BACKGROUND A gunshot wound to the lower extremity with combined skeletal and vascular injuries can be difficult to manage. In clinical practice, it is not always possible to assemble a multispecialty team to work seamlessly to attain this goal, and the end result may be unnecessary prolonged ischemic time. A covered endovascular stent (EVS) can be used initially to restore perfusion without nee...

CONTEXT Iatrogenic vascular problems due to laparoscopy are a well recognized problem and lead to significant repercussions. In this context, a ten-year review of cases topic is presented, based on experience gained while heading two important vascular surgery services. CASES Five patients with vascular injuries during elective laparoscopy are described. These patients presented with seven le...

INTRODUCTION To reduce the ischaemia time of injured limbs in wartime, temporary vascular shunts (TVS) are commonly used. However, TVS are stabilized at the ends of the injured vessels using manual suture ties, the risk of dislodgement is high, and tightening manual suture ties is too time consuming. TECHNICAL SUMMARY Locked temporary vascular shunts (LTVS) were designed, and each was compose...

The overall incidence of all acute vascular trauma, including subclavian vessel injury, is approximately 5% [3, 4, 6, 7]. The majority of subclavian vessel injuries in the civilian population is the result of penetrating trauma. Subclavian artery injury in particular, accounts for 1-2% of all acute vascular injuries in major trauma centers [3, 4, 6, 7]. In this case report, we present a case of...

Vascular injuries caused by civilian or war trauma represent a surgical challenge. These lesions are potentially lethal and can cause death at the scene. One of the most fascinating and misdiagnosed complications of vascular injuries is the arteriovenous fistula (AVF), which results from a direct communication between an artery and a vein. They are usually secondary to penetrating trauma and oc...

Abstract Aim Complex limb injuries usually comprise of a combination osseous, soft tissue, vascular and neural damage, necessitating prompt accurate initial examination decision-making to maximise optimal patient outcomes. We present the factors affecting as well outcomes following primary amputation or salvage complex extremity injuries, with an emphasis on various scoring systems that endeavo...

Neurotrauma represents a significant public health problem, accounting for a significant proportion of the morbidity and mortality associated with all traumatic injuries. Both blunt and penetrating injuries to cervicocerebral vessels are significant and are likely more common than previously recognized. Imaging of such injuries is an important component in the evaluation of individuals presenti...

Sixty-four patients with traumatic brachial artery injuries were treated. Fifty had penetrating and 14 had blunt injuries. Associated extremity and torso injuries were common. Despite an excellent vascular patency rate of 97 percent, limb loss resulted from severe soft-tissue injury and functional disability occurred due to nerve injury.

OBJECTIVES The nature of vascular trauma varies greatly between continents and across time. The aim of this study was to prospectively analyse the demographics, pathology, management and clinical outcomes of vascular injuries in two urban Malaysian hospitals and review of international literature on vascular trauma. From this information, preliminary management and preventive implications will ...

Management of traumatic lower-limb vascular injury can offer special challenges even to experienced surgeons. Recent U.S. conflicts have advanced the practice of vascular trauma surgery on the battlefield and offer important lessons learned for management of similar injury in urban trauma centers. Damage control techniques for complex injuries when associated with hemodynamic instability may pr...