Year 2020, Volume 4 , Issue 5, Pages 371 - 373 2020-05-01

Evaluation of peripheral vascular injuries treated with surgery: A retrospective cohort study
Cerrahi tedavi yapılan periferik vasküler yaralanmalarda değerlendirme: Retrospektif kohort çalışma

Kıvanç ATILGAN [1] , Zafer Cengiz ER [2]


Aim: Vascular injuries constitute 2-3% of the total injuries. Early diagnosis and emergent management of peripheral vascular injuries, which have high mortality and morbidity rates if inadequately managed, are particularly important. In this study, we aimed to evaluate the etiology and treatment results of patients who underwent surgical treatment due to peripheral vascular injury.
Methods: This research was designed as a retrospective cohort study. The etiologies, localizations, accompanying injuries, surgical methods, and results of 57 cases operated due to peripheral arterial injury in Yozgat State Hospital and Bozok University Research Hospital between 2012 and 2019 were evaluated.
Results: Fifty-two patients were male (91.23%) while 5 were female (8.77%). The mean age of all patients was 27.6 (10.5) years (range: 4 - 63 years). Among etiologies, injury due to sharp objects and firearms were significantly higher (n=34 (59.6%) and n=16 (28%), respectively). Traffic accidents were the cause in 5 (8.7%) cases and occupational accidents had occurred in 2 (3.5%) patients. Arterial injuries were detected in 33 (56.89%) upper extremities and 24 (41.87%) lower extremities. End-to-end anastomoses were performed in 29 cases, lateral arteriorrhaphy (primary repair) was performed in 24, autogenous saphenous vein interposition in 4 and ligation was performed in one patient. No cases required fasciotomy or amputation and one patient with a multi-trauma died. A secondary operation was needed for hematoma, thrombectomy, and anastomosis revision in seven, five and three cases, respectively.
Conclusion: In vascular injuries, after ensuring hemodynamic stability, the primary aim is providing the accurate operation approach in the shortest time to reduce morbidity and mortality. 

Amaç: Tüm travmaların %2 ila %3’ünü vasküler travmalar oluşturmaktadır. Etkin tedavi edilmediğinde mortalite ve morbidite oluşturan periferik damar yaralanmalarında erken tanı ve acil tedavinin önemi büyüktür. Bu çalışmada periferik vasküler yaralanmayla cerrahi tedavi uyguladığımız olguların etiyolojisi ve tedavi sonuçlarının değerlendirilmesini amaçladık.
Yöntemler: Bu çalışma retrospektif kohort çalışması olarak tasarlanmıştır. 2012 ve 2019 tarihleri arasında Yozgat Devlet Hastanesi ve Bozok Üniversitesi Araştırma Hastanesinde periferik arter yaralanması ile operasyona alınan 57 olgu etiyolojileri, lokalizasyonları, eşlik eden yaralanmalar, uygulanan cerrahi yöntemler ve sonuçları retrospektif olarak değerlendirildi.
Bulgular: Hastaların 52’si erkek (%91,23), 5’i kadın (%8,77), yaş ortalaması; 27,6 (10,5) (4-63 yaşları arasında) idi. Yaralanma etiyolojilerine bakıldığında kesici delici alet yaralanmalarında ve ateşli silah yaralanmalarında önemli bir artış izlendi. Kesici delici vakaların 34'ünde (%59,6) kesici delici alet, 16'sında (%28) ateşli silah yaralanmaları mevcuttu. Buna karşın, vakaların 5’inde (%8,7) vasküler yaralanmaya yol açan trafik kazası, 2’sinde (%3,5) iş kazası yaralanması gözlendi. Olguların, 33’ünde (%56,89) üst ekstremitede, 24’ünde (%41,37) ise alt ekstremitede arter yaralanması tespit edildi. 29 Vakada uç-uca anastomoz, 24’ünde lateral reperasyon (primer tamir), 4‘ünde otojen safen ven interpozisyonu ve 1 hastada ligasyon uygulandı. Multi-travmalı olan bir hastada mortalite gözlendi. Hiçbir hastada fasiyotomi ihtiyacı olmadı ve ampütasyon yapılmadı. 7 vakada hematom, 5 vakada postoperatif trombektomi, 3 vakada anastomoz revizyonu gerekti.
Sonuç: Vasküler yaralanmalarda, hemodinamik stabilitenin sağlanarak en kısa sürede en doğru operasyon yaklaşımının sağlanması morbidite ve mortalitenin azaltılmasında esastır. Zaman tetkik ikileminde, vakaya göre karar verilmesi hastalık yoktur hasta vardır ilkesi doğrultusunda her vakaya özel yaklaşımı gerekli kılmaktadır.

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Primary Language en
Subjects Cardiac and Cardiovascular Systems
Journal Section Research article
Authors

Orcid: 0000-0001-9907-9879
Author: Kıvanç ATILGAN (Primary Author)
Institution: TOBB ETÜ Hastanesi Kalp ve Damar Cerrahisi AD
Country: Turkey


Orcid: 0000-0001-7129-1157
Author: Zafer Cengiz ER
Institution: YOZGAT BOZOK ÜNİVERSİTESİ, TIP FAKÜLTESİ
Country: Turkey


Dates

Publication Date : May 1, 2020

Bibtex @research article { josam729546, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {371 - 373}, doi = {10.28982/josam.729546}, title = {Evaluation of peripheral vascular injuries treated with surgery: A retrospective cohort study}, key = {cite}, author = {Er, Zafer Cengiz} }
APA Atılgan, K , Er, Z . (2020). Evaluation of peripheral vascular injuries treated with surgery: A retrospective cohort study. Journal of Surgery and Medicine , 4 (5) , 371-373 . DOI: 10.28982/josam.729546
MLA Atılgan, K , Er, Z . "Evaluation of peripheral vascular injuries treated with surgery: A retrospective cohort study". Journal of Surgery and Medicine 4 (2020 ): 371-373 <http://jsurgmed.com/en/pub/issue/54145/729546>
Chicago Atılgan, K , Er, Z . "Evaluation of peripheral vascular injuries treated with surgery: A retrospective cohort study". Journal of Surgery and Medicine 4 (2020 ): 371-373
RIS TY - JOUR T1 - Evaluation of peripheral vascular injuries treated with surgery: A retrospective cohort study AU - Kıvanç Atılgan , Zafer Cengiz Er Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.729546 DO - 10.28982/josam.729546 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 371 EP - 373 VL - 4 IS - 5 SN - -2602-2079 M3 - doi: 10.28982/josam.729546 UR - https://doi.org/10.28982/josam.729546 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Evaluation of peripheral vascular injuries treated with surgery: A retrospective cohort study %A Kıvanç Atılgan , Zafer Cengiz Er %T Evaluation of peripheral vascular injuries treated with surgery: A retrospective cohort study %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 5 %R doi: 10.28982/josam.729546 %U 10.28982/josam.729546
ISNAD Atılgan, Kıvanç , Er, Zafer Cengiz . "Evaluation of peripheral vascular injuries treated with surgery: A retrospective cohort study". Journal of Surgery and Medicine 4 / 5 (May 2020): 371-373 . https://doi.org/10.28982/josam.729546
AMA Atılgan K , Er Z . Evaluation of peripheral vascular injuries treated with surgery: A retrospective cohort study. J Surg Med. 2020; 4(5): 371-373.
Vancouver Atılgan K , Er Z . Evaluation of peripheral vascular injuries treated with surgery: A retrospective cohort study. Journal of Surgery and Medicine. 2020; 4(5): 373-371.