PMID: 7033558Dec 1, 1981Paper

Intra-abdominal vascular trauma-a need for prompt operation

The Journal of Trauma
G A EkbomJ H Woods

Abstract

Prompt operative intervention to obtain vascular control is the most important factor in the treatment of intra-abdominal vascular injuries. In 81 patients with major abdominal vascular injuries, bullet wounds were the cause of injury in 51, stab wounds in 12, blunt trauma in ten, shot gun in seven, and one was an iatrogenic injury from insertion of a dialysis catheter. Twenty-nine of 81 patients died (35.8%). Twenty patients (70%) died of massive blood loss at operation or in the early postoperative period. Hypovolemic shock was the predominant distinguishing feature in the mortality group. The mortality rate increased with the number of associated nonvascular injuries, ranging from 20% in patients without associated injuries to 100% in patients with five or more associated injuries. The mortality rate was also increased with the number of vessels injured, ranging form 20% with one or two injured vessels to 100% with four or more. Late deaths occurred in nine patients and were most commonly related to the complications of hypovolemic shock. In hospital settings where patients can be resuscitated in the operating room, prolonged stay in the Emergency Department for diagnostic and laboratory evaluation only delays the operative ...Continue Reading

Citations

Jun 1, 1996·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·G KhouryG Nabbout
Apr 7, 2007·The Journal of Trauma·Juan A AsensioEric Kuncir
Apr 22, 2009·Emergency Radiology·Michelle VuJames T Rhea
Apr 1, 2007·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Newton R AertsNilon Erling
Feb 1, 1992·American Journal of Surgery·R J Landreneau, W H Snyder
Dec 24, 2013·Journal of Trauma Management & Outcomes·Chad G BallDavid V Feliciano
Jul 1, 1988·The British Journal of Surgery·S R Smith
Aug 10, 2010·The Journal of Trauma·Jasmeet S PaulJohn A Weigelt
Mar 9, 2018·Frontiers in Surgery·Georgios KaraolanisChris Bakoyiannis
Dec 1, 1987·The British Journal of Surgery·P F BlacklayR F Wood

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