Trauma vascular

Moreira, Ricardo

doi:10.1590/s1677-54492008000200018

Cited by 3 publications

(2 citation statements)

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“…T rauma due to violence and traffic accidents represents the major cause of mortality and morbidity related to external causes worldwide 1,2 . Besides limb amputation risk, vascular injuries are among the most frequent death mechanisms on traumatized patients, representing considerable demand on civilian and military hospitals [3][4][5] .…”

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

Vascular trauma in the Amazon - the challenge of great distances

Góes

Rodrigues

Braga

et al. 2015

Rev. Col. Bras. Cir.

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Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

Vascular trauma in the Amazon - the challenge of great distances

Góes

Rodrigues

Braga

et al. 2015

Rev. Col. Bras. Cir.

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“…3,4 This scenario has been found to be common in Brazilian hospitals providing urgent and emergency care in urban centers. 7 Modern agents of trauma, such as vehicles at high speed, modern weapons, highly inflammable materials and others, transmit high energy when they impact the human body and are capable of causing complex injuries to tissues, 1,2,8 and injuries to the head and brain and the blood vessels are the most common causes of mortality and morbidity. 7 As society modernizes, advances are also achieved in surgery and in techniques for rehabilitation, all over the world.…”

Section: Introductionmentioning

confidence: 99%

Vascular injuries in the state of Pará, Brazil, 2011-2013 and their relation with demographic and clinical variables

Soares¹,

Bastos²,

Junior³

et al. 2015

J. vasc. bras.

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Background: Vascular traumas are associated with high morbidity rates. Objective: To report the characteristics of vascular traumas in the Brazilian state of Pará, in trauma victims treated at the Hospital Metropolitano de Urgência e Emergência (HMUE), from 2011 to 2013. Method: This was a descriptive, cross-sectional, retrospective and quantitative study that analyzed data on sex, age group, geographical origin, time waiting for care, mechanism of trauma, clinical status, anatomic site of injury, prevalence of associated fractures, vascular structures injured, types of vascular injury, principal types of surgery, early postoperative outcomes, level of amputation, number of deaths, length of hospital stay and multidisciplinary care for 264 medical records. Results: The majority of victims were male and the most common age group was from 16 to 30 years. The majority of cases were from towns other than the state capital, accounting for 169 cases (64.02%). The principal mechanism of injury was firearm wounding -110 (41.67%) followed by cold weapon wounds -65 (24.62%) and traffic accidents -42 (15.91%). The segments of the body and the vascular structures most often injured were lower limbs -120 (45.45%) and injuries to the popliteal and femoral arteries and veins. The most common clinical presentation at admission was hemorrhage -154 (58.33%). The most common surgeries were ligatures of veins and arteries. There were 163 (61.74%) hospital discharges and 33 (12.5%) deaths. Conclusions: The greatest prevalence observed was related to traumas caused by urban violence. Victims were most frequently male, of working age and from towns other than the capital of the state of Pará.

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Vascular Trauma in the Amazon Region: A Two Years Cases Review From a Single Institution

Góes¹,

Rodrigues²,

Braga³

et al. 2014

Health

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Introduction: Vascular injuries are among the main mechanisms of death in trauma. In Brazil, the general surgeon is in charge of emergencies procedures in most hospitals, but many times these surgeons are not familiarized with more complex vascular surgical techniques that often require a vascular surgeon. Pará State is the most populated one in the Brazilian Amazon region and a single hospital with vascular surgeons permanently on call is available. Objectives: To evaluate demographic data on vascular trauma victims; to establish the mechanism, anatomic location, injury pattern and surgical techniques used to manage the vascular lesions treated at the Metropolitan Emergency Hospital; to ascertain associated non-vascular injuries and victim's clinical outcome. Methods: Medical records retrospective analysis of patients treated for vascular injuries from February 2011 to February 2013 at the institution in case. All arterial and venous injuries were analyzed. Patients who were not operated by the vascular surgery team, iatrogenic injuries and those who underwent primary or sustained traumatic amputation were excluded. Results: 173 cases; 95.95% were male; 54.90% were between 25 and 49 years; penetrating trauma mechanisms were found in 88.44%; lower limb was the most affected topography (41.50%); the most injured vessels were the superficial femoral and ulnar arteries (in 15.75% of cases each) and the superficial femoral vein (17.77%); autologous vein graft was the most performed technique for arterial repair (36.57%) and ligature was performed in 85.00% of venous trauma; amputation rate was 15.60% and mortality rate was 6.35%. Conclusions: Vascular injuries occurred predominantly in men from 24 to 49 years old; penetrating mechanisms were most frequent; lower limb was the most affected topography; the most frequently injured vessels were the ulnar and superficial femoral arteries and the superficial femoral vein; complete vessel transection was the most common injury pattern; arterial trauma was most frequently treated by autologous venous graft

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Trauma vascular

Cited by 3 publications

References 0 publications

Vascular trauma in the Amazon - the challenge of great distances

Vascular trauma in the Amazon - the challenge of great distances

Vascular injuries in the state of Pará, Brazil, 2011-2013 and their relation with demographic and clinical variables

Vascular Trauma in the Amazon Region: A Two Years Cases Review From a Single Institution

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