PMID: 6980992Aug 1, 1982Paper

Major abdominal vascular trauma--a unified approach

The Journal of Trauma
J L KashukJ B Moore

Abstract

Advances in prehospital emergency care have increased the numbers of patients arriving at the hospital with immediate life-threatening trauma. This is a review of our recent 6-year experience with 161 major abdominal vascular injuries in 123 patients. The distribution by injury site and respective mortality were: 18, aortic (56%); 39, aortic branch (37%); 51, inferior vena cava (39%); 30, inferior vena cava branch (45%); and 23, portal venous system (39%). The overall death rate was 37%. Forty-six patients presented with unobtainable blood pressure and 19 (41%) survived. Left thoracotomy and temporary aortic occlusion were required in the resuscitation of 45 patients; when applied in the emergency department the salvage rate was 7%, and in the operating room, 35%. Forty-four patients had more than one major vascular injury and 17 (39% recovered, compared to a survival rate of 76% with single vascular trauma. Others have emphasized that most deaths from major abdominal vascular injury are a result of hemorrhage. In our study although 89% of mortality was due to bleeding, half occurred after control of the major bleeding sites. These findings suggest that coagulopathy, hypothermia, and acidosis are complicating factors which dema...Continue Reading

Citations

Jan 1, 1984·The Journal of Emergency Medicine·J F TuckerJ Bisker
Nov 1, 1996·American Journal of Surgery·R CoimbraJ Garcia
Jan 1, 1997·American Journal of Surgery·J M Burch
Jan 5, 2002·The Surgical Clinics of North America·J A AsensioD V Feliciano
Aug 1, 1997·The Surgical Clinics of North America·J M BurchR D Noble
Sep 1, 2008·Seminars in Interventional Radiology·Peter G Stratil, Thomas R Burdick
Oct 3, 2000·Surgery·C J HansenJ L Rodriguez
Dec 1, 1987·Annals of Surgery·R R IvaturyW M Stahl
Nov 26, 2010·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·David J Dries
Jan 19, 2011·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Steven R Allen, Jeffry L Kashuk
Jun 1, 1988·Environmental Health Perspectives·R S LabowG Rock
Nov 19, 2011·International Journal of Critical Illness and Injury Science·Jeremy M Hsu, Tam N Pham
Apr 24, 2013·The Journal of Trauma and Acute Care Surgery·Matthew E KutcherMitchell J Cohen
Jul 1, 1990·World Journal of Surgery·K F Ciresi, R C Lim
Jun 10, 2004·The Journal of Trauma·Adam P AngelesClifford Lynd
Feb 18, 2010·Shock·Heena P Santry, Hasan B Alam
Aug 27, 2010·Annals of Surgery·Jeffry L KashukAngela Sauaia
Jul 13, 2011·Journal of Intensive Care Medicine·Gordon M Riha, Martin A Schreiber
Apr 19, 2012·ANZ Journal of Surgery·Krisztian SisakZsolt J Balogh
Dec 5, 2012·The Journal of Trauma and Acute Care Surgery·Nicholas T TarmeyMark J Midwinter
Dec 29, 2012·The Journal of Trauma and Acute Care Surgery·David B Hoyt
May 3, 2014·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·E GonzalezA Banerjee
Dec 29, 2013·World Journal of Emergency Surgery : WJES·Frederick A MooreAndrew B Peitzmann
May 28, 2016·Annals of Surgery·Derek J RobertsHenry T Stelfox
Mar 9, 2018·Frontiers in Surgery·Georgios KaraolanisChris Bakoyiannis
Aug 21, 2018·The Journal of Trauma and Acute Care Surgery·Joshua J SumislawskiMitchell Jay Cohen
Oct 26, 2018·The Journal of Trauma and Acute Care Surgery·Ernest E Moore
Nov 18, 2018·The Journal of Trauma and Acute Care Surgery·E L W LesterUNKNOWN PROPPR study group
Apr 16, 2019·Journal of Thrombosis and Haemostasis : JTH·Lucy Z KornblithMitchell J Cohen
Oct 9, 2019·Acute Medicine & Surgery·Abhigyan SatyamGeorge C Tsokos
Jun 2, 2020·Transfusion·Michael Adam MeledeoAndrew P Cap
Jun 1, 1997·The Journal of Trauma·J G CushmanG S Rozycki
Dec 18, 2008·Pediatric Radiology·Manrita K SidhuThomas Burdick
Dec 10, 2013·Shock·Ernest E MooreAnirban Banerjee
Feb 23, 2017·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Jeffry L KashukYoram Kluger

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.