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| Format: | Artículo científico |
| Language: | en |
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Universidad del Valle
2021
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| Online Access: | https://www.redalyc.org/articulo.oa?id=28366681022 https://www.redalyc.org/journal/283/28366681022/ https://www.redalyc.org/journal/283/28366681022/html/ https://www.redalyc.org/journal/283/28366681022/28366681022.epub https://www.redalyc.org/journal/283/28366681022/movil |
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| _version_ | 1866814089334882304 |
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| author | Alberto García |
| author_facet | Alberto García |
| contents | Damage control in abdominal vascular trauma Alberto García Mauricio Millán Daniela Burbano Carlos A. Ordoñez 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 Medicina aorta viscera inferior superior ischemia In patients with abdominal trauma who require laparotomy, up to a quarter or a third will have a vascular injury. The venous structures mainly injured are the vena cava (29%) and the iliac veins (20%), and arterial vessels are the iliac arteries (16%) and the aorta (14%). The initial approach is performed following the ATLS principles. This manuscript aims to present the surgical approach to abdominal vascular trauma following damage control principles. The priority in a trauma laparotomy is bleeding control. Hemorrhages of intraperitoneal origin are controlled by applying pressure, clamping, packing, and retroperitoneal with selective pressure. After the temporary bleeding control is achieved, the compromised vascular structure must be identified, according to the location of the hematomas. The management of all lesions should be oriented towards the expeditious conclusion of the laparotomy, focusing efforts on the bleeding control and contamination, with a postponement of the definitive management. Their management of vascular injuries includes ligation, transient bypass, and packing of selected low-pressure vessels and bleeding surfaces. Subsequently, the unconventional closure of the abdominal cavity should be performed, preferably with negative pressure systems, to reoperate once the hemodynamic alterations and coagulopathy have been corrected to carry out the definitive management. 2021 reseña 0120-8322 https://www.redalyc.org/articulo.oa?id=28366681022 https://www.redalyc.org/journal/283/28366681022/ https://www.redalyc.org/journal/283/28366681022/html/ https://www.redalyc.org/journal/283/28366681022/28366681022.epub https://www.redalyc.org/journal/283/28366681022/movil 10.25100/cm.v52i2.4808 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_28366681022 |
| language | en |
| publishDate | 2021 |
| publisher | Universidad del Valle |
| spellingShingle | Damage control in abdominal vascular trauma Alberto García Medicina aorta viscera inferior superior ischemia Damage control in abdominal vascular trauma Alberto García Mauricio Millán Daniela Burbano Carlos A. Ordoñez 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 Medicina aorta viscera inferior superior ischemia In patients with abdominal trauma who require laparotomy, up to a quarter or a third will have a vascular injury. The venous structures mainly injured are the vena cava (29%) and the iliac veins (20%), and arterial vessels are the iliac arteries (16%) and the aorta (14%). The initial approach is performed following the ATLS principles. This manuscript aims to present the surgical approach to abdominal vascular trauma following damage control principles. The priority in a trauma laparotomy is bleeding control. Hemorrhages of intraperitoneal origin are controlled by applying pressure, clamping, packing, and retroperitoneal with selective pressure. After the temporary bleeding control is achieved, the compromised vascular structure must be identified, according to the location of the hematomas. The management of all lesions should be oriented towards the expeditious conclusion of the laparotomy, focusing efforts on the bleeding control and contamination, with a postponement of the definitive management. Their management of vascular injuries includes ligation, transient bypass, and packing of selected low-pressure vessels and bleeding surfaces. Subsequently, the unconventional closure of the abdominal cavity should be performed, preferably with negative pressure systems, to reoperate once the hemodynamic alterations and coagulopathy have been corrected to carry out the definitive management. 2021 reseña 0120-8322 https://www.redalyc.org/articulo.oa?id=28366681022 https://www.redalyc.org/journal/283/28366681022/ https://www.redalyc.org/journal/283/28366681022/html/ https://www.redalyc.org/journal/283/28366681022/28366681022.epub https://www.redalyc.org/journal/283/28366681022/movil 10.25100/cm.v52i2.4808 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 in abdominal vascular trauma |
| topic | Medicina aorta viscera inferior superior ischemia |
| url | https://www.redalyc.org/articulo.oa?id=28366681022 https://www.redalyc.org/journal/283/28366681022/ https://www.redalyc.org/journal/283/28366681022/html/ https://www.redalyc.org/journal/283/28366681022/28366681022.epub https://www.redalyc.org/journal/283/28366681022/movil |