Acute Peripheral Vascular Surgery

ISBN-13: 9783709188040 / Angielski / Miękka / 2012 / 166 str.

Michael Staudacher; Wolfgang Rieder; Ronald J. Stoney

Opis

During the past three decades, Vascular Surgery has emerged as a specialty within general surgery. Fellowships are now available to equip surgeons with specialized skills for managing various vascular problems. Nev ertheless, the vascular surgical emergency, one of the greatest challenges in surgical management, may occur suddenly and at a time and place remote from the highly qualified vascular surgeon or a specialized center where complex vascular treatment is routine. The initial evaluation and treatment must be undertaken by a general surgeon who determines the extent, sever ity, and urgency of the problem at hand, and hopefully will arrange appro priate transfer to a specialized center if the patient's condition permits. Urgent problems, on the other hand, demand immediate surgical interven tion by the general surgeon if any hope for salvage is to occur. It is in this set ting that this volume offered by Professor Staudacher may be of assistance to the general surgeon whose experience in this type of emergency may be limited. This concise, well illustrated volume should serve as a guide to manage the peripheral vascular emergency involving either the arte rial or venous system."

Spis treści

The Vascular Surgical Emergency.- 1 Occulsion.- Arterial Embolism.- Arterial Thrombosis.- Acute Venous Thrombosis.- Acute Thrombosis of the Axillary Vein.- The Tourniquet Syndrome.- 2 Aneurysm.- True Aneurysm.- False Aneurysm.- Dissecting Aneurysm.- 3 Trauma.- Open Vascular Injuries.- Closed Vascular Injuries.- Iatrogenic Vascular Injuries.- 4 Compression or Alteration of Vessels Caused by Tumor Formation.- Minimal Emergency Instrumentarium.- 1 Gelpi’s Retractor.- 2 Metzenbaum’s Scissors (Modified).- 3 Potts’ Vascular Scissors.- 4 Atraumatic Forceps.- 5 Walton’s Atraumatic Needle Holder.- 6 Walton’s Atraumatic Needle Holder (Detail).- 7 Halstead’s Clamp.- 8 Freer-Kieny’s Dissecting Spatula.- 9 Scalpel (No. 11 Blade).- 10 Fogarty’s Embolectomy Catheter.- 11 DeBakey’s Atraumatic Vascular Clamps.- 12 Mock Needle to Prepare the Bypass Vein.- Preparation for Surgery.- Basic Vascular Surgical Techniques.- 1 Plastic Closure of a Longitudinal Arteriotomy with a Venous Patch.- 2 Technique of Venous Patch Plastic Surgery.- 3 Basic Measures Before Finishing a Venous Patch Operation (or any Form of Vascular Anastomosis): “Flushing”.- 4 End-to-End Anastomosis of an Artery (Simplest Method).- 5 Method of Preparation of the Central Great Saphenous Vein of the Right Leg.- 6 Preparation of a Removed Vein for an Oblique End-to-Side Anastomosis.- 7 Oblique End-to-Side Anastomosis Between a Vein and an Artery.- 8 Oblique End-to-Side Anastomosis Between a Teflon Plastic Prosthesis and an Artery.- 9 Preparation of a Plastic Dacron Prosthesis for a Patch.- 10 Various Forms of Anastomoses Between Plastic (Dacron) Prostheses and Arteries.- Typical Emergency Situations.- 11 Embolic Occlusion of the Right Common Femoral Artery at the Point of Bifurcation.- 12 Simple Puncture Wound of the Right Femoral Artery.- 13 Severe Penetrating Injury of the Common Femoral Artery.- 14 Tearing of the Large Saphenous Vein from the Femoral Vein.- 15 Severe Penetrating Injury of the Common Femoral Vein.- 16 False Aneurysm of the Common Femoral Artery.- 17 Thrombectomy of the Right Femoral Vein.- 18 Exposure of the Popliteal Artery.- 19 Acute Occlusion of the Popliteal Artery by a Thrombosed True Aneurysm.- 20 False Aneurysm of the Axillary Artery.- 21 Embolic Obstruction of the Cubital Artery.- 22 Open Luxation of the Lower Arm with Tearing Out of the Cubital Artery.- 23 Operation for Inguinal Hernia with Injury to the Right Common Femoral Vein.- 24 Injury of the Axillary Vein During Mastectomy.- 25 Injury of the Common Iliac Vein During Removal of a Female Genital Carcinoma.- 26 Closed Fracture of the Shaft of the Humerus with Injury of the Brachial Artery.- 27 Exposure of the Axillary Artery Distal to the Clavicle for Grafting an Emergency Axillo-femoral Bypass.- 28 Emergency Exposure of Right External Illiac Artery.- 29 Spanning an Infected Vascular Wound in the Right Groin with an Extra-anatomical Iliaco-femoral Bypass.- 30 Injury of the Superficial Femoral/Popliteal Artery with an “Awl” While Boring Through the Thigh Bone.- 31 Injury of the Right Common Carotid Artery in Tracheotomy.- References.