Incidence and outcomes of intraoperative vascular surgery consultations

Abstract

Unexpected intraoperative need for vascular surgical expertise occurs often enough that vascular surgeons should be regarded as an essential operating room resource to the general operating room, nonvascular surgeons, and their patients. Intraoperative vascular surgical consultation in support of other surgeons requires a high level of open technical operative skills and is time and labor intensive.

Intraoperative Vascular Surgical Consultation during Non-Vascular Surgeries in Tertiary Centers by Vascular Surgeon

“…It has been previously documented that vascular surgeons perform relevant techniques in emergencies to control hemorrhage. In addition, their expertise in dissections around major arteries and veins and in reconstructions of major vessels can improve the likelihood of success of R0 resection in cancer surgery, using such vascular reconstruction techniques [ 1 , 2 ].…”

“…This study provides quantitative data vascular surgical involvement in non-vascular surgeries. Previous studies have not reported the incidence of vascular injury that required treatment during non-vascular surgeries [ 1 ]. However, in this study, the incidence of intraoperative vascular consultation was estimated to be approximately 0.3%.…”

“…Furthermore, the in-hospital mortality rate in patients who received an intraoperative vascular surgery consultation was high (7.5%). Other studies reported that the mortality rate during initial hospitalization was 6.2% to 9.2% [ 1 , 3 , 4 ]. Therefore, a vascular surgeon’s specialized technique and ability to make prompt decisions are needed.…”

“…Vascular surgeons are consulted to assist other surgical specialties with bleeding control, dissection from a vessel, and resolving arterial occlusion. Furthermore, vascular surgeons are consulted during the resection of anatomically complex tumors that are treated with a curative intent in an effort to improve the quality and safety of R0 resection [ 1 , 2 ].…”

“…Yet, few studies have assessed the overall incidence and outcomes of intraoperative vascular consultations [ 1 ]. Furthermore, the importance of intraoperative vascular consultations during non-vascular surgery is understated.…”