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Procurement for a Vascularized and Reinnervated Abdominal Wall Allotransplantation
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Abdominal vascular trauma.

Leslie M Kobayashi1, Todd W Costantini1, Michelle G Hamel1

  • 1Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, Department of Surgery, University of California San Diego, San Diego, California, USA.

Trauma Surgery & Acute Care Open
|May 17, 2018
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Summary
This summary is machine-generated.

Abdominal vascular trauma is rare but lethal, with high mortality. Prompt surgical hemorrhage control and resuscitation are crucial for survival in these critical patients.

Keywords:
abdominalinjury and traumavascular

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Area of Science:

  • Trauma Surgery
  • Vascular Surgery
  • Emergency Medicine

Background:

  • Abdominal vascular trauma, though uncommon, carries a high mortality rate (20-60%).
  • Associated factors with increased mortality include shock, acidosis, hypothermia, coagulopathy, and severe injury grades.
  • Patients often present in critical condition, necessitating immediate surgical intervention and resuscitation.

Purpose of the Study:

  • To review common abdominal vascular injuries.
  • To describe their clinical presentation and outcomes.
  • To outline surgical techniques for hemorrhage control and vascular repair.

Main Methods:

  • Literature review of abdominal vascular trauma.
  • Analysis of injury mechanisms, patient presentation, and outcomes.
  • Description of surgical management strategies.

Main Results:

  • Penetrating injuries are the primary cause of abdominal vascular trauma.
  • Surgical control of bleeding and restoration of perfusion are paramount for survival.
  • Definitive vascular repair techniques can be challenging, especially for less experienced surgeons.

Conclusions:

  • Effective management hinges on rapid hemorrhage control and resuscitation.
  • Understanding common injuries and repair techniques is vital for improving outcomes.
  • This review aims to guide surgeons in managing these complex cases.