PMID: 9637158Jun 24, 1998Paper

Alternatives in the management of penetrating injuries to the iliac vessels

The Journal of Trauma
E H CarrilloJ D Richardson

Abstract

The high mortality and morbidity rates after iliac vessel injuries remain a challenging problem for trauma surgeons. Several controversial issues surround the management of iliac vessel injuries, including the value of abbreviated laparotomy, the role of extra-anatomic bypass reconstruction (EABR), the use of vascular prostheses in the presence of contamination, and the need and timing for fasciotomy. Retrospective review of the records of patients who sustained an injury to the iliac vessel between 1987 and 1996. A total of 64 patients were treated, including 23 with isolated iliac vein injuries, 17 with arterial injuries, and 24 with combined arteriovenous injuries. Vascular prostheses were placed in 17 patients with arterial injuries, including 12 with associated intestinal wounds. Graft infection did not occur. Of the 24 patients with combined injuries, 11 underwent abbreviated laparotomy and 1 died. Five deaths, however, occurred in 13 patients in whom no attempts were made for damage control laparotomy. Significant differences between survivors and nonsurvivors included final arterial pH, final prothrombin time, length of hypotension, and number of transfusions. Arterial ligation with EABR was performed in five patients a...Continue Reading

References

Dec 1, 1978·American Journal of Surgery·K L MattoxM E DeBakey
Aug 1, 1989·Archives of Surgery·R J LandreneauW J Fry
Aug 1, 1988·The Surgical Clinics of North America·D V Feliciano
Jan 1, 1985·The Journal of Trauma·D V FelicianoC G Bitondo
Dec 1, 1982·American Journal of Surgery·W RyanJ Hunt
Sep 1, 1980·The Journal of Trauma·R J MullinsA M Ledgerwood
Oct 1, 1994·The Journal of Trauma·L C MartinR Zeppa
Jun 1, 1996·The Journal of Trauma·J R GarrisonR L Fulton
Jun 1, 1997·The Journal of Trauma·J G CushmanG S Rozycki
Jul 1, 1997·The Journal of Trauma·K K PourmoghadamG W Shaftan
Jul 1, 1997·The Journal of Trauma·E H CarrilloJ D Richardson

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Citations

Aug 15, 2006·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·D DollJ R Siewert
Aug 9, 2001·The Journal of Trauma·J W JohnsonM F Rotondo
Feb 15, 2007·Critical Care : the Official Journal of the Critical Care Forum·Donat R SpahnUNKNOWN Task Force for Advanced Bleeding Care in Trauma
Apr 8, 2010·Critical Care : the Official Journal of the Critical Care Forum·Rolf RossaintUNKNOWN Task Force for Advanced Bleeding Care in Trauma
Sep 17, 1999·Radiographics : a Review Publication of the Radiological Society of North America, Inc·E K HofferA B Fontaine
Apr 1, 2000·The Journal of Trauma·D A SpainH C Polk
Aug 1, 2012·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·M KsyckiJ A Asensio
Dec 1, 2013·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·M J MartinJ A Asensio
Mar 21, 2009·Seminars in Vascular Surgery·Vincent L RoweFred A Weaver
Mar 12, 2016·Annals of Vascular Surgery·Jerry J KimDennis Y Kim
Mar 22, 2002·The Surgical Clinics of North America·Eddy H CarrilloJ David Richardson
Aug 30, 2008·Journal of Vascular Surgery·Francisco AlcocerWilliam D Jordan
Jul 16, 1999·Journal of Orthopaedic Trauma·E H CarrilloJ D Richardson
Jan 25, 2003·The Journal of Trauma·Shigeki KushimotoTatsuo Kumazaki
Mar 17, 2018·Military Medicine·Hyungsub Park, Kwangmin Kim
Oct 4, 2020·The Journal of Trauma and Acute Care Surgery·Leslie KobayashiFederico Coccolini
Mar 13, 2021·World Journal of Emergency Surgery : WJES·Derek J RobertsUNKNOWN Indications for Trauma Damage Control Surgery International Study Group

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