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Abdominal vascular trauma 

Abdominal vascular trauma
Chapter:
Abdominal vascular trauma
Author(s):

Carl Magnus Wahlgren

, Louis Riddez

, and Ulf Hedin

DOI:
10.1093/med/9780199658220.003.0021
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date: 18 September 2019

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

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