POST-TRAUMATIC VASCULAR RECONSTRUCTION: NEW TECHNIQUES, REHABILITATION, AND TRANSLATIONAL PERSPECTIVES

• DOI: https://doi.org/10.22533/at.ed.15952925150810

• Palavras-chave: Reconstructive surgery. Vascular surgery. Microsurgery

• Keywords: Reconstructive surgery. Vascular surgery. Microsurgery

• Abstract:

  Traumatic vascular injury is a major cause of morbidity and mortality in emergency services, requiring rapid and effective approaches to preserve life and limbs. This study aims to review innovations in vascular reconstructive surgery, post-trauma rehabilitation, and new techniques aimed at functional recovery. The methodology adopted consisted of an integrative literature review, covering scientific articles published between 2020 and 2025. The results show that the combination of technical advances, such as microsurgery and perforating flaps; endovascular innovations, including covered stents and hybrid techniques; and advances in preoperative planning with angiotomography and 3D mapping have significantly expanded the available therapeutic arsenal. These strategies, when applied in an integrated and multidisciplinary manner, contribute to reduced ischemia time, lower operative morbidity, and a higher probability of limb salvage, especially in centers that have hybrid rooms and well-structured protocols. It can be concluded that post-traumatic vascular reconstruction has become more effective and multifaceted in the last decade, driven by more precise microsurgical techniques, advanced endovascular approaches, and the emergence of bioengineered solutions. However, the consolidation of these innovations in global clinical practice requires robust evidence, investments in infrastructure, and standardized protocols.