The Belfast approach to managing complex lower limb vascular injuries.

  title={The Belfast approach to managing complex lower limb vascular injuries.},
  author={A A Barros d'sa and Denis W Harkin and P. H. B. Blair and John M Hood and E. M Mcilrath},
  journal={European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery},
  volume={32 3},
INTRODUCTION Complex lower limb vascular injuries (CLVIs) in high-energy penetrating or blunt trauma are associated with an unacceptably high incidence of complications including amputation. Traumatic ischaemia and ischaemia-reperfusion injury (IRI) of skeletal muscle often lead to limb loss, the systemic inflammatory response syndrome (SIRS) which affects remote organs and even the potentially fatal multiple organ dysfunction syndrome (MODS). Surgical care of CLVIs everywhere, including… CONTINUE READING
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