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• W750996884 abstract "Abstract The choice of conduit used to repair vascular trauma depends on several factors including the anatomic location of the injury, the degree of soft-tissue wound and contamination, and the caliber of the injured vessel. The categories of vascular reconstruction are primary repair, patch angioplasty, interposition (in situ) graft, and bypass graft. Extremity vascular injuries are most commonly managed by using the interposition graft approach with great saphenous vein as the most common conduit. Prosthetic conduit is more commonly used for larger-caliber vessels of the abdomen, pelvis, or thorax. There is controversy over the role of prosthetic conduit in the setting of trauma, particularly in heavily contaminated wounds with soft-tissue defects. Graft infection leading to thrombosis or anastomotic or graft disruption can occur with autologous vein or prosthetic conduits. Routing of grafts away from or out of the zone of contamination and assuring viable soft-tissue coverage diminishes this risk of graft-related complications. Outcomes following the use of the various types of conduits are not well characterized, and inherent differences between trauma and age related disease limit the ability to compare conduit in these settings. Research and development aimed at autogenous, tissue-engineered conduits may provide an “off-the-shelf” alternative to management of vascular trauma in the future." @default.
• W750996884 created "2016-06-24" @default.
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• W750996884 date "2016-01-01" @default.
• W750996884 modified "2023-09-23" @default.
• W750996884 title "Damage Control" @default.
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• W750996884 doi "https://doi.org/10.1016/b978-1-4557-1261-8.00018-7" @default.
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