There has been an evolution in the diagnosis and management of vascular trauma over the
past 100 years. The primary stimulus to these changes has been the increased volume of …

Temporary intravascular shunts are used to maintain perfusion in injured vessels, although
failure can be unpredictable and lead to significant morbidity. The aim of the present study …

BACKGROUND Arterial shunting is a well-described method to control hemorrhage and
rapidly reestablish flow, but optimal shunt dwell times remain controversial. We …

In patients with abdominal trauma who require laparotomy, up to a quarter or a third will
have a vascular injury. The venous structures mainly injured are the vena cava (29%) and …

Background Data on management of traumatic lower extreity arterial injuries comes largely
from military experience and involves few civilian centers. This study reports on the …

Objective: We aim to share our experience regarding the surgical management and
outcome of extremity vascular trauma in level-1 trauma centres in Pakistan. Patients and …

Introduction We sought to determine the impact of the indication for shunt placement on
shunt-related outcomes after major arterial injuries. We hypothesized that a shunt placed for …

Background: Damage control laparotomy has increased survival for critically injured patient
with penetrating abdominal trauma. There has been a slower adoption of a damage control …

The open abdomen technique and temporary abdominal closure after damage control
surgery is fast becoming the standard of care for managing intra-abdominal bleeding and …

Damage control is a surgical strategy that has evolved and expanded considerably over the
past 25 years. The approach was initially developed as a “bail out” procedure to control …