Chapter

Abdominal vascular trauma

Carl Magnus Wahlgren, Louis Riddez and Ulf Hedin

in Oxford Textbook of Vascular Surgery

Published on behalf of Oxford University Press

Published in print August 2016 | ISBN: 9780199658220
Published online August 2016 | e-ISBN: 9780191781810 | DOI: https://dx.doi.org/10.1093/med/9780199658220.003.0021

Series: Oxford Textbooks in Surgery

Abdominal vascular trauma

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Major abdominal vascular injuries are usually a result of penetrating trauma and associated with a high mortality rate. Frequently, these patients reach the hospital in severe hypovolaemic shock and exsanguination accounts for their high mortality. A strategy combining the techniques of permissive hypotension, haemostatic resuscitation, and damage control surgery to prompt control of haemorrhage is essential. Major vascular injuries in the abdomen are rarely isolated and associated organ injuries are frequent. The time to control bleeding remains critical for successful outcome. Straightforward principles combining open vascular and endovascular surgical techniques can facilitate the operative approach, temporary control of bleeding, and optimize perfusion to vital organs. The retroperitoneal exposure and control of major abdominal vessels can be challenging. The responsible surgeon must be familiar with vascular surgical trauma techniques and exposure of abdominal aorta, its main branches, and inferior vena cava. The management strategy depends on many factors that will be discussed in this chapter

Chapter.  9612 words.  Illustrated.

Subjects: Vascular Surgery ; Cardiothoracic Surgery

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