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Vascular Injury During Urologic Surgery: Somebody Call My Mother

  • Kidney Diseases (G Ciancio, Section Editor)
  • Published:
Current Urology Reports Aims and scope Submit manuscript

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.

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Author information

Authors and Affiliations

  1. Servicio de Urología, Hospital General Universitario Gregorio Marañón, C/ Doctor Esquerdo, 46, 28007, Madrid, Spain

    Javier González & Enrique Lledó-García

  2. Servicio de Cirugía General y del Aparato Digestivo, Hospital Central de la Cruz Roja San José y Santa Adela, Universidad Alfonso X el Sabio, Villanueva de la Cañada, Spain

    Francisco J. Angulo-Morales

  3. Departmento de Cirugía, Universidad Complutense de Madrid, Madrid, Spain

    Enrique Lledó-García

Authors
  1. Javier González
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  2. Francisco J. Angulo-Morales
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  3. Enrique Lledó-García
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Correspondence to Javier González.

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

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

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González, J., Angulo-Morales, F.J. & Lledó-García, E. Vascular Injury During Urologic Surgery: Somebody Call My Mother. Curr Urol Rep 20, 2 (2019). https://doi.org/10.1007/s11934-019-0869-5

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  • DOI: https://doi.org/10.1007/s11934-019-0869-5

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