The Turkish Journal of Vascular Surgery

Yazarlar: Saleh ALSALEHİ, Mehmet TAŞAR, Arzu ANTAL DÖNMEZ, Altuğ TUNCER, Cengiz KÖKSAL, Hasan SUNAR

Konular:-

Anahtar Kelimeler:Vascular injuries; artery; vein,Repair

Özet: Objective: To evaluate the initial approach to peripheral vascular injuries and the results of different surgical managements. Methods and Results: 250 patients (232 males and 18 females; Mean age 30 years, Range: 7-75 years) who were admitted to the emergency department of Kosuyolu Cardiovascular Research and Training Hospital for peripheral vascular injuries between January 2005 and December 2009 were included in the study. The causes and locations of injury, associated lesions, treatments and outcomes were evaluated retrospectively.141 (56.4%) patients had penetrating injuries,104 (41.6%) had gunshot injuries, and 5 (2%) had presented with blunt trauma. From these patients, 172 underwent surgery. 20 (11.6%) patients had exploration, 68 (39.5%) underwent primary repair, 53 (30.8%) had autogenous vein graft interposition, 13 (7.5%) had reconstruction with synthetic grafts, and 18 (%10.4) had ligation. The shape and location of injury, lack of additional lesions and early surgical intervention were found to be the most important factors determining the morbidity and mortality. In vascular injuries, early hemostasis, rapid transport, appropriate anticoagulant and antibiotic use and an experienced surgical team reduced morbidity and mortality rates.

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