and hand-sewn anastomoses. The retroperitoneal approach was performed through a left vertical-lateral abdominal incision. RESULTS: Twenty-six @entity1 were randomly treated by minilaparotomy approach (n = 14) or retroperitoneal approach (n = 12) from December, 1999, to May 2001. Parameters for speed of recovery were indistinguishable and of no clinical significance. In the long-term follow-up (mean period, 27 months), no @entity1 in the minilaparatomy group complained of discomfort from the incision, whereas 4 @entity1 in the retroperitoneal group complained of discomfort (P < 0.05). CONCLUSIONS: Minilaparotomy approach can be performed safely and effectively without specialized skill. With regard to wound discomfort, the minilaparotomy technique is excellent. The minilaparotomy approach is therefore a useful alternative to traditional repair.

Can minilaparotomy XXXX repair be performed safely and effectively without special skills?

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1028 :: ('MESH:D017544', 'Disease') :: ['abdominal aortic aneurysm'] @entity548 :: ('MESH:D006470', 'Disease') :: ['control of back bleeding']
@entity1028 :: (MESH:D017544,Disease) :: ['abdominal aortic aneurysm']
