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Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
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Missile vascular injuries: 19-year experience.

Abdul Gani Ahanger1, Mohd Lateef Wani, Reyaz Ahmad Lone

  • 1Sheri-Kashmir Institute of Medical Sciences Soura Srinager, India. latifs_dr@yahoo.com

Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES
|June 3, 2010
PubMed
Summary

Missile vascular injuries in Kashmir require prompt resuscitation and revascularization, often using saphenous vein grafts. Complications like infection and graft occlusion were noted, with amputation risk increasing after a 6-hour delay.

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Published on: December 23, 2014

Area of Science:

  • Vascular Surgery
  • Trauma Management
  • Public Health

Background:

  • Missile vascular injuries present a significant challenge in regions with ongoing conflict, such as the Kashmir valley.
  • The study addresses the epidemic proportions of these injuries.
  • Understanding the epidemiology and clinical course is crucial for effective management.

Purpose of the Study:

  • To analyze the mode, pattern, presentation, and management strategies for missile vascular injuries.
  • To identify risk factors associated with adverse outcomes.

Main Methods:

  • A retrospective analysis of 580 patients with missile vascular injury was conducted.
  • Data were collected from January 1990 to October 2008.
  • Exclusion criteria included vascular injuries from non-missile causes.

Main Results:

  • Interpositional saphenous vein graft and end-to-end anastomosis were common treatment modalities.
  • Wound infection (22.7%) and graft occlusion (3.8%) were the most frequent complications.
  • Amputation rate was 3.3%, higher with delayed revascularization (>6 hours) and fractures.

Conclusions:

  • Prompt resuscitation and revascularization are essential for managing missile vascular injuries.
  • Preoperative angiography is rarely indicated; Doppler studies may assist diagnosis.
  • Timely intervention significantly impacts patient outcomes and limb salvage.