Damage control of peripheral vascular trauma - Don’t be afraid of axillary or popliteal fosses
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| Format: | Artículo científico |
| Language: | en |
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Universidad del Valle
2021
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| author | Mario Alain Herrera |
| author_facet | Mario Alain Herrera |
| contents | Damage control of peripheral vascular trauma - Don’t be afraid of axillary or popliteal fosses Mario Alain Herrera Mauricio Millán Ana Milena del Valle Mateo Betancourt-Cajiao Yaset Caicedo Isabella Caicedo Linda M. Gallego Diego Rivera Michael W. Parra Carlos A. Ordoñez Medicina Fasciotomy Tourniquets Femoral Artery Axillary Artery Popliteal Artery Peripheral vascular injuries are uncommon in civilian trauma but can threaten the patient’s life or the viability of the limb. The definitive control of the vascular injury represents a surgical challenge, especially if the patient is hemodynamically unstable. This article proposes the management of peripheral vascular trauma following damage control surgery principles. It is essential to rapidly identify vascular injury signs and perform temporary bleeding control maneuvers. The surgical approaches according to the anatomical injured region should be selected. We propose two novel approaches to access the axillary and popliteal zones. The priority should be to reestablish limb perfusion via primary repair or damage control techniques (vascular shunt or endovascular approach). Major vascular surgeries should be managed post-operatively in the intensive care unit, which will allow correction of physiological derangement and identification of those developing compartmental syndrome. All permanent or temporary vascular procedures should be followed by a definitive repair within the first 8 hours. An early diagnosis and opportune intervention are fundamental to preserve the function and perfusion of the extremity. 2021 reseña 0120-8322 https://www.redalyc.org/articulo.oa?id=28366681003 https://www.redalyc.org/journal/283/28366681003/ https://www.redalyc.org/journal/283/28366681003/html/ https://www.redalyc.org/journal/283/28366681003/28366681003.epub https://www.redalyc.org/journal/283/28366681003/movil 10.25100/cm.v52i1.4735 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.2 Vol.52 |
| format | Artículo científico |
| id | redalyc_28366681003 |
| institution | Redalyc |
| language | en |
| publishDate | 2021 |
| publisher | Universidad del Valle |
| spellingShingle | Damage control of peripheral vascular trauma - Don’t be afraid of axillary or popliteal fosses Mario Alain Herrera Medicina Fasciotomy Tourniquets Femoral Artery Axillary Artery Popliteal Artery Damage control of peripheral vascular trauma - Don’t be afraid of axillary or popliteal fosses Mario Alain Herrera Mauricio Millán Ana Milena del Valle Mateo Betancourt-Cajiao Yaset Caicedo Isabella Caicedo Linda M. Gallego Diego Rivera Michael W. Parra Carlos A. Ordoñez Medicina Fasciotomy Tourniquets Femoral Artery Axillary Artery Popliteal Artery Peripheral vascular injuries are uncommon in civilian trauma but can threaten the patient’s life or the viability of the limb. The definitive control of the vascular injury represents a surgical challenge, especially if the patient is hemodynamically unstable. This article proposes the management of peripheral vascular trauma following damage control surgery principles. It is essential to rapidly identify vascular injury signs and perform temporary bleeding control maneuvers. The surgical approaches according to the anatomical injured region should be selected. We propose two novel approaches to access the axillary and popliteal zones. The priority should be to reestablish limb perfusion via primary repair or damage control techniques (vascular shunt or endovascular approach). Major vascular surgeries should be managed post-operatively in the intensive care unit, which will allow correction of physiological derangement and identification of those developing compartmental syndrome. All permanent or temporary vascular procedures should be followed by a definitive repair within the first 8 hours. An early diagnosis and opportune intervention are fundamental to preserve the function and perfusion of the extremity. 2021 reseña 0120-8322 https://www.redalyc.org/articulo.oa?id=28366681003 https://www.redalyc.org/journal/283/28366681003/ https://www.redalyc.org/journal/283/28366681003/html/ https://www.redalyc.org/journal/283/28366681003/28366681003.epub https://www.redalyc.org/journal/283/28366681003/movil 10.25100/cm.v52i1.4735 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.2 Vol.52 |
| title | Damage control of peripheral vascular trauma - Don’t be afraid of axillary or popliteal fosses |
| topic | Medicina Fasciotomy Tourniquets Femoral Artery Axillary Artery Popliteal Artery |
| url | https://www.redalyc.org/articulo.oa?id=28366681003 https://www.redalyc.org/journal/283/28366681003/ https://www.redalyc.org/journal/283/28366681003/html/ https://www.redalyc.org/journal/283/28366681003/28366681003.epub https://www.redalyc.org/journal/283/28366681003/movil |