Abdominal vascular trauma

Trauma Surgery & Acute Care Open
Leslie M KobayashiRaul Coimbra

Abstract

Abdominal vascular trauma, primarily due to penetrating mechanisms, is uncommon. However, when it does occur, it can be quite lethal, with mortality ranging from 20% to 60%. Increased early mortality has been associated with shock, acidosis, hypothermia, coagulopathy, free intraperitoneal bleeding and advanced American Association for the Surgery of Trauma Organ Injury Scale grade. These patients often arrive at medical centers in extremis and require rapid surgical control of bleeding and aggressive resuscitation including massive transfusion protocols. The most important factor in survival is surgical control of hemorrhage and restoration of appropriate perfusion to the abdominal contents and lower extremities. These surgical approaches and the techniques of definitive vascular repair can be quite challenging, particularly to the inexperienced surgeon. This review hopes to describe the most common abdominal vascular injuries, their presentation, outcomes, and surgical techniques to control and repair such injuries.

Citations

Oct 2, 2020·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Faezeh SodagariMargarita V Revzin
Apr 2, 2020·World Journal of Emergency Surgery : WJES·Federico CoccoliniUNKNOWN WSES expert panel
Dec 2, 2017·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Desarom TesoRiyad C Karmy-Jones
Jan 2, 2021·Radiology Case Reports·Johara AlMulhimMohammed F Mohammed
Feb 20, 2021·EJVES Vascular Forum·Ania RaszkaJustine Longchamp
Feb 10, 2021·International Anesthesiology Clinics·Emily D DubinaKenji Inaba
May 22, 2021·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Muhammad NaeemVincent M Mellnick
Jun 22, 2021·Annals of Vascular Surgery·Maha H HaqqaniDouglas W Jones

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Methods Mentioned

BETA
dissection
SMA
amputations

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