Intraoperative Vascular Surgical Consultation during Non-Vascular Surgeries in Tertiary Centers by Vascular Surgeon
10.5758/vsi.2017.33.4.156
- Author:
Sung Bin PARK
1
;
Keun Myoung PARK
;
Yong Sun JEON
;
Soon Gu CHO
;
Kee Chun HONG
Author Information
1. Department of Surgery, Inha University College of Medicine, Incheon, Korea. redfrag@naver.com
- Publication Type:Original Article
- Keywords:
Vascular surgical procedure;
Referral and consultation
- MeSH:
Abdomen;
Head;
Hemorrhage;
Humans;
Intensive Care Units;
Kidney;
Ligation;
Lower Extremity;
Neck;
Pelvis;
Referral and Consultation;
Spine;
Surgeons;
Thrombectomy;
Upper Extremity;
Vascular Surgical Procedures
- From:Vascular Specialist International
2017;33(4):156-159
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: There are many types of intraoperative consultations by vascular surgeons during non-vascular surgery. Therefore, we examined the current state of intraoperative consultations during non-vascular surgery in a single center. MATERIALS AND METHODS: From January 2014 to December 2015, we reviewed records of 40 patients (0.3%) who received an intraoperative consultation from a vascular surgeon for 10,734 non-vascular surgeries in Inha University Hospital. We examined patient characteristics, operative details, and clinical results. RESULTS: There were 40 intraoperative vascular surgical consultations relating to bleeding (n=14, 35.0%), dissection from the vessel (n=13, 32.5%), arterial occlusion (n=10, 25.0%), and retroperitoneal approach (n=3, 7.5%). The locations of surgery were lower extremity (n=10, 25.0%), kidney (n=8, 20.0%), spine (n=6, 15.0%), pelvis (n=6, 15.0%), head and neck (n=4, 10.0%), abdomen (n=4, 10.0%), and upper extremity (n=2, 5.0%). The methods of surgery included primary closure or ligation (n=17, 42.5%), end-to-end anastomosis (n=12, 30.0%), bypass (n=10, 25.0%), thrombectomy (n=4, 10.0%), retroperitoneal approach (n=3, 7.5%), and embolization (n=2, 5.0%). Postoperative treatment was performed in the intensive care unit for 13 patients (32.5%), while 3 patients (7.5%) died following surgery. CONCLUSION: Intraoperative consultation by vascular surgeons during non-vascular surgery occurred in approximately 0.3% of non-vascular surgeries. The region undergoing operation and type of surgery were variable. Therefore, it is necessary for vascular surgeons to have a comprehensive knowledge of vascular anatomy and to make rapid surgical decisions.
