Concomitant vascular war XXXX saturating a French Forward surgical team deployed to support the victims of the Syrian war (2013). Interest of the vascular damage control.

@entity1 @entity174 @entity548 @entity155 @entity1317 @entity715 @entity130
UNASSIGNED: @entity1317 from war require an emergency treatment whose objective is to quickly obtain hemostasis and the restoration of arterial flow. In this context of heavy @entity130 and limited means, damage control surgery is recommended and is based on the use of temporary vascular shunts. We report the management of the simultaneous arrival of two @entity1317 of war in a field hospital. @entity1 1 presented a ballistic @entity130 of the elbow with a section of the humeral artery (Gustillo IIIC). A temporary vascular shunt was set up during the external fixation of the elbow. Final revascularization was carried out and aponevrotomies of the forearm were performed. @entity1 n  2 had a riddled knee with an open @entity174 of the femur, an @entity155 of the popliteal artery and a @entity548 . A strategy of damage control surgery was carried out with placing an arterial and venous shunt. Aponevrotomies of the leg were carried out before casting. For the traumatisms of the arteries of the members, the use of shunts is reserved for the lesions of the proximal vessels. The many vascular shunts available have the same performances to restore the arterial flow and prevent secondary @entity715 . The time before the final revascularization depends on the clinical condition of the @entity1 . The value of anticoagulation in these cases was not shown.
