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[Peripheral vascular injuries].

H B Cihan1, O Gülcan, A Hazar

  • 1Inönü Universitesi Tip Fakültesi Göğüs Kalp ve Damar Cerrahisi Anabilim Dali, Malatya.

Ulusal Travma Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES
|November 14, 2001
PubMed
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Peripheral vascular injuries, often caused by penetrating trauma, can be successfully treated with various surgical techniques, achieving a high limb salvage rate. This study highlights effective management strategies for vascular trauma.

Area of Science:

  • Vascular Surgery
  • Trauma Surgery
  • Cardiovascular Medicine

Context:

  • Peripheral vascular injuries present a significant challenge in trauma care.
  • Between 1994-2000, 60 cases were treated at Turgut Ozal Medical Center.
  • The majority of patients were young males (mean age 28.9 years).

Purpose:

  • To analyze the causes, locations, and treatment outcomes of peripheral vascular injuries.
  • To evaluate the effectiveness of different surgical interventions for vascular trauma.
  • To report the limb salvage rate and patient outcomes.

Summary:

  • Penetrating devices (56.6%) and gunshots (23.3%) were the leading causes of injury.
  • Upper limb injuries (56.6%) were more frequent than lower limb injuries (43.4%).

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  • Surgical techniques included saphenous vein grafts (45%), end-to-end anastomosis (31.6%), and lateral repair (16.6%).
  • Impact:

    • Achieved a high limb salvage rate of 98.2%.
    • Demonstrates the efficacy of timely surgical intervention in managing vascular trauma.
    • No mortality was observed, indicating successful treatment protocols.