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Updated: Mar 18, 2026

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Management of Vascular Injuries in a Forward Hospital.

K M Rai1, S K Mohanty2, R Kale3

  • 1Assoc Prof (Surgery), Armed Forces Medical College, Pune-411040.

Medical Journal, Armed Forces India
|July 2, 2016
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Summary

Timely vascular repair is crucial for limb salvage in wartime injuries. Delaying revascularisation beyond 12 hours significantly increases amputation rates, highlighting the need for rapid surgical intervention.

Keywords:
Vascular injuriesamputationtrauma

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Area of Science:

  • Trauma Surgery
  • Vascular Surgery
  • Military Medicine

Background:

  • Vascular injuries present significant challenges in wartime settings.
  • Optimal outcomes for limb revascularisation are typically recommended within 6-8 hours post-injury.

Purpose of the Study:

  • To analyze the impact of delayed treatment on amputation rates in patients with vascular injuries sustained during conflict.

Main Methods:

  • A retrospective analysis of 61 patients with vascular injuries treated in a forward hospital over 25 months.
  • Data collected included injury type, time to treatment, surgical intervention (revascularisation vs. ligation), and outcomes.

Main Results:

  • Vascular injuries accounted for 3.1% of all trauma cases.
  • The mean delay between injury and treatment was 11 hours.
  • Amputation rates were 6.5% for revascularisation within 12 hours versus 44% after 12 hours (p < 0.05).
  • Associated fractures and arterial ligation were linked to higher amputation rates (p < 0.05).
  • Popliteal injuries showed a high propensity for amputation.

Conclusions:

  • Failure to revascularise, presence of fractures, and treatment delays exceeding 12 hours are associated with increased amputation risk.
  • Prompt surgical intervention is critical for limb preservation in vascular trauma.