The Turkish Journal of Vascular Surgery

Yazarlar: Mesut Engin, Hasan Aydın

Konular:-

Anahtar Kelimeler:Extremity trauma,Mangled extremity severity score,Vascular injury,Vascular surgery

Özet: Objectives: This study aims to investigate surgical outcomes of traumatic extremity vascular injuries. Patients and methods: A total of 98 patients (89 males, 9 females; mean age 30.7±12.9 years; range, 4 to 68 years) who were operated for vascular injury due to extremity trauma in our clinic between October 2013 and October 2018 were retrospectively analyzed. Demographic data, type of damage, repair methods, and results of the patients were recorded from the hospital records. Results: Of the patients, 16 (16.3%) presented with hypotensive hemodynamic shock. The mean Mangled Extremity Severity Score (MESS) of the patients were 3.2±1.8. Injury etiologies were mostly gunshot injuries (57%). Femoral artery was the most common affected artery in 32.3% of cases. Primary repair was the most common repair in 47.3% of cases. Advanced age, higher MESS scores, and increased blood transfusion were found to be most effective factors for mortality (p<0.001). Conclusion: Based on our study results, we suggest that the success rate of treatment increases, if blood loss is reduced and the patient is taken to rapid surgery with effective intervention during patient transfer.

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