Surgical management of major Vascular Injuries during Abdominal pelvic Surgery: - How I do? - A series of 15 cases

Abstract

Aim and objectives: To evaluate simple manoeuvres and techniques to control catastrophic bleeding from major abdomino-pelvic major vessels. Material and methods: This study was conducted between 2003 to 2013. A total of 15 cases were considered in this study. Patients had iatrogenic injuries during dissection or were diagnosed during operation, as sudden gush of profuse bleeding started in trauma patients. Simple indigenous techniques and manoeuvres are discussed to save life of patients, when operating room is not ready to deal with such surprising catastrophic events. Results: Bleeding was controlled effectively in all patients. All patients required ventilator and inotropic supports. We had one mortality. Remaining 14 patients did well and discharge on 13-18 days postoperatively. Conclusion: Simple manoeuvres and techniques to control catastrophic bleeding from major abdomino- pelvic major vessels are effective in emergency situations.