Injury of the subclavian artery following trauma is an uncommon finding. Hughes (1958) reported 304 vascular injuries in Korean war casualties but in only three of these was rupture of the subclavian artery documented. Chandler and Knapp (1967) reported the operative repair of 126 vascular injuries in 118 casualties in Vietnam. Only one subclavian artery injury was found, an incidence of 0-8 %....

Data from UK National Transplant database indicates that 0.8%–1% of the kidneys are discarded due to organ damage with a 7% reported incidence of injuries during recovery of kidneys, of which 4.8% were renal vascular injuries related to procurement [1]. Whilst vascular injuries (arterial and venous) could be dealt with various reconstructions and modified anastomotic techniques [2], these could...

BACKGROUND Penetrating arterial injuries to the limbs are common injuries in high volume trauma centers. Their overall surgical results reported in the literature are satisfactory - apart of those of the popliteal artery that still may lead to a significant incidence in amputations. With the present study we assessed our outcome with penetrating arterial injuries to the limb as to see if the di...

Neck trauma is the leading cause of death mainly in younger persons posing to surgeons the dilemma whether to proceed with reconstruction of vascular injuries either in the presence of coma or in severe neurological deficit. Vascular injuries in zone II predominate over the other injuries located in zones I/III of the neck. Conventional open repair of carotid injuries with primary closure or in...

Popliteal artery injuries are frequently seen with fractures, dislocations, or penetrating injuries. Concern about arterial injury and early recognition of the possibility of arterial injury is crucial for the salvage of the extremity. This article provides an outline of the diagnostic challenges related to these rare vascular injuries and emphasizes the necessity for a high level of suspicion,...

Laparoscopic cholecystectomy is the surgical procedure of choice for symptomatic gallstones. The incidence of bile duct injury following laparoscopic cholecystectomy is around 0.62% and, when vascular injuries also occur, the surgeon is faced with is a serious complication1. Morbidity and mortality increase drastically when bileduct and vascular injuries occur simultaneously and a successful ou...

The evaluation and management of patients with abdominal vascular trauma or injury requires immediate and effective decision-making in these unfavorable circumstances. The majority of these patients arrive at trauma centers in profound shock, secondary to massive blood loss, which is often unrelenting. Moreover, ischemia, compartment syndrome, thrombosis, and embolization may also be life threa...

BACKGROUND Limb injuries comprise 50-60% of U.S. Service member's casualties of wars in Afghanistan and Iraq. Combat-related vascular injuries are present in 12% of this cohort, a rate 5 times higher than in prior wars. Improvements in medical and surgical trauma care, including initial in-theatre limb salvage approaches (IILS) have resulted in improved survival and fewer amputations, however, ...