Vascular Trauma: Our Experience at Tertiary Level Hospital
Introduction: Vascular injuries of extremities are a very important cause of morbidity and mortality in the society. The incidence of vascular trauma has increased considerably during the past few decades.
Materials and Methods: This study was conducted at a tertiary level hospital over a period of 6 years. A total number of 690 patients presented with extremity vascular trauma that underwent the operative procedure. Patients with isolated venous trauma, unsalvageable extremity injury requiring primary amputation, trauma with severe multiple system involvement, and patients presenting more than 100 h after injury were excluded from the study. This study was done to evaluate the mode and type of injuries, arteries involved and methods to re-establish vascular continuity, and end result of the vascular intervention.
Results: Six hundred ninety patients, including 660 (95.6%) men and 30 (4.3%) women, were operated. Most of the patients (55.4%) were between 20 and 40 years old. The most common cause of vascular injury was road traffic accidents (93%). The most common artery involved was popliteal artery and contusion was the most common pattern of injury. Interposition vein graft was the most common mode of repair. Over all limb salvage rate was 79%.
Conclusion: Vascular injury to extremity requires prompt recognition and referral to a vascular center. Immediate revascularization has excellent results and less morbidity.