The ongoing challenge of retroperitoneal vascular injuries

American Journal of Surgery
R CoimbraJ Garcia

Abstract

Retroperitoneal vascular injury remains one of the most frequent causes of death following abdominal trauma. A risk analysis of the association between potential outcome predictors and mortality following abdominal aorta and inferior vena cava injuries was performed. Eighty-nine patients sustaining abdominal aortic or inferior vena cava injury were concurrently evaluated for a 10-year period and retrospectively reviewed. A multiple logistic regression model evaluated the following variables:presence of shock on admission, base deficit (< -10 or > or = -10), classification by the organ injury scale (OIS), blood transfusion, crystalloid infusion, total infusion volume, associated injuries, site of injury, and presence of retroperitoneal tamponade. Overall mortality for all injuries was 57%. Excluding all death on arrival (DOA) patients, the mortality rate decreased to 45.7%. Death following abdominal aortic injuries was significantly associated with free bleeding in the peritoneal cavity, acidosis, and an injury in the suprarenal location (OIS > 4). For inferior vena cava injuries and combined abdominal aortic and inferior vena cava injuries, death was associated with free bleeding, the suprarenal location (OIS = 4), and the pres...Continue Reading

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Citations

Oct 3, 2000·Surgery·C J HansenJ L Rodriguez
Jun 10, 2004·The Journal of Trauma·Adam P AngelesClifford Lynd
Sep 10, 2003·The Tohoku Journal of Experimental Medicine·Mehmet OzkokeliTolga Muftuoglu
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Aug 26, 2020·Injury·Gayatri BalachandranSadiq S Sikora
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Feb 14, 2009·Journal of Surgical Education·Karin ColeTheodore R Sullivan

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