Abdominal vascular injuries- what general/ trauma surgeons should know

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Abdominal vascular injuries- what general/ trauma surgeons should know


Journaljournal of the pakistan medical association
Article typeJournal research article – Literature review
Publication date – Mar – 2021
Authors – Zia Ur Rehman
KeywordsAbdominal trauma, aorta, inferior vena cava, Injury
Open access – Yes
SpecialityGeneral surgery, Trauma surgery
World region Global

Language – English
Submitted to the One Surgery Index on March 21, 2021 at 11:27 pm
Abstract:

Abdominal vascular injuries are the common cause of death after abdominal trauma. These are challenging injuries to manage due to severe haemodynamic instability, associated injuries and difficulty in accessing and controlling these vessels. Early control of bleeding can decrease the mortality in these patients. Abdominal vasculature is divided in four zones and each zone need different operative strategy for exposure. Principles of proximal and distal control are followed before exploring any haematoma. Endovascular interventions (angioembolization, stent-graft) have shown improved outcomes in patients with blunt abdominal trauma. Resuscitative Endovascular Balloon Occlusion of Aorta is minimal invasive method of achieving aortic occlusion and acts as bridge for definitive intervention or surgery. Updated knowledge is necessary for all those directly involved in managing these patients. The current review discusses relevant anatomy, principles, different surgical approaches and endovascular techniques to deal these injuries.

OSI Number – 20969

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