Abstract
Transperitoneal approach is most widely accepted in surgical repair of infrarenal abdominal aortic aneurysm (AAA). This approach, however, has postoperative problems such as prolonged paralytic ileus. Twenty-one patients who underwent an aortic replacement for infrareanl AAA with transperitoneal approach were subjected to a study. Seven patients of them were administered a chines herb medicine ‘Dai-kenchu-to (Da-Jian-Zhong-Tang)’ (Dai-kenchu-to group) and other seven patients were administered Panthenol (Panthenol group) and the remaining seven patients were served as control. Dai-kenchu-to, which is effective to relieve ileus simplex by intestinal adhesion, was given through nasogastric tube for the seven patients on and after the first postoperative day and only warm water for the other seven patients in the same manner. Panthenol was administered intravenously. There were no significant differences in operative time, aortic clamping time and intraoperative water balance in each group. Flatus, disappearance of intestinal wind were significantly prolonged in the control group compared with other two groups (P<0.05). There was no significant difference in the date of flatus between Panthenol group and Dai-kenchu-to group. Disappearance of intestinal wind were significantly prolonged in the Panthenol group compared with Dai-kenchu-to group (p<0.05). No adverse side effect of Dai-kenchu-to was seen. These results suggest that Dai-kenchu-to is useful for early recovering from temporary paralytic ileus after surgery for AAA.
