MANAGEMENT IN VASCULAR INJURIES OF THE EXTREMITIES
MEHMET KURTOĞLU, CEMALETTİN ERTEKİN, TÜRKER BULUT, SAMAN BELGERDEN
İstanbul Üniversitesi, Tıp Fakültesi Acil Cerrahi Birimi ÇAPA/İSTANBUL
Abstract
In between the years 1984-1989, 115 arterial injuries were admitted to the Emergency Surgery Unit of İstanbul Medical Faculty. Seventy two patients (%62) had upper extremity and fourty three patients (%38) had lower extremity injuries. 28 of these cases (%24) were due to blunt trauma, angiographic studies were obtained in 26 patients. There were 9,5 percent mortality and 7 percent extremity amputation rate. We conclude that arterial injuries deserves early recognition, rapid fixation of osseous injuries, wide debridement and fasciotomy in blunt injuries and proper antimicrobial therapy.