RENAL-INSUFFICIENCY IN SURGERY OF ANEURYS M OF THE ABDOMINAL-AORTA

The authors analyse the experience in operations for resection of an a neurysm of the abdominal aorta in 70 patients, which were performed at the Vishnevsky Institute of Surgery, AMS of Russia, from 1983 to 1991 . Preoperative examination revealed renal insufficiency in 8 (11.4%) p atients. Resection of the aneurysm of the abdominal aorta with one-sta ge prosthetics of the renal arteries was carried out in 10 cases. To p revent ischemic damage to the renal parenchyma and acute renal insuffi ciency, local methods of kidney protection (isolated cold perfusion - 2 and normothermic aorto-renal perfusion - 2) were applied in 4 of 70 cases. The work discusses the methods of kidney protection and the ind ications and contraindications for their use, and factors promoting th e development of postoperative renal insufficiency. Postoperative comp lications are shown and their causes are identified.