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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2017 / Cilt: 23 - Sayı: 3

A surgical approach to iatrogenic vascular injuries in pediatric cases

YÜKSEL BEŞİR
ORHAN GÖKALP
Börteçin EYGİ
Banu Bahriye LAFÇI
GAMZE GÖKALP
LEVENT YILIK
Hasan İNER
ALİ GÜRBÜZ
Pages
217–222
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The results of surgical repairs in these injuries are successful and efficient

📌 3 Key Takeaways

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Objective & Hypothesis:BACKGROUND: Surgical intervention is mandatory in many children who present with vascular trauma or in complicated cases after medical interventions.
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Key Findings & Data:METHODS: Between January 2002 and December 2012, 17 patients (aged under 18) who were admitted to the emergency room with vascular injuries were retrospectively analyzed.
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Conclusion & Impact:The results of surgical repairs in these injuries are successful and efficient
🔬Design:Research Article
📍Scope:2002 Verileri
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: Surgical intervention is mandatory in many children who present with vascular trauma or in complicated cases after medical interventions. In this study, surgical interventions applied after vascular injuries in children were analyzed. METHODS: Between January 2002 and December 2012, 17 patients (aged under 18) who were admitted to the emergency room with vascular injuries were retrospectively analyzed. The data was collected through hospital records. Preoperative and postoperative data of the patients were recorded and analyzed. RESULTS: Of the total, 11 patients were female (64.7%) and 6 patients were male (35.3%) with a range of 4–192 months. In total, 14 (82.3%) injuries were due to angiographic interventions, 1 (5.9%) was due to external trauma, 1 (5.9%) was due to preoperative trauma, and 1 (5.9%) was due to a catheterization complication in the intensive care unit. Additionally, 11 (64.7%) injuries were located in the right femoral artery, 3 (17.6%) were located in the left femoral artery, 2 (11.8%) were located in the left brachial artery, and 1 (5.9%) was located in the left external iliac vein. Also, 5 (29.4%) patients were managed under local anesthesia and 12 (70.6%) patients were managed under general anesthesia. With respect to treatment, 15 (88.2%) injuries were repaired with primary sutures, 1 (5.9%) injury was repaired with an end-to-end anastomosis, and 1 (5.9%) injury was repaired with a saphenous vein graft interposition. In addition, 16 (94.1%) patients underwent a thrombectomy prior to the repair. The total hospital stay was calculated as 2.7±1.4 days. The intensive care unit stay was calculated as 1.1±0.4 days. There was no mortality, a loss of an injured extremity, or an infection. No other complication was detected.CONCLUSION: Iatrogenic interventional procedures seem to be responsible for the majority of pediatric vascular injuries. The results of surgical repairs in these injuries are successful and efficient

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Cite This Article

BEŞİR, Y., GÖKALP, O., EYGİ, B., LAFÇI, B. B., GÖKALP, G., YILIK, L., İNER, H., GÜRBÜZ, A. (2017). A surgical approach to iatrogenic vascular injuries in pediatric cases. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 23 - Sayı: 3, 217–222. https://ajindex.com/articles/323661

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