The management of trauma venous injury: civilian and wartime experiences.
The management of venous trauma continues to be debated. Historically, ligation of injured veins is the most common modality of surgical treatment. In the past half-century, additional techniques have been used, including primary repair, interposition graft, and occasionally endovascular techniques. Venous repair, whether in the acute or chronic setting, is believed to prevent or ameliorate the complications of pain, edema, and phlegmasia. Venous repair in civilian trauma and in wartime is commonplace; however, overall treatment strategies remain largely unchanged since the Vietnam War.
Quan
Reagan W
RW
Vascular Surgery Service, Walter Reed Army Medical Center, Washington, DC 20307, USA. Reagan.Quan@us.army.mil
Adams
Eric D
ED
Cox
Mitchell W
MW
Eagleton
Matthew J
MJ
Weber
Michael A
MA
Fox
Charles J
CJ
Gillespie
David L
DL
D000346:Afghanistan; D000792:Angiography; D049673:History, 20th Century; D006772:Hospitals, Military; D006801:Humans; D007493:Iraq; D010690:Phlebography; D017410:Practice Guidelines as Topic; D012042:Registries; D014193:Trauma Centers; D016896:Treatment Outcome; D014481:United States; D014656:Vascular Surgical Procedures / Q000266:history; D014680:Veins / Q000293:injuries*; D047829:Vietnam Conflict; D014857:Warfare; D014947:Wounds and Injuries / Q000266:history / Q000601:surgery