Complex vascular injuries of the limbs, once almost exclusively encountered on the battlefield, are increasingly prevalent in civilian life, inevitable consequences of the proliferation of motor vehicles, progressive industrialisation, urban violence and terrorism. Penetrating trauma from low-velocity weapons usually results in localised disruption of vessels but the transient cavitational effe...

Objective: To evaluate the efficacy of renal angiography and transarterial embolisation in the management of major iatrogenic renal vascular injuries. Patients and Methods: Records of 9 patients with major renal vascular complications (pseudoaneurysm or arteriovenous fistula) after percutaneous renal procedures were reviewed. They were investigated with digital subtraction angiography followed ...

VOL. 54 NO. 2 JUNE 2016 SAJS Cervicomediastinal vascular injuries may be caused by blunt or penetrating trauma, and collectively constitute 5–10% of all reported cases of vascular trauma.1,2 The operative management of cervicomediastinal vascular trauma is challenging as surgical access is difficult, and loss of control can result in rapid exsanguination. High morbidity and the mortality rates,...

Generally, patients with severe burst fractures, instability, or neurological deficits require surgical treatment. In most cases, circumferential reconstruction is performed. Surgical methods for three-column include anterior, lateral, and posterior approaches. cases involving an anterior lateral approach, collaboration general thoracic surgeons may be necessary because the adjacent anatomical ...

of lumbar disc surgery. Their incidence is very low but because clinical manifestations may be extremely variable depending on the extension of trauma, is probably underestimated (1-4). Vascular injury is suspected when early signs of retroperitoneal hemorrhage appear, but may often be delayed for weeks or years due to the formation of a pseudoaneurysm or arteriovenous fistula, which may be of ...

OBJECTIVE To evaluate retrospectively the results, complications and follow-up of patients after endovascular treatment of vascular injuries. METHODS Fifty transcatheter embolisation procedures (TCE) were performed in 46 patients between 1999 and 2008 at the Aga Khan University Hospital, Karachi. Injuries in 14 (30.4%) patients were due to road traffic accident; iatrogenic in 13 (28%); accide...

Esophageal and laryngeal injuries due to ballistic injuries are seldom encountered. Ballistic external neck traumas generally result in death. Incidence of external penetrant neck injuries may vary between 1/5000-137000 patients among emergency service referrals. Vascular injuries, esophagus-hypopharynx perforations, laryngotracheal injuries, bony fractures, and segmentations may be encountered...