The Turkish Journal of Vascular Surgery

Yazarlar: Ali GÜRBÜZ, Kazım ERGÜNEŞ, Levent YILIK, Cengiz ÖZBEK, Nagahan KARAHAN, Kıvanç BAYATLI, Ahmet ÖZELÇİ

Konular:-

Anahtar Kelimeler:Upper extremity,Arterial injury,Diagnosis,Surgical treatment

Özet: Pupose: Our aim in this retrospective study is to analyze our strategies for management and surgical treatment of traumatic upper extremity arterial injury. Methods: 147 patients with traumatic upper extremity arterial injuries were operated in our clinic between the dates August, 1996 -December, 2005. The 136 patients were male, 11 patients were female and their ages ranged from 7 to 75 years (average 28 years). 116 of 147 patients had penetrating injuries, 16 of them had shotgun injuries and 15 of them had blunt trauma injuries. Results: Arterial repair method for all of the 199 arterial injuries were end-to-end anastomosis in 103, reverse saphenous vein graft interposition graft in 61, primary repair in 30, and ligation in 5 injury. Venous continuity was provided in 21 of 28 patients who have major venous injuries. Forty-nine of 147 patients had peripheral nerve injury. Amputation has been performed in one case. There was no mortality. Conclusion: We believe that good result can be achieved by careful physical examination and by Doppler ultrasonographic examination. Traumatic neurologic injury frequently leads to disability of the extremities. (Turkish J Vasc Surg 2006;15(2):39-44).

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