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Major peripheral veins injuries

H Romanoff, S Goldberger

    Vascular Surgery
    |May 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Major peripheral vein trauma significantly worsens outcomes for wounded limb patients, often leading to severe complications and limb loss. Early repair attempts show limited functional recovery, highlighting the critical impact on prognosis.

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    Area of Science:

    • Vascular Surgery
    • Trauma Surgery
    • Orthopedic Surgery

    Background:

    • Major peripheral vein injuries in wounded limbs present significant challenges.
    • These injuries are frequently associated with other severe trauma, impacting prognosis.

    Purpose of the Study:

    • To review outcomes of patients with major peripheral vein injuries.
    • To analyze the impact of vein trauma on limb viability and function.

    Main Methods:

    • Retrospective review of 38 patients with major peripheral vein injuries.
    • Analysis of injury mechanisms, associated injuries, surgical interventions, and postoperative outcomes.

    Main Results:

    • Superficial femoral vein was most commonly injured; associated injuries included soft tissue, fractures, arterial, and nerve damage.

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  • Shock was more severe with vein injuries compared to arterial injuries alone.
  • Postoperative complications were frequent, including infections and embolisms; only 24 patients had viable limbs, with 7 achieving full function.

    • Conclusions:

    • Major peripheral vein trauma is a critical factor in poor limb salvage and functional recovery.
    • Associated injuries and complications significantly influence patient outcomes.
    • Ligation and repair strategies yielded limited success in restoring limb function.