A reality for patients with abdominal aneurysms in Puerto Rico

The procedure was performed by a group of surgeons at the San Lucas Episcopal Medical Center in Ponce.

Dr. Rafael during the operation. Photos provided by the team at San Lucas Episcopal Medical Center in Pons for the Journal of Medicine and Public Health.

Dr. Rafael Santini, vascular surgeon Episcopal center of San Lucas de PonceThe Journal of Medicine and Public Health revealed the details of the unprecedented procedure, in which they used a special transplant to restore an adrenal aneurysm in two patients.

“We do pre-surgical planning, they make holes in the net so that the vessels do not close, we work for two hours before touching the patient, so that the net fits the patient. “After that, we continue the process from four to six, it is a complicated procedure, which involves the blood vessels of the abdominal aorta,” he explained.

He explained that this mechanism already existed in Puerto Rico, but the novelty is the technique that was first used, which they hope to continue to save lives, to enable patients who do not have the resources to leave the island. .

“Endovascular surgery is the procedure we use now when a patient’s groin is performed without an incision. “The importance of this type of treatment is that numerous studies have shown that, unlike open surgery, the risk of complications is lower,” he said.

In Puerto Rico, according to the doctor, minimally invasive surgeries allowed patients to get optimal results without the complications of conventional surgeries.

He stressed that not all patients are candidates for this type of intervention, as there are anatomical factors that must be evaluated for the patient’s success, even Dr. Santini said that many young patients have better results with open surgery, “so that the word goes about the type of patient մասին about what is decided after the examination. ”

The specialist noted that this procedure is a safe and effective method for the treatment of right aortic aneurysms in patients who are not suitable for open surgical repair.

These transplants are tailored to the patient and usually take 6-12 weeks to prepare. Therefore, patients presenting with symptomatic ruptured aortic aneurysms may not be able to use these methods without the “off-axis” option.

Medical team during the procedure. Photos provided by the team at San Lucas Episcopal Medical Center in Pons for the Journal of Medicine and Public Health.

The medical team prepares the equipment for the operation. Photos provided by the team at San Lucas Episcopal Medical Center in Pons for the Journal of Medicine and Public Health.

Medical team during the procedure. Photos provided by the team at San Lucas Episcopal Medical Center in Pons for the Journal of Medicine and Public Health.

Medical equipment used in the surgical process. Photos provided by the team at San Lucas Episcopal Medical Center in Pons for the Journal of Medicine and Public Health.

Medical equipment used in the surgical process. Photos provided by the team at San Lucas Episcopal Medical Center in Pons for the Journal of Medicine and Public Health.

Medical equipment used in the surgical process. Photos provided by the team at San Lucas Episcopal Medical Center in Pons for the Journal of Medicine and Public Health.

Medical team during the procedure. Photos provided by the team at San Lucas Episcopal Medical Center in Pons for the Journal of Medicine and Public Health.

Primary diagnosis process

The doctor stressed that screening should be performed on smokers aged 65 to 75 years, as the frequency of this population reaches 3%, “therefore studies should be performed, as it is proven that these assessments achieve positive results in time.”

The selection study is an abdominal ultrasound examination of the above population focused on the aortic vein. If the test is negative, there is no need to follow up, but if it is positive, the next step will depend on the size of the vein.

“When the size exceeds 5.5 cm, careful monitoring and appropriate treatment is recommended. “Not only the size indicates the operation, but also the other aspects of the patient who may be a candidate for surgery.”

He explained that the primary care physician could consult screening guidelines outlining the steps to be taken to obtain information about the patient’s condition and to detect this health problem in a timely manner.

Definition of the disease

Abdominal aneurysm is an enlargement of the blood vessel that occurs in some patients due to various risk factors, such as being over 65 years old, smoking, and having patients with arterial diseases, according to the specialist.

“Abdominal aneurysm is a serious problem because it is silent. When it presents with symptoms, it is already very developed. In fact, most of them are due to the fact that the aneurysm has exploded. Mortality in these patients is almost inevitable.” He said: he said.

“That’s why he was able to do a patient’s abdominal examination, where a mass could be found that would show an aneurysm, ‘where you need to act fast,'” he concluded.