Jugulocarotid Trauma in Civil Practice: About Three (3) Cases

Abstract

Introduction: jugulocarotid trauma is rare and serious. They can be immediately life-threatening due to the impact of serious hemorrhage or obstruction of the upper airways. Objective: The objective of this work is to describe the clinical and therapeutic aspects of these lesions. Observations: The time taken to treat our patients was less than 12 hours in all our patients. A pressure dressing was placed in two patients. All our patients benefited from a preoperative assessment with Rh grouping and possibly a blood transfusion as needed. Exploratory cervicotomy was performed in all patients with, as appropriate, repair or ligation of the internal jugular vein and suture of the carotid wounds. All patients received antithrombotic treatment, antibiotic prophylaxis and analgesic treatment at the end of the procedure. The postoperative course was simple in all cases. Conclusion: vascular wounds of the neck constitute an emergency. Prehospital care is an essential step in the management of these lesions. Faced with massive hemorrhage, only immediate surgical exploration associated with resuscitation measures determines the survival of patients. In other cases, an imaging assessment may be necessary in stable patients.