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Titolo:
PENETRATING INJURIES OF THE ILIAC ARTERIES - A SOUTH-AFRICAN EXPERIENCE
Autore:
DEGIANNIS E; VELMAHOS GC; LEVY RD; WOUTERS S; BADICEL TV; SAADIA R;
Indirizzi:
UNIV WITWATERSRAND,BARAGWANATH HOSP,SCH MED,DEPT SURG,7 YORK RD JOHANNESBURG 2193 SOUTH AFRICA
Titolo Testata:
Surgery
fascicolo: 2, volume: 119, anno: 1996,
pagine: 146 - 150
SICI:
0039-6060(1996)119:2<146:PIOTIA>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
SELECTIVE CONSERVATIVE MANAGEMENT; VASCULAR INJURIES; POLYTETRAFLUOROETHYLENE; RECONSTRUCTION; WOUNDS; TRAUMA; GRAFTS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
22
Recensione:
Indirizzi per estratti:
Citazione:
E. Degiannis et al., "PENETRATING INJURIES OF THE ILIAC ARTERIES - A SOUTH-AFRICAN EXPERIENCE", Surgery, 119(2), 1996, pp. 146-150

Abstract

Background. We did a retrospective study of 62 patients with penetrating injuries of the iliac arteries. Methods. The cause of injury was gunshot wound in 85.5% and stabbing in 14.5%. The arterial repair was achieved by various means: lateral arteriorrhaphy, end-to-end anastomosis, and polytetrafluoroethylene interposition grafts. Results. There was a 42% mortality rate from exsanguination or secondary coagulopathy directly related to the arterial injury. Persistent shock, resuscitative thoracotomy, free intraperitoneal hemorrhage, and the number of vascular injuries were directly related to mortality. Conclusions. A highindex of suspicion, aggressive resuscitation, and prompt surgery are necessary to improve the chances of surviving this ominous injury.

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Documento generato il 04/07/20 alle ore 13:59:59