Damage control in abdominal vascular trauma
Abstract
Abdominal vascular trauma occurs in a small proportion of patients admitted in trauma centers. However, up to a quarter or a third of the patients who require a laparotomy will have a vascular injury. Preoperative identification is impossible in most cases, therefore, surgeons must be prepared for its early intraoperative recognition to allow appropriate management. This include temporary bleeding control techniques, identification of the probable injured vessel and the specific approach and management. Often, recognition of exsanguinating intra-abdominal hemorrhage will lead to immediate surgical indication, with activation of damage control protocols and consideration of early aortic occlusion.This paper illustrates the applications of damage control in the management of patients with abdominal vascular trauma.
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Keywords
- Hemoperitoneum
- Aorta, Abdominal
- Laparotomy
- Wounds, Gunshot
- Shock, Hemorrhagic
- Vascular System Injuries
- Abdominal Injuries
- damage control surgery
Author Biographies
, Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Carrera 98 No. 18-49, Cali 760032, Colombia.
https://orcid.org/0000-0002-4096-1434
, Division of Transplant Surgery, Department of Surgery. Fundación Valle del Lili. Carrera 98 No. 18-49, Cali 760032, Colombia
https://orcid.org/0000-0002-5502-5745
, Departamento de Urgencias Adultos. Fundación Valle del Lili, Cali, Colombia.
https://orcid.org/0000-0002-7025-8790
, Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Cali, Colombia. Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia. Universidad Icesi, Cali, Colombia. Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Cali, Colombia; Division of Trauma and Acute Care Surgery, Department of Surgery, Universidad del Valle, Cali, Colombia; Universidad Icesi, Cali, Colombia.
, Department of Trauma Critical Care, Broward General Level I Trauma Center, Fort Lauderdale, FL – USA
https://orcid.org/0000-0001-6496-6275
, Sección de Cirugía de Trauma y Emergencias, Universidad del Valle – Hospital Universitario del Valle, Cali – Colombia
https://orcid.org/0000-0001-5862-4906
, Sección de Cirugía de Trauma y Emergencias, Universidad del Valle – Hospital Universitario del Valle, Cali – Colombia
, Sección de Cirugía de Trauma y Emergencias, Universidad del Valle – Hospital Universitario del Valle, Cali – Colombia
https://orcid.org/0000-0002-1179-2854
, Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Carrera 98 No. 18-49, Cali 760032, Colombia.
https://orcid.org/0000-0002-5326-2317
, Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Carrera 98 No. 18-49, Cali 760032, Colombia.
, Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Carrera 98 No. 18-49, Cali 760032, Colombia.
https://orcid.org/0000-0003-2063-0336
, Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Carrera 98 No. 18-49, Cali 760032, Colombia.
https://orcid.org/0000-0003-2391-5628
, Critical Care Medicine. University of Pittsburgh. Pittsburgh, PA, USA.
https://orcid.org/0000-0003-4284-4693
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