BACKGROUND Traumatic paediatric arterial injuries are a great challenge due to low incidence and specific characteristics of paediatric anatomy and physiology. The aim of the present study was to investigate their epidemiology, diagnostic and therapeutic options and complications. Furthermore, the prognostic value of the Mangled Extremity Severity Score (MESS) was evaluated. METHODS In a retr...

Computed tomography angiography (CTA) of the neck has become the most common modality for diagnosing blunt carotid artery injury (BCAI). The protocol at our institution includes CTA on trauma patients with a seatbelt sign. The purpose of this study is to evaluate whether a solitary seatbelt sign is an indication for CTA of the neck to diagnose BCAI. We conducted a retrospective review of patien...

OBJECTIVE To delineate the clinical features of traumatic adrenal haematoma, to help emergency physicians recognise the condition early and so to prevent adrenal crisis. METHODS Review of the records of all patients admitted to Chi-Mei Medical Center, Tainan, Taiwan, with traumatic torso injuries, between 1 August 2003 and 31 August 2005. Of the 305 patients reviewed, 8 had adrenal haematoma....

Objective: to evaluate the incidence of unfavorable outcomes in vascular trauma patients and their possible correlation to the distance between the city where the injury was sustained and the hospital where the patient received definitive treatment. Methods: descriptive and retrospective study. Data were collected from medical records of patients submitted to surgical procedures for arterial or...

OBJECTIVE to evaluate the incidence of unfavorable outcomes in vascular trauma patients and their possible correlation to the distance between the city where the injury was sustained and the hospital where the patient received definitive treatment. METHODS descriptive and retrospective study. Data were collected from medical records of patients submitted to surgical procedures for arterial or...

Major vascular injury following trauma is uncommon, however, it can result in extremely high mortality and morbidity, particularly if diagnosis or treatment are delayed. Physical examination has historically been the mainstay of diagnosis, and open repair the mainstay of treatment for these injuries. However, as advanced imaging technologies and endovascular treatment modalities become more com...

popliteal artery injuries are mainly seen in military experience. this study was undertaken in a civilian vascular surgical unit with a large trauma workload dealing with traffic accidents. a retrospective review of patients treated between 1995 and 2001 was undertaken. 145 cases of popliteal artery injuries were treated. these cases included 46.89% compound and lacerated injuries due to traffi...

OBJECTIVE To describe the use of renal angiography in the detection of renal vascular injuries following percutaneous nephrolithotomy and to assess the efficacy of endovascular management of these complications. MATERIALS AND METHODS This was a retrospective review of 159 consecutive patients over a period of 12 years from 2005 to 2016 who presented with significant post nephrolithotomy hemor...

Major vascular injuries that cause massive Haemorrhage are rare but fatal.Approaches to reduce this complication and standardize its management required. Most of these occur at entry. There is a rise in morbidity mortality when surgeons do notrecognize treat early.The purpose study was assess laparoscopic bleeding during trocarentry outcome.