Our experiences with the surgical repair of traumatic vascular injuries

Abstract

Objectives:The aim of this study is to report our experiences about the surgical repair of traumatic vascular injuries.Patients and methods: Between January 2011 and July 2019, 164 patients (151 males, 13 females; mean age 35.6±13.8 years; range, 6 to 77 years) who underwent emergency surgery due to vascular injuries were included in this retrospective study. Operative techniques, causes for injury, and patient outcomes were analyzed. Data were collected from the patient records.Results: Repair for major arterial injury was performed in 149 patients and 59 of them had a major venous injury. Of 149 patients, 18 had an only major arterial injury. Seven patients had an only major venous injury. Exploration and ligation of bleeding of the small arteries and veins were performed in eight patients. Primary repair with end-to-end anastomosis in 85 arterial and 20 venous injuries was performed. Autologous vein graft interpositioning was performed in 36 arterial and 16 venous injuries. Lateral wall repair was performed in nine arterial and eight venous injuries. Ligation was performed in 25 arterial and 20 venous injuries. An 8-mm biological graft interpositioning was performed to both popliteal artery and popliteal vein in one patient with a gunshot wound. Externally supported polytetrafluoroethylene synthetic graft interposition was performed in five arterial injuries. A 6-mm Dacron graft was placed in one patient. Thoracic endovascular aorta repair was performed in one patient with a descending thoracic aortic rupture. Conclusion:Peripheral vascular injuries should be kept in mind in trauma patients and detected vascular injuries should be repaired as soon as possible after a detailed vascular examination.

Management of traumatic extremity arterial injuries in a tertiary care center: A report with 197 cases

“…[10] Ekim and Tuncer [12] performed end-to-end anastomosis in 28 of 49 cases in the management of brachial artery injuries. This technique was also the most preferred treatment option in the management of traumatic vascular injuries by Halıcı et al [11] In parallel with the literature, in present study, SFG and primary repair were the most frequently performed methods for TEAI.…”

“…The type of vessel injured plays an important role in the treatment decision and in determining the patient's chances of survival. Halıcı et al [11] showed that radial artery and popliteal arteries were most commonly injured arteries in the upper and lower extremity, respectively. However, Khan et al [2] found popliteal artery to be the most commonly injured lower extremity artery, while they found brachial artery was the most common injured in the upper extremity.…”

Single Center Experience in Vascular and Endovascular Surgery during the COVID-19 Pandemic: Walking on the Icy Road

“…[4] These life-threatening serious injuries can cause loss of limb function or limb loss if they are not treated timely and appropriately. [4,6] Multisystemic organ failure associated with COVID-19 requires a multidisciplinary approach by many specialists. Among these, radiologists, neurologists, cardiovascular surgeons and cardiologists with interventional radiology experience play an important role in this field.…”

“…The patients in the vascular surgery group were evaluated retrospectively in terms of accompanying comorbid diseases, injury sites, type of anesthesia, surgical procedure, operation time, complications, intensive care and hospital stay and followup results. [4,6] The patients in the interventional group were evaluated retrospectively in terms of comorbid diseases, type of interventional or endovascular treatments, duration of procedure, type of anesthesia, and complications. [7] The demographic data and procedural details of both groups are shown in Table 1 and Table 2.…”

“…After the operation, antibiotherapy and low molecular weight heparin were started during their hospitalization. [4,6] In addition, the necessary medications were added to the patients whose COVID-19 PCR test was positive. Later, the follow-up of the patients was continued with the infection and microbiology physician.…”