The Surgical clinics of North America
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This article reviews the presentation, diagnosis, evaluation, and treatment of the various forms of mesenteric ischemia, including acute and chronic ischemia. In addition, nonocclusive mesenteric ischemia and median arcuate ligament compressive syndrome are covered. ⋯ Special attention is given to avoiding typical pitfalls in the diagnostic and treatment pathways. Operative techniques are also briefly discussed, including an evidence-based review of newer endovascular techniques.
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Early diagnosis and intervention are paramount for improving the likelihood of a favorable outcome for traumatic vascular injuries. As technology has rapidly diversified, the diagnostic and therapeutic approaches available for vascular injuries have evolved. Mortality and morbidity from vascular injury have declined over the last decade. The use of vascular shunts and tourniquets has become standard of care in military medicine.