AI Summary & Key Takeaways
AI InsightAt the military vascular injuries, the surgeon must be quick, experienced, equipped and determined..
📌 3 Key Takeaways
Abstract
From January 1995 to December 1999,63 patients with vascular injuries caused by high-velocity military missiles were admitted to our hospital in a period of 15 minutes to 10 hours (mean 2,3 hours). There were 58 (76,3%) arterial and 18 (23,7%) venous injuries. Vascular injuries concomitant with 28 (36,9%) bone fracture, 6 (7,9%) nerve injuries, 9(11,8%) hemopneumothorax and 1 (1,3%) abdominal injuries. The treatment of the injured arteries were 39 (51,3%) saphenous vein interposition grafting, 13 (17,1%) end to end anastomosis, 12 (15,7%) primary suture, 7 (9,2%) synthetic graft replacement and 5 (6,6%) ligation. Three patients (3,9%) died because of hipovolemic shock. Five patients undervent amputation (6,6%) and fasciotomy was performed after vascular repair in 11 cases 14,5%). At the military vascular injuries, the surgeon must be quick, experienced, equipped and determined..
Özet
Ocak 1995-Aralık 1999 tarihleri arasında acil servisimize ateşli silah yaralanması nedeniyle kabul edilen 63 olgu ortalama 2,3 saat (15dak-10saat) içinde başvurmuştur. Damar yaralanmalarının 58 (%76,3) tanesi arteriel, 18 (%23,7) tanesi venöz yaralanmadır. Bu yaralanmalara 28 (%36,9) kemik kırığı, 6 (%7,9) sinir hasarı, 9 (%11,8) hemopönomotoraks, 1 (%1,3) batın travması eşlik etmektedir. Cerrahi tedavi olarak safen interpozisyonu 39 olguda (%51,3), ucuca anastomoz 13 olguda (%17,1), primer onarım 12 olguda (%15,7), sentetik damar grefti 7 olguda (%9,2) ve ligasyon 5 olguda (%6,6) uygulanmıştır. 3 olgu (%3,9) hipovolemik şok nedeniyle eksitus olmuştur. 5 olguya (%6,6) amputasyon, 11 olguya (%14,5) fasiyotomi uygulanmıştır. Ateşli silahlarla oluşan damar yaralanmalarında hızlı, deneyimli, donanımlı ve kararlı olmamız gerekir.