Vascular trauma in the groin: Contrast between iliac and femoral injuries

Damage Control Techniques for Common and External Iliac Artery Injuries: Have Temporary Intravascular Shunts Replaced the Need for Ligation?

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14] These patients are also plagued with concurrent genitourinary and gastrointestinal injuries, which contribute to late septic deaths. [1][2][3][4][5][6][7][8][9][10][11][12][13][14] Each of these factors, in combination with the inherent difficulty in exposure and control, make iliac vessel injuries extremely challenging for all surgeons.…”

Transection of Common Iliac Arteries and Veins Bilaterally

“…Several reports in literature clearly outline predictors of outcome and operative management strategies for injury to the iliac arteries [1][2][3][4][5][6]. First and foremost, all authors agree that the increased incidence of iliac artery injury seen at urban centers is the direct result of improved prehospital care and transport [2].…”

“…First and foremost, all authors agree that the increased incidence of iliac artery injury seen at urban centers is the direct result of improved prehospital care and transport [2]. Once in the hospital, survival is dependent on a number of factors including early suspicion of vascular injury, rapid vascular control and damage control procedures [3,6].…”

“…Nearly all deaths in several series occur in patients who are either hypotensive, arrive without a blood pressure or do not respond to initial fluid resuscitation [2,3]. In the series by Burch et al [4] on 358 penetrating iliac injuries, there was only one survivor out of the 41 patients that either required ER or OR thoracotomy.…”

“…Postoperative complications with iliac artery repair are usually attributed to associated injuries and, not as frequently, to the type of vascular repair used [1][2][3][4][5].…”