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Related Experiment Videos

Peripheral vascular injuries in children.

N Eren1, G Ozgen, B K Ener

  • 1Department of Thoracic and Cardiovascular Surgery, School of Medicine, Dicle University, Diyarbakir, Turkey.

Journal of Pediatric Surgery
|October 1, 1991
PubMed
Summary

This study analyzed 94 arterial injuries in children, with stab wounds being the most common cause. Surgical repair, primarily end-to-end anastomosis, was effective in treating these pediatric vascular injuries.

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Area of Science:

  • Pediatric Surgery
  • Vascular Surgery
  • Trauma Surgery

Background:

  • Arterial injuries in children are less common than in adults but present unique challenges.
  • A significant number of pediatric arterial injuries are associated with other trauma, such as fractures.
  • Understanding the etiology and management of these injuries is crucial for optimal outcomes.

Purpose of the Study:

  • To review the epidemiology and management of arterial injuries in a pediatric population.
  • To evaluate the effectiveness of different surgical techniques for arterial repair in children.
  • To identify factors influencing treatment outcomes and the need for limb amputation.

Main Methods:

  • Retrospective review of 94 arterial injuries in 91 children treated between 1978 and 1988.

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  • Analysis of patient demographics, injury mechanisms, associated injuries, diagnostic methods, and surgical interventions.
  • Categorization of surgical repairs including end-to-end anastomosis, vein grafts, lateral sutures, and ligation.

    • Main Results:

    • Stab wounds (40%) and gunshot wounds (23%) were the leading causes of arterial injury.
    • Associated injuries included vein damage (44.4%) and nerve loss (21.2%); 23.3% were linked to fractures.
    • End-to-end anastomosis (64.5%) was the most frequent surgical repair, with a 5.3% limb amputation rate.

    Conclusions:

    • Pediatric arterial injuries are often caused by penetrating trauma and may involve associated vascular and nerve damage.
    • Surgical repair, particularly end-to-end anastomosis, is the mainstay of treatment for pediatric arterial injuries.
    • While surgical intervention is effective, a small percentage of cases may still require limb amputation.