Abstract
Introduction: Injury to the iliac vessels poses a serious and frustrating treatment dilemma for all trauma surgeons. Generally, patients present in profound shock secondary to severe hemorrhage from either iliac arterial, venous, or combined injuries. Despite improvements in our emergency medical services (EMS), rapid transport, standard training of trauma surgeons, and improved technology, the morbidity and mortality from iliac vessel injuries remain high, ranging from 25 to 40 %. Materials and methods: A systematic review of the literature, with emphasis placed on the diagnosis, treatment, and outcomes of these injuries, incorporating the author's experience. Conclusions: Injuries to the iliac vessel remain a daunting task, even after great advances in anatomic injury grading and damage control as well as advances in surgical techniques and critical care. Despite all the advances in treatment and appropriate management strategies, the morbidity and mortality from iliac vessel injuries remain high, demonstrating the complex challenge their treatment presents to even the modern-day trauma surgeon.
| Original language | English |
|---|---|
| Pages (from-to) | 347-357 |
| Number of pages | 11 |
| Journal | European Journal of Trauma and Emergency Surgery |
| Volume | 38 |
| Issue number | 4 |
| DOIs | |
| State | Published - Sep 2012 |
| Externally published | Yes |
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All Science Journal Classification (ASJC) codes
- Surgery
- Orthopedics and Sports Medicine
- Critical Care and Intensive Care Medicine
- Emergency Medicine
Cite this
Iliac vessel injuries : Difficult injuries and difficult management problems. / Ksycki, M.; Ruiz, G.; Perez-Alonso, A. J.; Sciarretta, J. D.; Gonzalo, R.; Iglesias, E.; Gigena, A.; Vu, T.; Asensio, Juan A.
In: European Journal of Trauma and Emergency Surgery, Vol. 38, No. 4, 09.2012, p. 347-357.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Iliac vessel injuries
T2 - Difficult injuries and difficult management problems
AU - Ksycki, M.
AU - Ruiz, G.
AU - Perez-Alonso, A. J.
AU - Sciarretta, J. D.
AU - Gonzalo, R.
AU - Iglesias, E.
AU - Gigena, A.
AU - Vu, T.
AU - Asensio, Juan A.
PY - 2012/9
Y1 - 2012/9
N2 - Introduction: Injury to the iliac vessels poses a serious and frustrating treatment dilemma for all trauma surgeons. Generally, patients present in profound shock secondary to severe hemorrhage from either iliac arterial, venous, or combined injuries. Despite improvements in our emergency medical services (EMS), rapid transport, standard training of trauma surgeons, and improved technology, the morbidity and mortality from iliac vessel injuries remain high, ranging from 25 to 40 %. Materials and methods: A systematic review of the literature, with emphasis placed on the diagnosis, treatment, and outcomes of these injuries, incorporating the author's experience. Conclusions: Injuries to the iliac vessel remain a daunting task, even after great advances in anatomic injury grading and damage control as well as advances in surgical techniques and critical care. Despite all the advances in treatment and appropriate management strategies, the morbidity and mortality from iliac vessel injuries remain high, demonstrating the complex challenge their treatment presents to even the modern-day trauma surgeon.
AB - Introduction: Injury to the iliac vessels poses a serious and frustrating treatment dilemma for all trauma surgeons. Generally, patients present in profound shock secondary to severe hemorrhage from either iliac arterial, venous, or combined injuries. Despite improvements in our emergency medical services (EMS), rapid transport, standard training of trauma surgeons, and improved technology, the morbidity and mortality from iliac vessel injuries remain high, ranging from 25 to 40 %. Materials and methods: A systematic review of the literature, with emphasis placed on the diagnosis, treatment, and outcomes of these injuries, incorporating the author's experience. Conclusions: Injuries to the iliac vessel remain a daunting task, even after great advances in anatomic injury grading and damage control as well as advances in surgical techniques and critical care. Despite all the advances in treatment and appropriate management strategies, the morbidity and mortality from iliac vessel injuries remain high, demonstrating the complex challenge their treatment presents to even the modern-day trauma surgeon.
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U2 - 10.1007/s00068-012-0189-7
DO - 10.1007/s00068-012-0189-7
M3 - Article
VL - 38
SP - 347
EP - 357
JO - European Journal of Trauma and Emergency Surgery
JF - European Journal of Trauma and Emergency Surgery
SN - 1863-9933
IS - 4
ER -