Open AccessDamage control in abdominal vascular trauma
Author(s) -
Alberto García,
Mauricio Millán,
Daniela Burbano,
Carlos A. Ordóñez,
Michael W. Parra,
Adolfo González-Hadad,
Mario Alain Herrera,
Luis Fernando Pino,
Fernando Rodríguez-Holguín,
Alexander Salcedo,
María Josefa Franco,
Ricardo Ferrada,
Juan Carlos Puyana
Publication year - 2021
Publication title -
colombia medica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.455
H-Index - 18
eISSN - 1657-9534
pISSN - 0120-8322
DOI - 10.25100/cm.v52i2.4808
Subject(s) - medicine , damage control surgery , laparotomy , damage control , abdominal trauma , surgery , abdominal aorta , inferior vena cava , aorta , blunt , resuscitation
Abdominal vascular trauma occurs in a small proportion of patients admitted in trauma centers. However, up to a quarter or a third of the patients who require a laparotomy will have a vascular injury. Preoperative identification is impossible in most cases, therefore, surgeons must be prepared for its early intraoperative recognition to allow appropriate management. This include temporary bleeding control techniques, identification of the probable injured vessel and the specific approach and management. Often, recognition of exsanguinating intra-abdominal hemorrhage will lead to immediate surgical indication, with activation of damage control protocols and consideration of early aortic occlusion.This paper illustrates the applications of damage control in the management of patients with abdominal vascular trauma.