Penetrating Peripheral Vascular Injuries
Yüksel Dereli1, Ramis Özdemir1, Nihan Kayalar2, Musa Ağrış1, Kemalettin Hoşgör1, Ali Suat Özdiş11Departmant Of Cardiovascular Surgery, Numune State Hospital, Konya2Departmant Of Cardiovascular Surgery, Bağcılar Training And Research Hospital, Istanbul
Objective: We evaluated the surgical treatment of patients with penetrating peripheral vascular injury.
Material and Methods: Between January 2005 and January 2011, a total of 231 patients (184 male, 47 female and mean age 29.80 years) who underwent surgical treatment for penetrating peripheral vascular injury were evaluated retrospectively.
Results: The causes of injuries were stab wounds in 205 (88.74%) cases and gunshot wounds in 26 (11.26%) cases. Injuries were in the upper extremity in 144 (62.33%) cases and in the lower extremity in 87 (37.67%) cases. The most common anatomical locations of vascular injuries were the radial artery (54 lesions) and superficial femoral artery (37 lesions). As treatment; primary suture in 69 (29.87%) patients, end to end anastomosis in 97 (41.99%) patients, otogenous saphenous vein interposition in 33 (14.28%) patients, synthetic graft interposition in 11 (4.76%) patients and simple ligation in 21 (9.10%) patients were performed. Amputations were performed in 6 (2.59%) patients. Mortality rate was 1.29% with 3 cases.
Conclusion: Early diagnosis, urgent surgical intervention, and replacement of fluid and blood play a significant role in decreasing mortality and morbidity.
Penetran Periferik Vasküler Yaralanmalar
Yüksel Dereli1, Ramis Özdemir1, Nihan Kayalar2, Musa Ağrış1, Kemalettin Hoşgör1, Ali Suat Özdiş11Numune Hastanesi, Kalp Ve Damar Cerrahisi Kliniği, Konya2Bağcılar Eğitim Araştırma Hastanesi, Kalp Ve Damar Cerrahisi Kliniği, İstanbul
Amaç: Penetran periferik vasküler yaralanma tanısıyla cerrahi tedavi uygulanan olgular değerlendirildi.
Gereç ve Yöntemler: Ocak 2005 ile Ocak 2011 tarihleri arasında, penetran periferik vasküler yaralanma tanısıyla cerrahi tedavi uygulanan 231 hasta (184 erkek, 47 kadın ve ortalama yaş 29.80) retrospektif olarak incelendi.
Bulgular: Etiyoloji 205 (%88.74) olguda kesici - delici alet yaralanması ve 26 (%11.26) olguda ateşli silah yaralanması idi. Yaralanma 144 (%62.33) olguda üst ekstremitede ve 87 (%37.67) olguda alt ekstremitede idi. Vasküler yaralanmaların en sık anatomik lokalizasyonu radial arter (54 lezyon) ve yüzeyel femoral arter (37 lezyon) idi. Tedavi olarak; 69 (%29.87) hastada primer tamir, 97 (%41.99) hastada uç-uca anastomoz, 33 (%14.28) hastada otojen safen ven interpozisyonu, 11 (%4.76) hastada sentetik greft interpozisyonu ve 21 (%9.10) hastada ligasyon uygulandı. 6 (%2.59) hastaya amputasyon uygulandı. Mortalite oranı 3 olgu ile %1.29 idi.
Sonuç: Periferik vasküler yaralanmalarda morbidite ve mortalitenin düşürülmesinde erken tanı, acil cerrahi müdahale, kan ve sıvı replasmanı önemli rol oynar.
Corresponding Author: Yüksel Dereli, Türkiye
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