This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Successful percutaneous access for endovascular aneurysm repair is significantly cheaper than femoral cutdown in a prospective randomized trial. J Vasc Surg 2018; 68: 384-391.

Published: 27th February 2019

Authors: Uhlmann ME, Walter C, Taher F, Plimon M, Falkensammer J, Assadian A et al.

Conclusion

Forty-four patients had percutaneous access though one groin, and a surgical approach to the other during EVAR. Access was quicker percutaneously (11 vs 24min, P<0.001), and the wound was less painful next day, and after five days (P<0.001). Costs were similar.

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