Background. Concomitant vascular injury might adversely impact outcomes after iatrogenic bile duct injury (IBDI). Whether a new HPB center should embark upon repair of complex biliary injuries with associated vascular injuries during learning curve is unknown. The objective of this study was to determine outcome of surgical management of IBDI with and without vascular injuries in a new HPB cent...

Objective: The treatment of wartime injuries has led to advances in the diagnosis and treatment of vascular trauma. Recent experience has stimulated a reappraisal of the management of such injuries, specifically assessing the effect of explosive devices on injury patterns and treatment strategies. The objective of this report is to provide a single-institution analysis of injury patterns and ma...

Injury to the major peripheral arteries or veins is often lifethreatening but invariably poses a threat to the viability of the affected limb. Historically, because of rapid blood loss, injury to major vessels was often quickly fatal in the field. Most patients who survived to reach a hospital had relatively minor vascular injuries. However, with the advent of modern emergency medical services ...

background major vascular injury during a spinal surgery is a rare but most dreaded complication. case presentation a 39 years old female undergoing microscopic lumbar discectomy suddenly developed severe hypotension on table. the procedure was abandoned and the patient turned supine. it was diagnosed to be a major vessel tear and the patient was taken up for immediate successful vascular repai...

Acute vascular emergencies can arise from direct traumatic injury to the vessel or be spontaneous (non-traumatic).The vascular injuries can also be divided into two categories: arteial injury and venous injury.Most of them are life-treatening emergencies, sice they may cause an important ipovolemic shock or severe ischemia in their end organ and require prompt diagnosis and treatment.In the dif...

AIM Iatrogenic vascular injuries due to spinal surgeries are rare but serious complications. Surgical management of these injuries is challenging with high morbidity rates. In this study we aim to present the results of endovascular management of iatrogenic vascular injuries due to spinal surgeries. MATERIAL AND METHODS We retrospectively reviewed 11 patients (5 male, 6 female) who had vascul...

BACKGROUND The mechanism and pattern of vascular injury vary between different populations. The commonest mechanism of vascular injury in civilian practice is road traffic collisions. We aimed to prospectively study the incidence, detailed mechanism and anatomical distribution of hospitalized vascular trauma patients following road traffic collisions in a high-income developing country. METHO...

OBJECTIVE To assess the presentation, diagnostic evaluation, various techniques of vascular repair and their outcomes. METHODS The prospective descriptive study was conducted at the Combined Military Hospital, Rawalpindi, from October 2008 to December 2010. It involved 54 patients with vascular injuries in the extremities who underwent various vascular surgical interventions.Those who present...

Civilian vascular trauma has increased over the past decade with a concurrent surge in the use of firearms. Penetrating trauma accounts for approximately 90% of arterial injuries. These are often difficult to diagnose and treat. Early descriptions of the diagnosis and management of traumatic vascular injuries came from both military and civilian trauma surgeons. Trauma patients frequently have ...