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Intraoperative Vascular Surgical Consultation during Non-Vascular Surgeries in Tertiary Centers by Vascular Surgeon

Sung-Bin Park1, Keun-Myoung Park1, Yong Sun Jeon2

  • 1Department of Surgery, Inha University College of Medicine, Incheon, Korea.

Vascular Specialist International
|January 23, 2018
PubMed

Insights

Intraoperative vascular surgery consultations occur in about 0.3% of non-vascular surgeries, often for bleeding or vessel dissection. Vascular surgeons need broad knowledge for these varied cases.

Area of Science:

  • Vascular Surgery
  • Surgical Consultation
  • Perioperative Medicine

Background:

  • Intraoperative consultations by vascular surgeons during non-vascular procedures are common.
  • Understanding the scope and nature of these consultations is crucial for optimizing patient care.

Purpose of the Study:

  • To investigate the current status of intraoperative consultations provided by vascular surgeons during non-vascular surgeries at a single institution.
  • To analyze the characteristics, operative details, and clinical outcomes associated with these consultations.

Main Methods:

  • A retrospective review of 40 patients who received intraoperative vascular surgical consultations out of 10,734 non-vascular surgeries was conducted.
  • Data collected included patient demographics, surgical procedures, reasons for consultation, and postoperative outcomes.

Main Results:

  • Consultations were most frequently related to bleeding (35.0%), vessel dissection (32.5%), and arterial occlusion (25.0%).
  • Common surgical sites included lower extremities (25.0%), kidneys (20.0%), and spine (15.0%).
  • Postoperative intensive care unit admission occurred in 32.5% of patients, with a 7.5% mortality rate.

Conclusions:

  • Intraoperative vascular consultations represent a small but significant portion (0.3%) of non-vascular surgeries.
  • The variability in surgical sites and procedures necessitates comprehensive vascular knowledge and rapid decision-making skills for vascular surgeons.
  • These consultations highlight the importance of interdisciplinary collaboration in complex surgical cases.
Abstract

Keywords:
Referral and consultationVascular surgical procedure

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