{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T05:28:14Z","timestamp":1740893294890,"version":"3.38.0"},"reference-count":17,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[1996,6,1]],"date-time":"1996-06-01T00:00:00Z","timestamp":833587200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovascular Surgery"],"published-print":{"date-parts":[[1996,6]]},"abstract":"<jats:p> Between January 1975 and December 1989. 1860 patients were admitted to the American University of Beirut Medical Centre with abdominal injuries. Their mean age was 23 years. Of these patients 107 had vascular injuries (an incidence of 6%). Bullets were the most common injurious agents (72%). followed by shrapnel (22%). There were 28 arterial and 113 venous injuries. All patients presented to the emergency unit within 5 h of injury (mean 45 min) and were surgically explored. The overall mortality rate was 36.5%. Patients who were haemodynamically stable had a better outcome than those who presented in shock (P&lt; 0.005). The major cause of death was haemorrhage from uncontrolled bleeding. Two subgroups with a higher mortality were identified: patients with inferior vena caval injury associated with a liver injury had a mortality rate of 78.5%. and those with vascular injury associated with pelvic fracture had a mortality rate of 57% (P&lt; 0.05). Abdominal vascular injuries have a high mortality rate, especially if the inferior vena cava is involved or associated pelvic fractures are present. Prompt resuscitation and control of bleeding are the key to an improved salvage rate. Copyright \u00a9 1996 The International Society for Cardiovascular Surgery. <\/jats:p>","DOI":"10.1177\/096721099600400329","type":"journal-article","created":{"date-parts":[[2024,9,21]],"date-time":"2024-09-21T20:18:49Z","timestamp":1726949929000},"page":"405-407","source":"Crossref","is-referenced-by-count":1,"title":["Penetrating Trauma to the Abdominal Vessels"],"prefix":"10.1177","volume":"4","author":[{"given":"G.","family":"Khoury","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Sfeir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Khalifeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.J.","family":"Khoury","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, American University of Beirut Medical Centre, PO Box 113-6044, Beirut Lebanon."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Nabbout","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1996,6,1]]},"reference":[{"key":"bibr1-096721099600400329","first-page":"741","volume":"68","author":"Feliciano DV","year":"1988","journal-title":"Abdominal vascular injuries"},{"key":"bibr2-096721099600400329","first-page":"534","volume":"123","author":"DeBakey ME","year":"1946","journal-title":"Battle injuries of the arteries in World War II"},{"key":"bibr3-096721099600400329","first-page":"555","volume":"147","author":"Hughes CW","year":"1958","journal-title":"Arterial repair during the Korean war"},{"key":"bibr4-096721099600400329","first-page":"359","volume":"10","author":"Rich NM","year":"1970","journal-title":"Acute arterial injuries in Vietnam"},{"key":"bibr5-096721099600400329","first-page":"385","volume":"70","author":"Billy 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trauma"},{"key":"bibr11-096721099600400329","first-page":"318","volume":"205","author":"Rovito PE","year":"1987","journal-title":"Atrial caval shunting in blunt hepatic vascular injury"},{"key":"bibr12-096721099600400329","first-page":"569","volume":"99","author":"Patcher HL","year":"1986","journal-title":"The management of juxtahepatic venous injuries without an atriocaval shunt: Preliminary clinical observations"},{"key":"bibr13-096721099600400329","first-page":"362","volume":"208","author":"Feliciano DV","year":"1988","journal-title":"Abdominal gunshot wounds"},{"key":"bibr14-096721099600400329","first-page":"307","volume":"31","author":"Derby AC","year":"1988","journal-title":"Wounds of the abdomen"},{"key":"bibr15-096721099600400329","first-page":"497","volume":"91","author":"Mattox KI","year":"1982","journal-title":"Abdominal venous injuries"},{"key":"bibr16-096721099600400329","first-page":"305","volume":"67","author":"Dent RI","year":"1980","journal-title":"Missile injuries of the abdomen in Zimbabwe-Rhodesia"},{"key":"bibr17-096721099600400329","first-page":"1040","volume":"21","author":"Ekbom GA","year":"1981","journal-title":"Intraabdominal vascular trauma \u2014 A need for prompt operation"}],"container-title":["Cardiovascular 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