With the advancement of endovascular procedures and innovations in engineering, more and more procedures are able to be performed using minimally invasive techniques. Often times uncontrolled internal bleeding can now be treated endovascularly.
Definition of Internal Bleeding
While most people associate bleeding with a cut or a scrape, bleeding can also develop internally as well. The blood is contained in a network of blood vessels. If internal blood vessels are damaged, people can actually lose blood through these internal vessels. The blood will pool in the body’s cavities and could potentially cause a fatal loss of blood.
Causes of Internal Bleeding
Internal bleeding could be the result of a traumatic event such as a car accident, childbirth, tumors, ulcers or diverticular disease. While previously many of these patients would be treated with an open procedure, many of these patients can undergo an endovascular procedure without the risk of general anesthesia and with a much shorter recovery time.
Anatomy of Internal Bleeding
The abdomen is the most common place for serious internal bleeding. There are many large arteries and veins, such as the aorta, hepatic artery, portal vein, splenic artery, and mesenteric arteries, that flow through the abdomen. If any of these vessels are damaged, patients can bleed into their abdomen.
Symptoms of Internal Bleeding
Symptoms will vary depending on the severity. Symptoms include:
- High heart rate
- Swelling or abdominal distension
- Low blood pressure
Diagnosis of Internal Bleeding
Symptoms that might make the physician suspect internal bleeding include the circumstances around the patient’s presentation, abdominal bruises, and severe pain over the abdomen. Computed tomography as well as ultrasound testing can help confirm the diagnosis.
Am I At Risk?
Some people have genetic conditions that might lead to weaker blood vessels or thinner blood that has trouble clotting. Ultimately, most of the risk comes from possible activities that could lead to traumatic damage.
Treatment Options for Internal Bleeding
Unlike external bleeding from a skin wound, it can be extremely difficult to hold pressure on internal bleeding. Patients are given IV fluids, blood, and any coagulopathy is corrected. If the bleeding continues despite all of these options, it might be time to consider embolization of internal bleeding. Previously, these patients were forced to undergo exploratory procedures for direct repair or removal of the bleeding organ. A vascular surgeon will perform an angiogram to image the bleeding vessel. Once the area of bleeding is visualized it can then be occluded with coils or other material.
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Patients in need of internal bleeding repair on Florida’s West Coast should locate a skillful vascular surgeon who has the surgical skills necessary to perform these serious surgical operations for the benefit of their patients. Dr. J. Kazil is a distinguished vascular surgeon who has developed an impressive track record of successful cases in treating internal bleeding. Dr. Kazil understands the important circumstances that drive the treatment with the accuracy and compassion that everyone expects from a talented vascular surgeon. Jenna Kazil, MD, FACS, RPVI is a great surgical specialist working as a general and vascular surgeon seeing patients from South Sarasota to East Desoto and Hardee to North Hillsborough to West Manatee and Pinellas counties. Patients requiring internal bleeding repair should contact Dr. Kazil at the Florida Surgical Clinic located in Bradenton, FL today to schedule an appointment with an unparalleled experienced doctor that possesses a unique blend of expert skills and compassionate care.