M M Harjai1, D C Agarwal2, S Kumar3, P Dave4, S S Jog5. 1. Classified Specialist (Surg and Paed Surg), AH (R&R), Delhi Cantt. 2. Senior Advisor (Surg), Base Hosp, Lucknow. 3. Classified Specialist (Surg), MH(CTC), Pune. 4. Classified Specialist (Surg), MH Ahmadnagar. 5. Ex-Commandant, 166 MH, C/o 56 APO.
Abstract
BACKGROUND: The extremity gunshot wound (GSW) and penetrating splinter injuries from mine blast present a surgical challenge in the treatment of arterial trauma especially at non-vascular surgery centre. Adherence to specific principles of management is required for optimal limb salvage. METHODS: Fourteen vascular injuries in patients of GSW and mine explosions were managed at a zonal military hospital with successful outcome in two years. The diagnosis of arterial injury was done clinically. RESULTS: The commonest site of vascular injury was femoral. The methods of choice for repair were autogenous vein interposition or end-to-end anastomosis. All except for two patients retained a functional limb. CONCLUSION: All surgeons in peripheral hospitals should be trained in vascular injury repair to save life and limb. Our series shows that right timing and prompt treatment of vascular injuries in a peripheral hospital, can give satisfactory results.
BACKGROUND: The extremity gunshot wound (GSW) and penetrating splinter injuries from mine blast present a surgical challenge in the treatment of arterial trauma especially at non-vascular surgery centre. Adherence to specific principles of management is required for optimal limb salvage. METHODS: Fourteen vascular injuries in patients of GSW and mine explosions were managed at a zonal military hospital with successful outcome in two years. The diagnosis of arterial injury was done clinically. RESULTS: The commonest site of vascular injury was femoral. The methods of choice for repair were autogenous vein interposition or end-to-end anastomosis. All except for two patients retained a functional limb. CONCLUSION: All surgeons in peripheral hospitals should be trained in vascular injury repair to save life and limb. Our series shows that right timing and prompt treatment of vascular injuries in a peripheral hospital, can give satisfactory results.
Authors: M M Velinovic; B L Davidovic; I S Lotina; R M Vranes; L P Djukic; J V Arsov; V M Ristic; J M Kocica; L P Petrovic Journal: Cardiovasc Surg Date: 2000-06
Authors: A N Katsamouris; K Steriopoulos; P Katonis; K Christou; J Drositis; T Lefaki; S Vassilakis; E Dretakis Journal: Eur J Vasc Endovasc Surg Date: 1995-01 Impact factor: 7.069