Aortoiliac reconstruction following penetrating injury.

M. A. Croce, R. M. Stewart, T. C. Fabian

Research output: Contribution to journalArticle

Abstract

In summary, there are several factors essential to successful treatment of major vascular abdominal injuries. Prompt resuscitation and abdominal exploration is paramount. Proximal control can quickly be obtained at the esophageal hiatus and adequate exposure of the retroperitoneum is mandatory. Most aortic injuries can be repaired primarily; however, if an arterial substitute is necessary, then PTFE is the substitute of choice. Reimplantation of the injured iliac artery to the contralateral iliac artery is an option for bifurcation injuries if that will not inordinately constrict the lumen. And finally, four-compartment fasciotomies will decompress the lower extremities and prevent ischemic muscle necrosis following reperfusion injury.

Original languageEnglish (US)
Pages (from-to)427-428
Number of pages2
JournalJournal of the Tennessee Medical Association
Volume85
Issue number9
StatePublished - Sep 1992
Externally publishedYes

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ASJC Scopus subject areas

  • Medicine(all)

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