Author/Authors :
Yazıcı, Süleyman Dicle Üniversitesi - Tıp Fakültesi - Kalp ve Damar Cerrahisi, Türkiye , Karahan, Oğuz Dicle Üniversitesi - Tıp Fakültesi - Kalp ve Damar Cerrahisi Anabilim Dalı, Turkey , Güçlü, Orkut Dicle Üniversitesi - Tıp Fakültesi - Kalp ve Damar Cerrahisi, Türkiye , Yavuz, Celal Dicle Üniversitesi - Tıp Fakültesi - Kalp Damar Cerrahisi Anabilim Dalı, Turkey , Demirtaş, Sinan Dicle Üniversitesi - Tıp Fakültesi - Kalp Damar Cerrahisi Anabilim Dalı, Türkiye , Çalışkan, Ahmet Dicle Üniversitesi - Tıp Fakültesi - Kalp ve Damar Cerrahisi Anabilim Dalı, Türkiye , Tezcan, Orhan Dicle Üniversitesi - Tıp Fakültesi - Kalp ve Damar Cerrahisi, Türkiye , Mavitas, Binali Dicle University - Medical School - Department of Cardiovascular Surgery, Turkey
Abstract :
Objective: In the current study, peripheral vascular injuries caused from weapons and the associated clinical outcomes were retrospectively investigated. Methods: Two hundred patients who received a surgical procedure for a vascular injury between January 2009 and December 2011 were included in the study. The patients were evaluated retrospectively; type of injury, localization, characteristics, and type of surgical application were classified. Results: Weapon-related penetrating injuries were classified as gunshot injuries (n=55, 28%), stab wounds (n = 143, 71%), and mine injuries (n= 2, 1%). There were 77 interposition applications (71 arterial and 6 venous) with saphene vein grafts, 16 arterial interposition applications with polytetrafluoroethylene grafts, and 11 venous ligations. A total of 170 direct repairs (134 arterial and 36 venous) were performed. Postoperative amputation was required in none of the cases, advanced intensive care unit follow-up was required for four patients (2%; two cases were referred with hypovolemic shock and two case were referred with asystole), and a postoperative follow-up period for any mortality was not observed. Conclusion: Some regions contain higher levels of war injuries. Therefore, these regions require specialized intervention centres. A large amount of these injuries are vascular, and surgery and rapid interventions are essential for reducing mortality and morbidity rates. Successful results can be obtained in these cases through the collaboration of various medical disciplines.
