In this study 29 patients were retrospectively evaluated who were operated for abdominal vascular injuries in our clinic between 1986 and 1998 in order to detect the factors affecting morbidity and-mdrtality in patients undergoing surgery due to the abdominal vascular injury. Out of29 patients 21 were male and 8 female and the average age was 32 years. The cause of the injury was blunt in 6 patients and penetrating in 23 patients. The average time from field notification to patients arrival in the emergency department was 65 minutes, from emergency department to arrival to operating room was 34 minutes. Mean trauma severity score was 19.7. The mean blood requirements in these patints was 5500 ml in the preoperative period. The inferior vena cava, abdominal aorta and iliac veins were injured mostfrequently. While more than one abdominal vascular injury was determined in 8 patients, 34 associated intraabdominal organ injuries including mostly small intestine and colon were found in 21 patients. Treatment including simple suture (n=31), ligation (n=5), and dacron grafts (n=3). The mortality rate was higher in abdominal aorta and vena cava injuries compared to other vascular injuries. The overall mortality rate was 41%. In conclusion, despite the increasing experience in vascular repair methods and surgical explorations carried out without delay major abdominal vascular injuries threatening the life still result in high operative mortality.