Damage control in abdominal vascular trauma
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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.
- Hemoperitoneum
- Aorta, Abdominal
- Laparotomy
- Wounds, Gunshot
- Shock, Hemorrhagic
- Vascular System Injuries
- Abdominal Injuries
- damage control surgery
Alberto Garcia, 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
Mauricio Millan, 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
Daniela Burbano, Departamento de Urgencias Adultos. Fundación Valle del Lili, Cali, Colombia.
https://orcid.org/0000-0002-7025-8790
Carlos Alberto Ordoñez, 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.
Michael w Parra, Department of Trauma Critical Care, Broward General Level I Trauma Center, Fort Lauderdale, FL – USA
https://orcid.org/0000-0001-6496-6275
Adolfo González-Hadad, Sección de Cirugía de Trauma y Emergencias, Universidad del Valle – Hospital Universitario del Valle, Cali – Colombia
https://orcid.org/0000-0001-5862-4906
Mario Alain Herrera, Sección de Cirugía de Trauma y Emergencias, Universidad del Valle – Hospital Universitario del Valle, Cali – Colombia
Luis Fernando Pino, Sección de Cirugía de Trauma y Emergencias, Universidad del Valle – Hospital Universitario del Valle, Cali – Colombia
https://orcid.org/0000-0002-1179-2854
Fernando Rodríguez-Holguín, 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
Alexander Salcedo, Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Carrera 98 No. 18-49, Cali 760032, Colombia.
Maria Josefa Franco, 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
Ricardo Ferrada, 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
Juan Carlos Puyana, Critical Care Medicine. University of Pittsburgh. Pittsburgh, PA, USA.
https://orcid.org/0000-0003-4284-4693
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Accepted 2021-10-07
Published 2021-04-13
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