Show Summary Details
Page of

Abdominal vascular trauma 

Abdominal vascular trauma
Abdominal vascular trauma

Carl Magnus Wahlgren

, Louis Riddez

, and Ulf Hedin

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 04 July 2020

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

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.