SURGICAL INTERVENTIONS IN PATIENTS WITH ABDOMINAL AORTIC ANEURYSM AND PERIPHERAL ARTERIAL DISEASE: POSTOPERATIVE CLINICAL COMPLICATIONS

Abstract

Introduction: Surgical interventions in patients with abdominal aortic aneurysm and peripheral arterial disease are critical procedures that can provide relief and improve quality of life. However, these surgeries are associated with postoperative clinical complications that can affect both men and women, with evidence suggesting that women are at increased risk of complications. Physiological characteristics and specific comorbidities that affect women may influence prognosis and recovery after surgery. Objective: To analyze postoperative clinical complications in patients undergoing surgical interventions for abdominal aortic aneurysm and peripheral arterial disease, focusing on differences between sexes. Methodology: The PRISMA checklist was used to guide the selection and analysis of studies. The PubMed, Scielo and Web of Science databases were consulted. The descriptors used included High-risk patients, Comorbidities, Renal failure, Acute myocardial infarction and Stroke. Inclusion criteria were: clinical studies focusing on postoperative complications, publications from the last 10 years, and including data from women. Articles that did not directly address complications, animal studies, and literature reviews were excluded. Results: The main topics identified included the high incidence of cardiovascular complications, infections, and wound healing problems, with emphasis on the fact that women tend to have higher rates of complications. In addition, the impact of age and comorbidities, such as diabetes and hypertension, was shown to be relevant in predicting complications. Conclusion: Surgical interventions for abdominal aortic aneurysm and peripheral arterial disease are complex and require an in-depth understanding of the complications that may arise, especially in women. The literature highlights the need for differentiated approaches and rigorous monitoring to improve postoperative outcomes.