Lambert’s dictum describes “what” vascular surgeons do. This has remained constant throughout the centuries. However, “why” and “how” surgeons do this has changed drastically from decade to decade. The vascular trauma subspecialty in particular has experienced changing practices with regard…
General Principles Knowledge of vascular anatomy and surgical exposures are foundational components of vascular surgery. A detailed understanding of the location of blood vessels, surrounding structures, and the methods to obtain a safe and effective working space around a vessel…
Aortic trauma is typically fatal, with 80% of mortality occurring at the scene of injury. Recent improvements in prehospital care, decreases in transport times, and improvement in diagnosis have increased the opportunity for patients to undergo operative intervention. The management…
This chapter provides an overview of penetrating injures to the aortic arch and intrathoracic great vessels. Because these short-segment vascular structures are clustered in the confined space of the mediastium, the first portion of this chapter reviews the overall epidemiology,…
Historical Background Fasciotomy is designed to prevent nerve injury and myonecrosis resulting from compartment syndrome characterized by elevated pressure within a fixed extremity compartment. Compartment syndrome is most often observed after reperfusion of an acutely ischemic extremity or among patients…