PERIPHERAL VASCULAR TRAUMA- A LIMB MAY BE SAVED
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 14
Abstract
BACKGROUND The incidence of vascular trauma has increased considerably during the past 40 years. Although, they represent less than 3% of all injuries, they deserve special attention because of complications and limb loss. MATERIALS AND METHODS This was a descriptive study. Over a period of one year, 98 patients were operated for peripheral vascular injuries. Physical examination was used for diagnosis with the use of duplex ultrasonography/ CT angiography where needed. Vascular repair was carried out in terms of primary repair or interposition vein graft and fasciotomy was considered as and when required. Patients with non-salvageable extremity requiring primary amputation were excluded from the study. RESULTS Most of the patients were male. Most common cause was road traffic accidents. Occurrence of concomitant orthopaedic injuries was very high in this study. The commonly injured artery was popliteal artery (38.7%) and brachial artery (27.5%). Surgical procedures performed were interposition vein grafts in 54% cases, whereas end-to-end repair in 20.4% cases. The limb salvage rate was 76.53%. CONCLUSION Early diagnosis and treatment of vascular injury is important for limb salvage. Patients should be surgically intervened even after golden period has passed, because with limb or without limb matters a lot.
Authors and Affiliations
Hemlata Verma, Ram Swaroop Sain, Deepak Sethi, Anjali Sethi
Keywords
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- EP ID EP414337
- DOI 10.14260/jemds/2018/391
- Views 83
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