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[Retroperitoneal vascular injuries (author's transl)]
Langenbecks Archiv Fur Chirurgie
|November 1, 1978
Summary
Retroperitoneal vascular injuries, often resulting from polytrauma or surgery, have a high mortality rate. This study reviews 21 cases from 1973-1977, discussing surgical treatments for these critical vascular lesions.
Area of Science:
- Vascular Surgery
- Trauma Surgery
- Surgical Outcomes
Context:
- Retrospective analysis of 21 retroperitoneal vascular injuries from 1973-1977.
- Injuries occurred in polytraumatized patients and iatrogenically after various surgical procedures.
- Includes iatrogenic traumas following laminectomy, herniotomy, hip replacement, and urologic/gynecologic operations.
Purpose:
- To analyze the incidence and causes of retroperitoneal vascular injuries.
- To discuss the surgical management strategies for different affected vascular regions.
- To report the overall mortality associated with these injuries.
Summary:
- A total of 21 cases of retroperitoneal vascular injury were identified.
- Twelve cases involved polytraumatized patients, while the remaining nine were iatrogenic.
- The overall mortality rate for these injuries was 43%.
Impact:
- Highlights the significant morbidity and mortality associated with retroperitoneal vascular injuries.
- Provides insights into surgical treatment approaches for complex vascular lesions.
- Informs clinical practice regarding the prevention and management of iatrogenic vascular trauma.