Zone 1 Vascular Abdominal Trauma. Damage Control and Staged Management

Ioannis Stamatatos, Marigo Theodorou, Efstathios Metaxas, Dimitrios Klapsakis, Konstantinos Bouboulis, Nikolaos Tzatzadakis and Athanasios Rogdakis

Department of Vascular and Endovascular Surgery, General Hospital Nikaia, Greece
Department of General Surgery, General Hospital Nikaia, Greece
Department of Cardiothoracic Surgery, General Hospital Nikaia, Greece
Department of Orthopaedics and Trauma, General Hospital Nikaia, Greece

^*Correspondance to: Ioannis Stamatatos 

 PDF  Full Text DOI: 10.25107/2474-1647.1905

Abstract

Vascular abdominal injuries of major vessels in zone 1 abdominal cavity are the most common cause of death after penetrating abdominal trauma. Abdominal arterial and vein injuries occur with the same incidence. Patients with retroperitoneal vascular injury and intact retroperitoneum may present hemodynamically stable due to tamponade. The main goal of staged approach is to control any major haemorrhage into the abdomen until the patient is hemodynamically stabilized in the ICU and reconstruction can be done in final reoperation. Multidisciplinary management is imperative to prevent the “lethal triad” and assures the best optimal outcome for these critically wounded patients.

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Cite the article

Stamatatos I, Theodorou M, Metaxas E, Klapsakis D, Bouboulis K, Tzatzadakis N, Rogdakis A. Zone 1 Vascular Abdominal Trauma. Damage Control and Staged Management. Clin Surg. 2018; 3: 1905.