Traumatismes artériels des membres supérieurs : particularités de la population en Tunisie et facteurs de risque d’amputation

Derbel, Bilel; Ziadi, J.; Daoud, Zied; Souiden, S.; Miri, Rim; Mrad, M. Ben; Ghedira, F.; Omrane, S. Ben; Denguir, Raouf

doi:10.1016/j.ancard.2020.03.015

Cited by 5 publications

(1 citation statement)

References 21 publications

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“…These close relationships between the axillary vascular pedicle and the brachial plexus explain the frequency of associated vascular and nerve damage during trauma to the axillary region. These traumas can be direct, e.g., during the attack by a knife or firearm [4] [5] or indirect during a fracture of the upper extremity of the humerus [6] [7] [8].…”

Section: Introductionmentioning

confidence: 99%

Axillary Vessels and Brachial Plexus Traumas in Abidjan: Lesional Aspects and Surgical Difficulties

Kirioua-Kamenan,

Lucien Asseke,

Degré

et al. 2023

WJCS

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Introduction-Objectives: Through the presentation of epidemiological, anatomo-clinical and surgical aspects, we report our experience in the management of traumatic axillary lesions. Materials and Methods: A descriptive retrospective study was based on the medical records of patients who suffered vascular axillary and/or brachial plexus trauma and who underwent surgical repair at the Abidjan Cardiology Institute from January 2008 to June 2022. Epidemiological, anatomo-clinical and surgical data were studied. Results: Thirty-four medical files belonging to 33 men and one woman, aged 32 on average, were collected. The circumstances of occurrence were dominated by the stab wound (n = 22). The combinations of injuries were as follows: associated involvement of the axillary artery and vein (n = 4); isolated involvement of axillary artery (n = 3); isolated involvement of the axillary vein (n = 2); associated involvement of the axillary artery and brachial plexus (n = 17); associated involvement of the axillary artery and vein and brachial plexus (n = 08). Anatomic lesions included acute arterial lesions (n = 29) and arteriovenous fistula (n = 1) and false aneurysms (n = 4). All patients were operated on under general anesthesia; vascular repair included direct suturing (n = 16), arterial and venous bypass using a long saphenous graft (n = 9), prosthetic arterial bypass (n = 5) and prosthetic flattening-graft (n = 4). Brachial plexus surgery consisted of an end-to-end anastomosis of each transected bundle in all cases (n = 25). The medium-term postoperative course was marked by success without functional sequelae in 88.24% of cases (n = 30

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