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[Vascular injuries in war]

V Radonic¹, D Baric, M Tudor

¹Chirurgische Klinik des Akademischen Krankenhauses, Universität Split.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen

|September 1, 1995

Summary

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This study reviews military vascular injuries, emphasizing limb salvage through vessel reconstruction and hyperbaric oxygenation (HBO) for war casualties. Careful follow-up care is crucial for positive outcomes in severely injured patients.

Area of Science:

Vascular surgery
Trauma surgery
Military medicine

Context:

War-related injuries present unique challenges for vascular surgeons, differing significantly from civilian cases.
This review focuses on surgical procedures for arterial and venous injuries, including soft tissue and bone damage, and their management.
The study addresses the complexities of treating vascular trauma in a conflict zone.

Purpose:

To review military vascular injuries sustained in Southern Croatia between June 1991 and December 1993.
To analyze surgical techniques, outcomes, and adjunctive therapies for vascular trauma.
To highlight the importance of limb salvage strategies and hyperbaric oxygenation in war casualties.

Summary:

A retrospective review of 189 patients with vascular injuries, predominantly caused by explosive weapons.

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Surgical techniques included debridement, fasciotomy, microsurgery, and autogenous grafts, with hyperbaric oxygenation used for prolonged ischemia.

Outcomes included a 3.2% mortality rate and 15.1% amputation rate, underscoring the severity of these injuries.

Impact:

The findings support the reconstruction of major vessel damage to achieve limb salvage.
Regular follow-up by multidisciplinary teams is essential for optimizing patient outcomes.
The study advocates for the increased use of hyperbaric oxygenation in managing war-related vascular injuries.