Guidance
The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on laparoscopic repair of abdominal aortic aneurysm in August 2007. In accordance with the Interventional Procedures Programme Process Guide, guidance on procedures with special arrangements are reviewed 3 years after publication and the procedure is reassessed if important new evidence is available.
The guidance was considered for reassessment in August 2010 and it was concluded that NICE will not be updating this guidance at this stage. However, if you believe there is new evidence which should warrant a review of our guidance, please contact us via the email address below.
Description
A midline minilaparotomy incision is made for insertion of one of the surgeon's hands for hand assisted laparoscopic surgery (HALS). Three or more small skin incisions are made for insertion of a laparoscope and instruments. Clamps are applied above and below the aneurysm and its sac is opened. Thrombus is removed and patent lumbar arteries are sutured from the inside of the aneurysm. A prosthetic vascular graft is anastomosed to the proximal and distal ends of the aorta. The aneurysm wall and the posterior parietal peritoneum are closed to cover the graft.
Coding and clinical classification codes for this guidance.