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Current Urology Reports

, 20:2 | Cite as

Vascular Injury During Urologic Surgery: Somebody Call My Mother

  • Javier GonzálezEmail author
  • Francisco J. Angulo-Morales
  • Enrique Lledó-García
Kidney Diseases (G Ciancio, Section Editor)
  • 26 Downloads
Part of the following topical collections:
  1. Topical Collection on Kidney Diseases

Abstract

Purpose of Review

To provide the critical elements to effectively manage hemorrhage from vascular injuries sustained during planned urological interventions.

Recent Findings

The frequency of intraoperative vascular injuries is increasing. However, literature concerning the management of iatrogenic operative vascular injuries is scarce.

Summary

Although rare, intraoperative vascular injuries may be associated with potential catastrophic complications and death. The decision-making process following a potential life-threatening intraoperative vascular injury occurs in a very short time frame. Appropriate knowledge of the critical elements to identify the source of bleeding, initiate first-line hemostatic measures, select the candidate for damage control strategies, and perform the indicated operative repairing maneuvers and techniques have been proved crucial to ensure hemodynamic stability and bleeding cessation. The key surgical principles to counteract the impact of exsanguinating bleeding, and the aim to obtain the best achievable outcomes after definitive repair, are described in detail in this review.

Keywords

Urologic surgery Vascular injury Hemorrhage Vascular exposure Damage control 

Notes

Compliance with Ethical Standards

Conflict of Interest

Javier González, Francisco J. Angulo-Morales, and Enrique Lledó-García each declare no potential conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Javier González
    • 1
    Email author
  • Francisco J. Angulo-Morales
    • 2
  • Enrique Lledó-García
    • 1
    • 3
  1. 1.Servicio de UrologíaHospital General Universitario Gregorio MarañónMadridSpain
  2. 2.Servicio de Cirugía General y del Aparato Digestivo, Hospital Central de la Cruz Roja San José y Santa AdelaUniversidad Alfonso X el SabioVillanueva de la CañadaSpain
  3. 3.Departmento de CirugíaUniversidad Complutense de MadridMadridSpain

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