DIFFICULT PERIPHERAL VASCULAR INJURIES - 11/09/11
Résumé |
Experience obtained from the major wars of the twentieth century provides the basis for the present approach to civilian peripheral vascular injuries.6, 14, 18, 23, 35 Approximately 90% of all peripheral arterial injuries are located in the extremities, 35 with the lower extremity being more common in military experience and upper extremity vascular injuries more frequent in civilian experience. Wounds that involve vascular structures of the extremity are a significant cause of morbidity and mortality in the traumatized patient.
During World War II, ligation of the injured artery was routinely performed in extremity trauma. For popliteal artery injuries, 6 this resulted in an amputation rate of 73%. The formal repair of peripheral vascular injuries was first performed in the Korean conflict, 18 and these techniques were further refined during the Vietnam War, 35 during which the amputation rate for popliteal artery injuries declined to 32%. Continued improvement and refinements in the management of vascular injuries in the traumatized patient have reduced overall limb loss in civilian series to less than 5%. Severe long-term disability as a result of a vascular injury and associated injuries occurs in another 20% to 50%.49
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Vol 76 - N° 4
P. 843-859 - août 1996 Retour au numéro
Article précédent
- THE ABDOMINAL COMPARTMENT SYNDROME
- Jon M. Burch, Ernest E. Moore, Frederick A. Moore, Reginald Franciose
- MANAGEMENT OF COMPLEX UROLOGIC INJURIES
- Eila C. Skinner, Yuri R. Parisky, Donald G. Skinner
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