Less Invasive Aortic Surgery Now an Option for Windsor Patients


Improved survival, shorter hospital stays, and care closer to home are among the benefits Windsor Regional Hospital touts with minimally invasive aortic surgery now available to local patients.

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The hospital has performed more than 20 cases of a technique called endovascular aneurysm repair (EVAR). This procedure is used to manage a variety of problems, including abdominal aortic aneurysms (AAA).

Dr. Maher Sabalbal states that the average hospital stay for patients following EVAR surgery for such an aneurysm is 24 hours. A traditional “open repair” with a large incision in the abdomen takes 10 days.

“Not only does this significantly reduce hospital costs, but it also allows patients to return to their daily routines just days after the surgery is completed,” said Vascular Surgeon Sabarval. “If the aneurysm ruptures, the patient is more likely to survive with her EVAR than with open repair. shown in the study of

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EVAR was first implemented in the United States in the 1990s and has been available in Toronto for many years. The London Health Science Center started this procedure last September. Windsor Regional Hospital opened its doors in October after eight years of planning.

This technique helps manage conditions such as aorto-bowel disease, peripheral aneurysms, leg blockages, and leg and gastric aortic aneurysms.

Improved survival, shorter hospital stays, and care closer to home are among the benefits Windsor Regional Hospital touts with minimally invasive aortic surgery now available to local patients. Photo by Windsor Regional Hospital /windsor star

Aortic aneurysms are the largest blood vessel bulges in the body that can be life threatening.

The problem was previously treated with lengthy surgeries fraught with complications and blood loss. It can be life-threatening in itself, requiring several nights in the intensive care unit (ICU) and several weeks of hospitalization.

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Sabarval said he had to “basically unzip the patient from nipple to pubis” and “dissect the complex anatomy and lymph nodes and veins.”

“This takes hours,” he said. “It’s hours of anesthesia. I can only imagine the abdominal discomfort that follows, the lazy bowel that patients go through. They will have to wait much longer before they can return to their normal daily routines, and 80% It takes months to feel it.”

EVAR can repair the aneurysm by making a small hole in the groin and inserting a special device called a stent graft. The graft diverts flow away from the aneurysm, eliminating the risk of rupture.

Patient Eugene Krawchuk underwent surgery on March 1 and was discharged on March 3.

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“The only problem I had was that I was a little drowsy for three or four days to get all the drugs out of my system,” he said. “I never encountered any pain. There was only slight discomfort at the groin incision. Just a little bit of discomfort. But it all worked out.”

Improved survival, shorter hospital stays, and care closer to home are among the benefits Windsor Regional Hospital touts with minimally invasive aortic surgery now available to local patients. Photo by Windsor Regional Hospital /windsor star

He’s now back to his daily routine of 40-minute walks and 5-pound weight lifting.

“You have to keep your muscles a little tight,” he said.

The hospital said its endovascular program can also help patients with arterial blockages who are too sick, frail, or too old to undergo a complex open bypass.

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Most local patients who underwent surgery went home after one day. Some patients who underwent endovascular repair for occluded arteries were discharged home on the same day.

The EVAR not only shortens the length of stay for patients, but also shortens surgery time and helps reduce the strain on ICU resources, the hospital said.

Windsor Regional Hospital now offers it so patients can also avoid traveling to London or Toronto.The plan is to make Windsor a regional referral hub.

“I think this is the tip of the iceberg we have,” he said. Dr. Sawmill Vascular Surgeon Meta“We have a lot of new technology and hopefully something we can offer along the way, and this is the starting point for us into the future.”



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