Journal «Angiology and Vascular Surgery» • 

2000 • VOLUME 6 • №3

INJURIES OF THE ABDOMINAL GREAT VESSELS: A REAL PICTURE OF RENDERING MEDICAL ASSISTANCE AND OUTCOMES

A.A. Bayeshko, A.G. Kryuchok, S.I. Korsak, V.A. Zhuravlev, V.A. Yushkevich

Analysis is made of the results of rendering medical assistance to 87 patients with traumatic injuries of the abdominal great vessels (materials of Minsk clinics, including the authors' own observations). The mean age of casualties was 30.1 years. 73 patients had puncturedincised wounds, 9 patients had blunt trauma, and 5 patients had gunshot wounds. Injury of the inferior vena cava was present in 29 patients, of the aorta in 21, of the iliac vessels in 22, and of the visceral vessels in 15 patients, one vessel wall was damaged in 58 cases, two walls in 27, complete intersection or avulsion of a vessel was recorded in 6 cases. In 97% of cases, injuries of the great vessels were associated with those of the abdominal organs. The vascular stage of operation (lateral suture – 49, circular – 11, vein ligatlon – 5, grafting – 3) was accomplished in 17 (25%) patients by the general surgeon; in the remaining patients, it was accomplished by the vascular surgeon. The total lethality (including patients brought to the clinic and unoperated and those who died at operation and in the postoperative period) constituted 46%. In order to upgrade the quality and opportuneness of rendering medical assistance to patients with abdominal trauma complicated by injury of the great vessels, if is necessary that general surgeons should be trained/or the use of vascular surgery techniques.

KEY WORDS: injuries of abdominal vessels.

P. 87-95

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