Abstract
Vascular surgeons traditionally completed a general surgery residency prior to specialty fellowship training. This gave vascular surgeons exposure to a wide variety of general surgery cases to include colon and rectal surgery. In the past 5 years, alternative training pathways or “Integrated” vascular 5-year residencies have diluted the experience of vascular trainees with a focus on only vascular surgery. Likewise, general surgery residencies have seen a decline in the vascular case volumes over the past decade. Thus, it has become increasingly important for the various surgical subspecialties to become codependent upon one another for the management of complex patients. In reality, the day will soon come when a vascular surgeon will no longer perform colectomy on a patient with ischemic colitis after elective aortic aneurysm repair. Similarly, the general and colorectal surgeon will have little to no experience with vascular repairs. The purpose of this chapter is to answer the question of what to do “When Vascular Surgery Calls.”
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Parodi JC, Palmaz JC, Barone HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg. 1991;5:491–9.
Conrad MF, Crawford RS, Pedraza JD, et al. Long-term durability of open abdominal aortic aneurysm repair. J Vasc Surg. 2007;46:669–75.
Pittaluga P, Batt M, Hassen-Khodja R, et al. Revascularization of internal iliac arteries during aortoiliac surgery: a multicenter study. Ann Vasc Surg. 1998;12:537–43.
Van Damme H, Creemers E, Limet R. Ischaemic colitis following aortoiliac surgery. Acta Chir Belg. 2000;100:21–7.
Papia G, Klein D, Lindsay TF. Intensive care of the patient following open abdominal aortic surgery. Curr Opin Crit Care. 2006;12:340–5.
Longo WE, Lee TC, Barnett MG, et al. Ischemic colitis complicating abdominal aortic aneurysm surgery in the U.S. Veteran. J Surg Res. 1996;60:351–4.
Bjorck M, Bergqvist D, Troeng T. Incidence and clinical presentation of bowel ischaemia after aortoiliac surgery—2930 operations from a population-based registry in Sweden. Eur J Vasc Endovasc Surg. 1996;12:139–44.
Brewster DC, Franklin DP, Cambria RP, et al. Intestinal ischemia complicating abdominal aortic surgery. Surgery. 1991;109:447–54.
Levison JA, Halpern VJ, Kline RG, et al. Perioperative predictors of colonic ischemia after ruptured abdominal aortic aneurysm. J Vasc Surg. 1999;29:40–5.
Maldonado TS, Rockman CB, Riles E, et al. Ischemic complications after endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2004;40(4):703–9.
Kehlet H, Moesgaard F. Prophylaxis against postoperative complications in gastroenterology. Scand J Gastroenterol Suppl. 1996;216:218–24.
Shalhoub J, Naughton P, Lau N, et al. Concurrent colorectal malignancy and abdominal aortic aneurysm: a multicentre experience and review of the literature. Eur J Vasc Endovasc Surg. 2009;37(5):544–56.
James AW, Rabl C, Westphalen AC, et al. Portomesenteric venous thrombosis after laparoscopic surgery: a systematic literature review. Arch Surg. 2009;144(6):520–6.
Pisimisis GT, Oderich GS. Technique of hybrid retrograde superior mesenteric artery stent placement for acute-on-chronic mesenteric ischemia. Ann Vasc Surg. 2011;25(1):132.E7–11.
Berquist D, Caprini JA, Dotsenko O, et al. Venous thromboembolism and cancer. Curr Probl Surg. 2007;44:157–216.
Heit JA, Mohr DN, Silverstein MD, et al. Predictors of recurrence after deep vein thrombosis and pulmonary embolism: a population-based cohort study. Arch Intern Med. 2000;160:761–8.
Shen VS, Pollak EW. Fatal Pe in cancer patients: is heparin prophylaxis justified? South Med J. 1980;73:841–3.
Geerts WH, Pineo GF, Heit JA, et al. Prevention of venous thromboembolism: the seventh accp conference on antithrombotic and thrombolytic therapy. Chest. 2004;126:338s–400.
Nicolaides AN, Breddin HK, Fareed J, et al. Prevention of venous thromboembolism. International consensus statement. Guidelines compiled in accordance with the scientific evidence. Int Angiol. 2001;20:1–37.
Bergqvist D, Agnelli G, Cohen AT, et al. Duration of prophylaxis against venous thromboembolism with enoxaparin after surgery for cancer. N Engl J Med. 2002;346:975–80.
Rasmussen MS, Jorgensen LN, Wille-Jorgensen P, et al. Prolonged prophylaxis with dalteparin to prevent late thromboembolic complications in patients undergoing major abdominal surgery: a multicenter randomized open-label study. J Thromb Haemost. 2006;4:2384–90.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Starnes, B.W. (2014). When Vascular Surgery Calls. In: Steele, S.R., Maykel, J.A., Champagne, B.J., Orangio, G.R. (eds) Complexities in Colorectal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9022-7_35
Download citation
DOI: https://doi.org/10.1007/978-1-4614-9022-7_35
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-9021-0
Online ISBN: 978-1-4614-9022-7
eBook Packages: MedicineMedicine (R0)