Dergiler / Bozok Tıp Dergisi / 2019 / Cilt: 9 - Sayı: 3
VİSSERAL ADİPOZİTE İNDEKSİ İLE KORONER ARTER HASTALIĞI ARASINDAKİ İLİŞKİ The Relationship Between Visceral Adiposity Index And Coronary Artery Disease
- Dergi
- Bozok Tıp Dergisi
- Sayfa
- 129–133
- DOI
- —
Özet
ÖZET
Abstract
Objective: Limb loss following popliteal and infrapopliteal traumatic arterial injury has serious implicationson the patient’s life and functionality. The objective of this study is to review popliteal and infrapoplitealarterial injuries treated in our clinic retrospectively.Material and Methods: Between January 2012 and November 2018; 30 patients whom underwentemergency surgery due to traumatic popliteal and infrapopliteal arterial injuries were analyzed.Results: There were 27 (90%) males and 3 (10%) females. The mechanism of injuries was stab wounds in43% of the cases (Group 1), gunshot wounds in 23,3% (Group 2) and blunt trauma in 33.3% (Group 3). Themean MESS score was 3.90 in all cases, while it was 3.15±1.57 in Group 1, 4±0.82 in Group 2 and 4.8±1.32in Group 3. All 3 cases of amputation were resulted from blunt trauma. A shorter length of hospitalizationwas observed in patients with stab wounds compared to other injury types (p<0.001). Primary repair wasperformed in 8 (20.5%), reverse saphenous vein interposition in 20 (51.2%), and ligation was in 11 cases(28.2%). Compartment syndrome was developed in one patient in Group 1, 4 patients in Group 2 and 1 inGroup 3. Three patients were undergone in group 3.Conclusion: It is important to provide accurate and rapid diagnosis by physical examination, appropriateimaging methods and providing revascularization with appropriate methods and performing fasciotomy,when necessary, in order to save the patient and related extremity