IJCM  Vol.6 No.3 , March 2015
Vascular Surgery and the General Surgeon: Review Article
ABSTRACT
The vascular surgeon is trained in the management of diseases affecting all parts of the vascular system except that of the heart and brain whereas cardiothoracic surgeons manage surgical diseases of the heart and its vessels. Although vascular surgery is previously a field within general surgery, it is now considered a specialty on its own right in many countries such as the UK and the United States. Other countries such as Iraq have a mixed practice in which the cardiac or thoracic surgeon performs vascular surgery. Programs of training in vascular surgery are slightly different depending on the region of the world one is in. In the United States, a 5-year general surgery residency is followed by 2 years training in vascular surgery. In Iraq, the time table allocated for the general surgical trainee in vascular surgery is unfortunately short (1 - 3 months). This period is hardly enough for the candidate to grasp the decision-making and technical skills of vascular surgery. We believe that general surgeons need to have adequate training and expertise in vascular surgery particularly in areas and situations lacking this facility to deal with the life- and/or limb-threatening emergencies. This review article aims to orient the general surgical trainee about the scope of vascular surgery and enable them to correctly diagnose and treat common vascular emergencies such as extremity and abdominal vascular injuries (AVI).

Cite this paper
Taha, A. (2015) Vascular Surgery and the General Surgeon: Review Article. International Journal of Clinical Medicine, 6, 132-143. doi: 10.4236/ijcm.2015.63018.
References
[1]   Vascular Surgery. From Wikipedia, The Free Encyclopedia [Internet Monograph].
http://en.wikipedia.org/wiki/Vascular_surgery

[2]   Nikolai Korotkov. From Wikipedia, The Free Encyclopedia [Internet Monograph].
http://en.wikipedia.org/wiki/Nikolai_Korotkov

[3]   The Royal College of Surgeons of England. The Surgical Specialties: 10-Vascular Surgery [Internet Monograph].
https://www.rcseng.ac.uk/media/media-background-briefings-and-statistics/the-surgical-specialties-10-vascular-surgery

[4]   Taha, A.Y. (2004) Vascular Injuries in Basra, Iraq: A 5-Year Experience. The Journal of the Arab Board of Medical Specializations, 6, 118-125.

[5]   Hussain, M.I., Zabid, M., Khan, A., Askri, H. and Khan, A.A. (2009) Extremity Vascular Trauma. A 7-Year Experience in Lahore, Pakistan. Saudi Medical Journal, 30, 50-55.

[6]   Taha, A.Y. (2014) Extremity Vascular Injuries [Unpublished Lecture Notes]. School of Medicine, University of Sulaimaniyah. Lecture Given 2014 June 15.
https://sulaimaniu.academia.edu/AbdulsalamTaha

[7]   Majid, H.J., Waris, M., Afzal, M.F., Islam, H.R., Khan, S.A., Chaudhry, Z.A., et al. (2000) Extremity Vascular Trauma—The Continuing Challenge. Annals of King Edward Medical College, 6, 137-140.

[8]   Frykberg, E.R., Dennis, J.W., Bishop, K., Laneve, L. and Alexander, R.H. (1991) The Reliability of Physical Examination in the Evaluation of Penetrating Extremity Trauma for Vascular Injury: Results at One Year. Journal of Trauma, 31, 502-511.
http://dx.doi.org/10.1097/00005373-199104000-00009

[9]   Ali, A.A., Gondal, K.M., Khan, A.Z., Aslam, M.N., Butt, T.M. and Chaudhry, A.M. (2001) Factors Influencing the Outcome of Arterial Injuries. Annals of King Edward Medical College, 7, 106-109.

[10]   Author (Anonymous) (2015) Clinical Practice Guidelines: Vascular Inuries. Emergency War Surgery [Internet].
http://usaisr.amedd.army.mil/clinical_practice_ guidelines.html

[11]   Bynoe, R.P., Miles, W.S., Bell, R.M., Greenwold, D.R., Sessions, G., Haynes, J.L., et al. (1991) Noninvasive Diagnosis of Vascular Trauma by Duplex Ultrasonography. Journal of Vascular Surgery, 14, 346-352.
http://dx.doi.org/10.1016/0741-5214(91)90087-B

[12]   Carrillo, E.H., Spain, D.A., Miller, F.B. and Richardson, J.D. (2002) Femoral Vessel Injuries. Surgical Clinics of North America, 82, 49-65.
http://dx.doi.org/10.1016/S0039-6109(03)00140-3

[13]   Bowley, D.M., Degiannis, E., Goosen, J. and Boffard, K.D. (2002) Penetrating Vascular Trauma in Johannesburg, South Africa. Surgical Clinics of North America, 82, 221-235.
http://dx.doi.org/10.1016/S0039-6109(03)00151-8

[14]   Meissner, M., Paun, M. and Johansen, K. (1991) Duplex Scanning for Arterial Trauma. The American Journal of Surgery, 161, 552-555.
http://dx.doi.org/10.1016/0002-9610(91)90897-M

[15]   Taha, A.Y. (2014) Exposure of Major Blood Vessels (Unpublished Lecture Notes). School of Medicine, University of Sulaimaniyah. Lecture Given 2014 June 15.
https://sulaimaniu.academia.edu/AbdulsalamTaha

[16]   Taha, A.Y. (2013) Principles of Vascular Anastomosis (Unpublished Lecture Notes). School of Medicine, University of Sulaimaniyah. Lecture Given 2013 July 15.
https://sulaimaniu.academia.edu/AbdulsalamTaha

[17]   Porter, J.M. and Ivatury, R.R. (2001) Should Trauma Surgeons Render Definitive Vascular Repair in Peripheral Vascular Injuries? The American Surgeon, 67, 427-429.

[18]   De Bakey, M.E. and Simeone, F.A. (1946) Battle Injuries of the Arteries in World War II. An Analysis of 2,471 Cases. Annals of Surgery, 123, 534-579.
http://dx.doi.org/10.1097/00000658-194604000-00005

[19]   Rich, N.M., Baugh, J.H. and Hughes, C.W. (1970) Acute Arterial Injuries in Vietnam: 1,000 Cases. The Journal of Trauma, 10, 359-369.
http://dx.doi.org/10.1097/00005373-197005000-00001

[20]   Clouse, W.D., Rasmussen, T.E., Peck, M.A., Eliason, J.L., Cox, M.W., Bowser, A.N., et al. (2007) In-Theatre Management of Vascular Surgery: 2 Years of the Balad Vascular Registry. Journal of the American College of Surgeons, 204, 625-632.
http://dx.doi.org/10.1016/j.jamcollsurg.2007.01.040

[21]   Chapellier, X., Sockeel, P. and Baranger, B. (2010) Management of Penetrating Abdominal Vessel Injuries. Journal of Visceral Surgery, 147, e1-e12.
http://dx.doi.org/10.1016/j.jviscsurg.2010.06.003

[22]   Taha, A.Y. (2013) Abdominal Vascular Injuries (Unpublished Lecture Notes). School of Medicine, University of Sulaimaniyah. Lecture Given 2013 June 11.
https://sulaimaniu.academia.edu/AbdulsalamTaha

[23]   Damage Control Surgery. From Wikipedia, the Free Encyclopedia (Internet Monograph).
http://en.wikipedia.org/wiki/Damage_control_surgery

 
 
Top