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=== Open repair: === * Proximal aortic control - laparotomy, retract left lobe of liver and stomach to right, divide gastrohepatic ligament, retract oesophagus to left, access aorta and clamp it. * Dissect infra-renal aortic neck. The clamp can be repositioned here if there is space * Tube graft is most commonly used * Close abdomen primarily if possible. Can't close in 25% due to tension. Early mesh closure may be an option.
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