الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Vascular surgeons are an integral component of the surgical services and must be available to support the primary surgeon when needed in cases of complex anatomic exposure, uncontrollable bleeding, and restoration of blood flow for both elective and emergency operative cases.
Unfortunately, many requests for vascular surgeons occur as an unplanned emergency intraoperative consultation with the assumption underlying these requests is that vascular surgeons are ready and available at a moment’s notice (ie, 24/7). Administrators, other medical providers, hospital systems, and modern health care in general underappreciate the value and necessity of vascular surgery services in this context. In addition, the contribution to patient safety of readily available vascular surgery services to a given hospital has rarely been quantified or reported.
The aim of this study was to evaluate the importance of vascular surgery in other specialty operations at dealing with unforeseen vascular events and the load of these notifications on the vascular surgeons by studying the prevalence of unplanned vascular notifications, the requesting specialties, cause of consultation and the outcome.
In the current study 59 patients required unplanned intraoperative vascular consultation to deal with unexpected vascular events. Obstetrics and gynecology was the main requesting specialty representing 42.4% of the patients in the study followed by urology responsible for 18.6% of the notifications and general surgery with 16.9% of the cases.
Most of the consultations were for bleeding control (69.4%) while the rest were for repair of vascular injury or restoration of blood flow.
59.3% of the cases required postoperative ICU admission for different reasons with 11.9% of the cases developing vascular related complications mostly were DVT with one mortality.