• J Tenn Med Assoc · Sep 1992

    Case Reports

    Aortoiliac reconstruction following penetrating injury.

    • M A Croce, R M Stewart, and T C Fabian.
    • Department of Surgery, Presley Regional Trauma Center, University of Tennessee College of Medicine, Memphis.
    • J Tenn Med Assoc. 1992 Sep 1;85(9):427-8.

    AbstractIn summary, there are several factors essential to successful treatment of major vascular abdominal injuries. Prompt resuscitation and abdominal exploration is paramount. Proximal control can quickly be obtained at the esophageal hiatus and adequate exposure of the retroperitoneum is mandatory. Most aortic injuries can be repaired primarily; however, if an arterial substitute is necessary, then PTFE is the substitute of choice. Reimplantation of the injured iliac artery to the contralateral iliac artery is an option for bifurcation injuries if that will not inordinately constrict the lumen. And finally, four-compartment fasciotomies will decompress the lower extremities and prevent ischemic muscle necrosis following reperfusion injury.

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