Operative management of non-iatrogenic pediatric and adolescence peripheral arterial trauma: An experience from a resource challenged setting

Mousa, Ahmed; Zakaria, Ossama M; Hanbal, Ibrahim; Sultan, Tamer A; El-Gibaly, Amr M.; Zakaria, Mohamed Yahia; Nasr, Mohammed; Bosat, Bosat E.; Sharabi, Alaa; Neinaa, Mohamed; El‐Hamid, Mohamed Abd; Daoud, Mahmoud; Amin, Mahsoub M.; Odeh, Ahmad; Alhaieg, Omer M.; Farhan, Mohamed A.; Bubshait, Mohamed; Al-Mulhim, Abdul Rahman Saleh

doi:10.1016/j.asjsur.2018.09.012

Cited by 9 publications

(2 citation statements)

References 39 publications

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“…35 It has been postulated that following limb revascularization, prompt fasciotomy was accompanied by a four-fold decrease in both the rate of amputation and other relevant complications. 35,36 In our series, the amputation rate is much common in older children, as it was performed in patients above the age of 15 years. These results are similar to that reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…1,20,[23][24][25][26]30,31 The summary of our results in comparison to that reported in some literature reports are represented in (►Table 6). 1,20,[22][23][24][25][26]30,31,35 Despite acceptable vascular patency rate; a long-term functional outcome was developed in 23% of our treated patients during the 24month follow-up period. This functional disability may be considered as the most important and vexing aspect of pediatric vascular injuries.…”

Section: Discussionmentioning

confidence: 99%

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Reliability of the Mangled Extremity Severity Score in the Management of Peripheral Vascular Injuries in Children: A Retrospective Review

et al. 2020

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This study was aimed to evaluate different management modalities for peripheral vascular trauma in children, with the aid of the Mangled Extremity Severity Score (MESS). A single-center retrospective analysis took place between 2010 and 2017 at University Hospitals, having emergencies and critical care centers. Different types of vascular repair were adopted by skillful vascular experts and highly trained pediatric surgeons. Patients were divided into three different age groups. Group I included those children between 5 and 10 years; group II involved pediatrics between 11 and 15 years; while children between 16 and 21 years participated in group III. We recruited 183 children with peripheral vascular injuries. They were 87% males and 13% females, with the mean age of 14.72 ± 04. Arteriorrhaphy was performed in 32%; end-to-end anastomosis and natural vein graft were adopted in 40.5 and 49%, respectively. On the other hand, 10.5% underwent bypass surgery. The age groups I and II are highly susceptible to penetrating trauma (p = 0.001), while patients with an extreme age (i.e., group III) are more susceptible to blunt injury (p = 0.001). The MESS has a significant correlation to both age groups I and II (p = 0.001). Vein patch angioplasty and end-to-end primary repair should be adopted as the main treatment options for the repair of extremity vascular injuries in children. Moreover, other treatment modalities, such as repair with autologous vein graft/bypass surgery, may be adopted whenever possible. They are cost-effective, reliable, and simple techniques with fewer postoperative complication, especially in poor/limited resources.

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Section: Discussionmentioning

confidence: 99%