Rodríguez MF, Vivas L, Ottolino P, Viteri Y, Basilio A

Language: Spanish
References: 12
Page: 42-47
PDF size: 205.12 Kb.

ABSTRACT

Abdominal great vessels comprise both cavities, the mesenteric vessels in the peritoneal cavity and the portal and great vessels in the retroperitoneal space. Their blood flow is high, the incidence of abdominal vascular trauma represent one third of global vascular injuries and 15% of all injuries. Injury mechanism is divided into closed trauma, due to deceleration or compression and open injuries, which cause besides multiple associated injuries, in most of the cases partial or total transection of vessels, generally retroperitoneal. Surgeons should always suspect an abdominal vascular injury when trauma to the trunk or a deceleration mechanism is present. These injuries may appear as an intraperitoneal hemorrhage or as a content hematoma of the injured vessel and able to design the surgical strategy. Distal and proximal control is always a must. Mortality can be as high a 75% when arterial and venous injuries coexist with trauma to another organ system wetter abdominal or extraabdominal.

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