OUR APPROACH TO VASCULAR INJURIES

Abstract

This study aims to evaluate our clinics' approach to vascular injuries In the light of literature. In the civilian life penetrating traumas, and blunt traumas contribute around 60-65% , and 35-41% of the vascular injuries respectively. The rate of amputation necessitating after these injuries varies among 1.5 -25%. The factors that effect this rate are the time of diagnosis, technique performed and post-op therapy. In this study 190 cases which were admitted to the Emergency Department, are evaluated retrospectively. 163 (86%) patients were cured. 12 (6%) patients died because of politrauma and hypovolemic shock. In 15 (8 %) patients amputation was performed. Three of these patients (1%) had primary amputation. All of the amputations are performed in the blunt trauma group. Our results show that popliteal artery injury in blunt traumas has the greatest importance. Absolute findings of vascular injury necessitates exploration. In doubt duplex sonogram and angiography are helpful. Per-op angiography after reconstruction reduces the morbidity rate.