Table 2.
Description of patient injuries, including a description of the IVC injury
| Patient | Injury burden | IVC injury description |
| 1 | Right colectomy, mesenteric injury, SBR, embolization of the proximal SMA and ileocolic artery. | Suture line on the right lateral wall of the infrarenal IVC performed at OSH. |
| 2 | Aorta-caval fistula (stent), Gr 5 renal (nephrectomy), Gr 3 D2 injury ×2, SBR. | Nickel-size anterior hole extending inferior toward the renal hilum; 3–0 Prolene running. |
| 3 | Gr 3 D3 ×2 (primary), Gr 2 gastric greater curve (primary), G1 colon (right hemicolectomy), frx: L4. | 1 cm anterior and 1 cm posterior infrarenal injury; 4–0 Prolene running. |
| 4 | SBR ×2, ileocolic mesenteric injury ×5, ilium frx. | 2 cm proximal to the iliac confluence; single 5–0 Prolene figure 8. |
| 5 | Gr 4 liver, Gr 2 right renal, Gr 3 left renal, HTX, frx: L2 TP, olecranon, alar. | 2 cm lateral longitudinal near renal vein; 4–0 Prolene running and 2 figure 8 reinforcement. |
| 6 | Renal laceration, lumbar artery coil, PSA a embolize, PPTX, and contusion, frx: 4/5 rib, clavicle, L2–L4 TP, Le Fort 3, bilateral upper extremities | IVC not repaired. |
| 7 | Small bowel injury ×4 (SBR ×2), frx: humerus. | Infrarenal anterior longitudinal 2.5 cm and lateral 1.5 cm; 4–0 running <10% diameter loss. |
| 8 | 4 cm transverse D1 and 2 cm anterior D2 (both primarily), pancreas (drain), liver, renal hematoma. | 2–3 cm longitudinal anterior infrarenal injury; 3–0 running Prolene slight narrowing. |
| 9 | Liver, superior/lateral pancreas, duodenal ×2 (primary), pyloric exclusion, cholecystectomy, mid-jejunum (SBR multiple), right colon (colostomy), frx: L1/L2 (incomplete paraplegia), ulnar/radial, iliac. | Infrarenal injuries (×3): posterior injury longitudinal and linear, lateral injury, anterior injury that was extended; 4–0 Prolene. |
| 10 | Pancreas (drained), posterior duodenum (primarily) right hemicolectomy (mesenteric hematoma). | 2 cm lateral; 4–0 Prolene interrupted, then second layer of 4–0 Prolene running. |
| 11 | Liver (segments 4 and 5), pancreas (uncinate), CBD (T-tube), colon (right hemicolectomy), frx: femur, L3. | 3 cm defect anteromedially; 5–0 Prolene with significant stenosis. |
| 12 | D3 ×2 (primary), SBR (multiple), mesenteric injury. | Infrarenal extends to the iliac; running Prolene, reinforced with interrupted. |
| 13 | Gr 1 spleen, Gr 1 liver, right pulmonary contusion. | IVC not repaired. |
| 14 | 3 liver lacerations, branch of right hepatic artery (requiring IR embolization). | 2 mm anterior injury at the renal hilum junction; 4–0 Prolene figure 8. |
| 15 | Aorta-caval fistula (repair, stent, repair), D2 ×2 (primary), PTX. | Infrahepatic requiring venopulmonary artery bypass; 2 4–0 Prolene with pledgets. |
| 16 | Liver, gastric (greater curve, posterior) (primary), pancreatic head (drained), cholecystectomy, L3 partial hemiplegia. | Anterior and inferior posterior injury; 5–0 Prolene longitudinally, lost two-thirds diameter. |
| 17 | Gastric ×2 (gastric wedge, ultimately gastrojejunostomy and pyloric exclusion), duodenum ×2 (initially primary repair), transverse colon resection, Gr 1 liver, L3 (unstable). | 3 cm medial injury few centimeters inferior to the renal vein involving 50% circumference; 3–0 Prolene running with narrowing that was unavoidable. |
| 18 | Cecal and TI injury resulting in completion right hemicolectomy with right ileocolonic anastomosis. | Infrarenal lateral and posterior injuries; 3–0 Prolene whip stitch. |
| 19 | Gr 3 liver, transected gallbladder (cholecystecotmy), 2 cm lateral D2 (primary), Gr 1 bilateral kidney. | Infrahepatic 1.5 cm anterior; 4–0 running Prolene with 5–0 interrupted Prolene. |
| 20 | Small bowel (SBR), mesenteric injury, transected ureter (PCN). | Infrarenal 3 cm anterior injury; double running with 40% loss in diameter. |
| 21 | Gr 3 D3 and D4 anterior and posterior duodenal (primary), renal pseudoaneurysm ×2 IR, mesenteric. | Infrarenal right side 7 o’clock 1 cm and left side 3 o’clock 2 cm, double venorrhaphy. |
| 22 | Gr 5 pancreas and distal pancreas (drains/stent), partial hepatectomy, cholecystectomy, severed GDA, transect renal artery and vein. | 4 cm medial suprarenal with possible renal artery; 4–0 Prolene running without narrowing. |
| 23 | Small bowel injury (SBR), renal hematoma, L4/L5 (ASIA-B), right 12th rib. | IVC not repaired. |
| 24 | Liver, portal vein, pancreatic neck (distal pancreatectomy), splenectomy, nephrectomy, lumbar artery embolize, frx: L2/L3 TP, tibia/fibula, iliac wing. | Juxtarenal; 3–0 Prolene running without narrowing. |
| 25 | Nephrectomy, pancreas head (drain), colon splenic flexure (ostomy), adrenal, lumbar artery, frx: femur, tibia. | Infrarenal lateral through and through; 4–0 Prolene with some narrowing. |
| 26 | 85% infrarenal aortic (shunt/repair), jejunum (SBR), right tibial/peroneal artery, iliac wing frx. | Lateral infrarenal hole; running Prolene. |
ASIA, American Spinal Injury Association; BLUE, bilateral upper extremities; CBD, common bile duct; chole, cholecystectomy; D, duodenum; frx, fracture; GDA, gastroduodenal artery; Gr, grade; HTX, hemothorax; IR, interventional radiology; IVC, inferior vena cava; OSH, outside hospital; PCN, percutaneous nephrostomy; PSA, posterior superior alveolar; PTX, pneumothorax; SBR, small bowel resection; SMA, superior mesenteric artery; TI, terminal ileum; TP, transverse process.