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Abdominopelvic vascular injuries
1Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Summary
Abdominopelvic vascular injuries from trauma are serious, with shock and associated injuries increasing mortality risk. Prompt prehospital care, resuscitation, and surgical decisions are vital for patient survival.
Area of Science:
- Trauma Surgery
- Vascular Surgery
- Emergency Medicine
Background:
- Abdominopelvic vascular injuries are severe consequences of both blunt and penetrating trauma.
- These injuries often present with patients in shock and signs of lower extremity ischemia.
Purpose of the Study:
- To review clinical records of patients with abdominopelvic vascular injuries.
- To identify factors associated with mortality and evaluate treatment outcomes.
Main Methods:
- Retrospective review of 25 patients with 32 abdominopelvic vascular injuries.
- Analysis of injury types, patient demographics, Injury Severity Score (ISS), associated injuries, treatments, and mortality.
Main Results:
- 60% blunt, 40% penetrating trauma; 76% presented in shock.
- Commonly injured vessels included external iliac artery, renal vein, abdominal aorta, and inferior vena cava.
- Mortality rate was 36%; higher in abdominal aorta, inferior vena cava, and common iliac vein injuries.
Conclusions:
- Shock on arrival, associated injuries, and high ISS are significant predictors of mortality.
- Effective resuscitation, reduced prehospital time, and appropriate surgical management are crucial for survival.