The Comparison of the results of open vascular surgery interventions in patients with arterial injury caused by penetrating trauma below the knee in the Vascular Surgery Center of Golestan Ahvaz Hospital
DOI:
https://doi.org/10.63053/ijhes.45Keywords:
Vascular injuries, penetrating trauma, vascular interventionsAbstract
Vascular damage is one of the life-threatening emergency situations and is considered one of the most common causes of death worldwide. Considering the frequency of penetrating vascular injuries, especially in our country and Khuzestan province, as well as complications and mortality caused by vascular injuries, this study was designed to investigate the effect of vascular surgery intervention on patients with arterial trauma trauma below the knee.
Method:
In this descriptive and analytical study, all trauma patients suspected of penetrating arterial injuries below the knee in terms of parameters of age, gender, type of trauma, location of trauma, type of intervention, location of arterial repair, angiographic and clinical findings including damaged arteries, type of injury Arterials were also examined for the presence of fracture or dislocation in the vicinity of vascular damage.
Results:
The results of this study showed that among the penetrating trauma patients requiring surgical intervention, 89.1% were men and only 10.9% were women. The average age of the patients was 35 years. The most frequent trauma requiring surgical intervention in this study was the trauma caused by firearms (gunshot and shotgun) and the least urban and occupational trauma. There was a significant relationship between trauma.
The highest rate of injury was to the popliteal artery below the knee (8.47%), and the most vascular intervention was saphenous vein entrapment. 9.73% of the patients had a fracture injury and 3.16% had a dislocation with vascular injury.
Conclusion:
According to the results of the present study, the association of vascular injuries with orthopedic fractures was higher and mostly in the popliteal region. Complications including infection, fasciotomy, reperfusion syndrome and amputation have a direct and significant relationship with the type of penetrating trauma.
References
Ghaffari S, Shayesteh Azar M, Farsavian H , Razavipour S-M , Gouran SH. Investigation of the frequency of orthopedic injures in traumatic patients requiring vascular surgery intervention referred ti Imam Khomeini hospital in Sari during 2016-2017: A retrospective study. URMIA MED J 2020: 30(10):771-778.
Beck B, Smith K, Mercier E. Differences in the epidemiology of out-of-hospital and in-hospital trauma deaths. PLoS One. 2019;14
Roberts Z., Collins J.A., James D. Epidemiology of adolescent trauma in England: a review of TARN data 2008–2017. Emerg Med J. 2019 pii: emermed-2018-208329
Liu JL, Li JY, Jiang P, Jia W, Tian X, Cheng ZY, Zhang YX. Literature review of peripheral vascular trauma: Is the era of intervention coming? Chin J Traumatol. 2020 Feb;23(1):5-9.
Durso AM, Paes FM, Caban K, Danton G, Braga TA, Sanchez A, Munera F. Evaluation of penetrating abdominal and pelvic trauma. European journal of radiology. 2020 Sep 1;130:109187.
Paes F.M, Durso A.M, Pinto D.S. et al. Diagnostic performance of triple-contrast versus single-contrast multi-detector computed tomography for the evaluation of penetrating bowel injury. Emerg Radiol 2022;29:519–529.
Chung KC, Yoneda H. Surgical management of severe upper extremity injury. UpToDate. 2019.
Lyaker MR, Tulman DB, Dimitrova GT, Pin RH, Papadimos TJ. Arterial embolism. Int J Crit Illn Inj Sci. 2013;3(1):77-87
Huber GH, Manna B. Vascular Extremity Trauma. In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2019
Usman R, Jamil M, Anwer MF. Evaluation, surgical management and outcome of traumatic extremity vascular injuries: a 5-year level-1 trauma centres experience. Annals of Vascular Diseases. 2018 Sep 25;11(3):312-7.
Garshasbi M, Mahboubi M.J, Hassani M. Evaluation of Vascular Injuries Caused by Trauma, Surgery and Complications. Trauma Monthly, 2022; 27(3): 459-463. doi: 10.30491/tm.2022.287199.1305
Dolatabadi A.A, Kariman H, Alimohammadi H, et al. Trauma from violence and strife among patients referred to the emergency department: An epidemiologic study. Iran J Basic Med Sci. 2016;4:9-14.
Ghaffari S, Shayesteh Azar M ,Farsavian H , Razavipour S.M , Gouran SH. INVESTIGATION OF THE FREQUENCY OF ORTHOPEDIC INJURIES IN TRAUMATIC PATIENTS REQUIRING VASCULAR SURGERY INTERVENTION REFERRED TO IMAM KHOMEINI HOSPITAL IN SARI DURING 2016-2017: A RETROSPECTIVE STUDY. Urmia Medical Journal. January 2020;30(10) :771-778.
Thakur UK, Savlania A, Sahoo S, Pandey A. Lower Extremity Arterial Injuries: Impact of Time of Presentation, Type of Injury and Therapeutic Strategy With Limb Salvage at One Month. European Journal of Vascular and Endovascular Surgery 2019;58(6):775-776.
Vielgut I, Gregori M, Holzer LA, Glehr M, Hashemi S, Platzer P, et al. Limb salvage and functional outcomes among patients with traumatic popliteal artery injury: a review of 64 cases. Wien Klin Wochenschr. 2015; 127:561-6
Asghar MS, Ammar AS, Naz S, Anwar J, Afzal A, Musaab M. An outcome of emergency vascular surgery performed by general surgeons; our experience in a university hospital of Pakistan and can they substitute vascular surgeons? J Pak Med Assoc. 2022 Aug;72(8):1497-1501. doi: 10.47391/JPMA.3015. PMID: 36280908.
Alam H.B, DiMusto P.D. Management of Lower Extremity Vascular Trauma. Curr Trauma Rep 2015;1:61–68
Xu Y, Xu W, Wang A, et al. Diagnosis and treatment of traumatic vascular injury of limbs in military and emergency medicine: A systematic review. Medicine (Baltimore). 20
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Authors
This work is licensed under a Creative Commons Attribution 4.0 International License.
The journal is licensed under a Attribution 4.0 International (CC BY 4.0).
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution - You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions - You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
