Managing Abdominal Aortic Aneurysm, Open Surgery Versus EVAR: A Retrospective Comparative Study

The objective of this study was to compare two methods for treating abdominal aortic aneurysms (AAAs) with regard indications use, type anesthesia, intraoperative timing and complications, postoperative course, overall morbidity mortality. This retrospective included 61 patients from the period December 2014 2020. We male or female presenting elective repair infrarenal AAAs having pain leakage but not free rupture. According intervention method, were divided into groups. Group (A): who underwent open surgical repair, group (B): endovascular aneurysm (EVAR). There no significant difference between both groups as regards demographic data except age (P = .0026). As indication intervention, there statistical .4881). a high size < .0001). Patients in had general combined general/epidural, whereas EVAR procedure using local loco-regional anesthesia. Intraoperative mortality 4.65% vs 0% group. operative time significantly decreased relation 4.9% compared 1.0000). total hospital stay found be 8.9024 ± 1.9976 days group, it 4.5 0.9574 P value .0001. Open approach managing AAA associated increased perioperative stay, lower rates reintervention late rupture, especially non-adherence use. Managing an either must tailored according patient’s comorbid condition anatomical suitability.