Computed tomography (CT) is the modality of choice in the evaluation of blunt renal injury. Intravenous urography is used primarily for gross assessment of renal function in hemodynamically unstable patients. Selective renal arteriography or venography can provide detailed information regarding vascular injury. Retrograde pyelography is valuable in assessing ureteral and renal pelvic integrity ...

High velocity pelvic injury with limb vascular injury poses difficulties as immediate surgery for limb reperfusion is indicated. However immediate vascular intervention deviates from conventional principles of damage control following major injuries. We present two cases of this rare combination of injuries. In both cases, early limb revascularization is possible despite presented with multiple...

PRACTITIONERS, MANUFACTURERS, AND REGULATORY AGENCIES have long regarded central venous catheters (CVCs) as relatively dangerous, problem-prone devices. Recent attention has been focused primarily on reduction of infectious complications of CVCs. Application of strict aseptic precautions (the so-called ‘‘central-line bundle’’) when placing CVCs effectively has reduced the incidence of catheter-...

OBJECTIVES Extensive literature exists about military trauma as opposed to the very limited literature regarding terror-related civilian trauma. However, terror-related vascular trauma (VT), as a unique type of injury, is yet to be addressed. METHODS A retrospective analysis of the Israeli National Trauma Registry was performed. All patients in the registry from 09/2000 to 12/2005 were includ...

OBJECTIVE To assess clinical characteristics and treatment outcomes of patients with vascular injuries. MATERIALS AND METHODS We retrospectively reviewed the medical records of 378 consecutive patients with vascular injuries treated at our hospital from January 2000 to December 2012. Basic characteristics (such as gender; age; cause, site, and type of injury; and concomitant injuries) were re...

OBJECTIVE To determine the frequency and pattern of different types of vascular injuries, their management and surgical complications. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY Combined Military Hospital, Peshawar, from August 2008 to August 2010. METHODOLOGY All patients of vascular injuries were included. Traumatic amputation, amputation for extensive soft tissue, or nerve i...

BACKGROUND Tear gas shells are used to disperse the mob during any type of street protests. Vascular injuries due to tear gas shells have not been reported. The present study was undertaken to analyse the pattern, presentation, management and outcome of vascular injury due to tear gas shells. METHODS Eighteen patients with vascular injury caused by tear gas shells from 1(st) Jan. 2008 to 31(s...

Peripheral vascular injuries are frequently encountered traumas that require emergency intervention. Rapid recognition of injury, fluid replacement, blood transfusion, and early revascularization very critical in the potential prevention mortality, extremity loss, functional defect. In present report, we aimed to emphasize importance arterial superficial venous also deep revascularizations on m...

Background: Laparoscopic cholecystectomy (LC) is the most practiced procedure in general surgery worldwide. It nowadays optimum surgical for symptomatic gallbladder lithiasis. Nevertheless, it should not be underestimated since vascular and biliary duct injuries are uncommon, with devastating consequences. This study aimed to advise best technical approach LC according intraoperative situation ...