30 yr Female referred to Hospital intubated in hypotension & altered sensorium. She had undergone laparotomy for hemoperitoneum( post RTA) in other city. Where operating surgeon found bleeding from abdominal aorta. He unsuccessfully tries to suture the bleeding . At last he clamped the aorta with regular artery & controled the bleeding . During that surgery pt was in continuous hypotension & 6 units of blood transfused.
After 10 hrs ( surgery & shifting time) pt referred to our hospital for vascular intervention at 4 a.m. I took pt immediately inside ot & fixed the bleding & sutured the aorta. there was dissection of aorta which i fixed with suture. only worry while taking pt was there was no vascular graft available at that time in the city if required for aortic replacement.My question was should i take this pt for surgery without availability of graft ? is it medicoleagaly wrong…
