- Title
- WSES position paper on vascular emergency surgery
- Creator
- Pereira, Bruno Monteiro T.; Chiara, Osvaldo; Coccolini, Federico; Sartelli, Massimo; Di Saverio, Salomone; Bendinelli, Cino; Fraga, Gustavo Pereira; Ramponi, Fabio; Weber, Dieter G.; Cimbanassi, Stefania; De Simone, Belinda; Musicki, Korana; Meirelles, Guilherme Vieira; Catena, Fausto; Ansaloni, Luca
- Relation
- World Journal of Emergency Surgery Vol. 10, Issue 49
- Publisher Link
- http://dx.doi.org/10.1186/s13017-015-0037-2
- Publisher
- BioMed Central
- Resource Type
- journal article
- Date
- 2015
- Description
- 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).
- Subject
- trauma; vascular injuries; vascular control; aorta aneurism; neck; chest; extremities
- Identifier
- http://hdl.handle.net/1959.13/1330238
- Identifier
- uon:26334
- Identifier
- ISSN:1749-7922
- Rights
- This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- Language
- eng
- Full Text
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