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- Title
WSES position paper on vascular emergency surgery.
- Authors
T. Pereira, Bruno Monteiro; Chiara, Osvaldo; Ramponi, Fabio; Weber, Dieter G.; Cimbanassi, Stefania; De Simone, Belinda; Musicki, Korana; Vieira Meirelles, Guilherme; Catena, Fausto; Ansaloni, Luca; Coccolini, Federico; Sartelli, Massimo; Di Saverio, Salomone; Bendinelli, Cino; Pereira Fraga, Gustavo
- Abstract
Trauma, both blunt and penetrating, is extremely common worldwide, as trauma to major vessels. The management of these patients requires specialized surgical skills and techniques of the trauma surgeon. Furthermore few other surgical emergencies require immediate diagnosis and treatment like a ruptured abdominal aortic aneurysm (rAAA). Mortality of patients with a rAAA reaches 85 %, with more than half dying before reaching the hospital. These are acute events demanding immediate intervention to save life and limb and precluding any attempt at transfer or referral. It is the purpose of this position paper to discuss neck, chest, extremities and abdominal trauma, bringing to light recent evidence based data as well as expert opinions; besides, in this paper we present a review of the recent literature on rAAA and we discuss the rationale for transfer to referral center, the role of preoperative imaging and the pros and cons of Endoluminal repair of rAAA (REVAR) versus Open Repair (OR).
- Subjects
ARM surgery; ARM injuries; CAROTID artery surgery; CAROTID artery injuries; FEMORAL artery; LEG surgery; LEG injuries; SUBCLAVIAN artery surgery; TRAUMA surgery; SUBCLAVIAN artery; CHEST injuries; PULMONARY artery; ABDOMINAL injuries; ABDOMINAL aortic aneurysms; VASCULAR surgery; BLUNT trauma; COMPUTED tomography; EMERGENCY medical services; MEDICAL protocols; NECK injuries; PENETRATING wounds; PREOPERATIVE care; OPERATIVE surgery; AORTIC rupture; WOUNDS &; injuries; SURGERY
- Publication
World Journal of Emergency Surgery, 2015, Vol 10, p1
- ISSN
1749-7922
- Publication type
Article
- DOI
10.1186/s13017-015-0037-2