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Aortic aneurysmorraphy without blood transfusion or ileus: the exclusion operation.

The exclusion technique for abdominal aortic aneurysmorraphy combines the advantages of the extraperitoneal approach with non-resective treatment. There is therefore minimal blood loss, ileus, respiratory embarrassment, or fluid and electrolyte imbalance. Thus, blood transfusion, assisted ventilation, naso­ gastric or gastrostomy intubation are only rarely needed. The technique is of great value in poor risk cases or in situations where extensive life support and monitoring systems are limited.