Factors Affecting the Outcome of Peripheral Vascular Trauma

  • Shabeeh Nasar Chirayu Medical College, Bhopal, Madhya Pradesh, India
Keywords: Outcome, Peripheral, Vascular Trauma

Abstract

Introduction: Vascular injury occurs in approximately 1-3% in all trauma patients, may lead to limb loss, severe disability, and even death. Vascular injury resulting from trauma is a leading cause of mortality and morbidity worldwide. Early recognition of vascular injuries is essential for prompt management. Delay may cause irreversible ischemic injuries which may result in impaired limb function or limb loss. The outcome of vascular trauma is dependent on many factors such as delay in revascularization, limb ischemia, and associated injuries Aim: The purpose of present study is to identify the various factors affecting the outcome of peripheral vascular trauma. Materials and Methods: The present study was conducted in the department of surgery, tertiary care hospital, India. This study was divided into 5 years retrospective (A) and 1 year prospective (B) study. Results: There were 100 patients who presented with vascular injuries of the extremities in Group A and 58 patients in Group B Functional outcome was 56% and 63.795% and mortality rate was 2% and 1.72% in both groups, respectively The major cause of limb loss was due to delay in presentation of more than 6 h after injury. Major vessels involved were brachial artery (32% and 29.31%), followed by radial artery (27% and 39.31%) in both groups, respectively. Conclusion: Vascular injuries are becoming a major contributor of limb loss in India due to high-speed motor vehicle accident, violence, factory mishaps, and unavailability of vascular facilities. This morbidity can be reduced by improving law and order situation, better working condition, evolving an effective emergency ambulatory system and with better training, and provision of vascular services in remote areas so that the delay factor can be reduced

Author Biography

Shabeeh Nasar, Chirayu Medical College, Bhopal, Madhya Pradesh, India

Associate Professor, Department of Surgery, 

Published
2016-10-30