Management of Open Vascular Injuries in the Lower Extremities (Report of 25 Cases）_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

HE Chunshui , HE Yanzheng , ZHONG Wu , ZENG Hong , LI Huaqiao , ZENG Wei

Department of Vascular Surgery, The Affiliated Hospital of Luzhou Medical College, Luzhou 646000, China;

Corresponding author：

Keywords：

Lower extremity; Vascular injury; Diagnosis; Treatment

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ObjectiveTo discuss the diagnosis, treatment and clinical characteristics of open vascular injuries in the lower extremities and summarize our experiences. Methods To review the records of patients sustained an open injuries to the lower extremities vessel between 1999 and 2001 retrospectively. The clinical, operative findings and prognosis were collected and studied.ResultsAll 25 patients received emergency surgical treatment to repair the vascular injuries. It included 18 with isolated arterial injuries and 7 with combined arteriovenous injuries. Saphenous vein grafts were placed in 5 patients and vascular prostheses were placed in 5 patients with arterial injuries.Twentyfour patients were cured (96%), and 1 graft obstruction occurred (could not be contacted 40 days after operation). ConclusionOpen vascular injuries in the lower extremities should be diagnosed and treated as early as possible. The aim of the operation is to repair or reconstruct the injured vessel and to lower the mortality and morbidity rate.

Citation： HE Chunshui,HE Yanzheng,ZHONG Wu,ZENG Hong,LI Huaqiao,ZENG Wei. Management of Open Vascular Injuries in the Lower Extremities (Report of 25 Cases）. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2003, 10(3): 272-274. doi: Copy

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1. Howard CA, Thal ER, Redman HC, et al. Intraarterial digital subtraction angiography in the evaluation of peripheral vascular trauma [J]. Ann Surg, 1989； 210(1)∶108.
2. Schwartz M, Weaver F, Yellin A, et al. The utility of color flow Doppler examination in penetrating extremity arterial trauma [J]. Am Surg, 1993； 59(6)∶375.
3. Ciervo A, Dardik H, Qin F, et al. The tourniquet revisited as an adjunct to lower limb revascularization [J]. J Vasc Surg, 2000； 31(3)∶436.
4. Martin LC, McKenney MG, Sosa JL, et al. Management of lower extremity arterial trauma[J]. J Trauma, 1994； 37(4)∶591.
5. Carrillo EH, Spain DA, Wilson MA, et al. Alternatives in the management of penetrating injuries to the iliac vessels [J]. J Trauma, 1998； 44(6)∶1024.
6. Abouezzi Z, Nassoura Z, Ivatury RR, et al. A critical reappraisal of indications for fasciotomy after extremity vascular trauma [J]. Arch Surg,1998； 133(5)∶547.
7. Hofmeister EP, Shin AY. The role of prophylactic fasciotomy and medical treatment in limb ischemia and revascularization[J]. Hand Clin, 1998； 14(3)∶457.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Management of Open Vascular Injuries in the Lower Extremities (Report of 25 Cases）

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