2005, Number 4
Rev Mex Angiol 2005; 33 (4)
Popliteal vascular injuries management: Hospital de Especialidades del Centro Médico Nacional
Gamez GE, Velasco OEC, Cossio ZA, Rodríguez JOA, Pacheco PE
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Language: Spanish
References: 8
Page: 100-105
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ABSTRACT
Objective: To determine the treatment of vascular popliteal injuries in our center.Material and method: A retrospective, observational, transversal, descriptive, open design was made, between March 1st 2003 and June 30th. 2004, with patients admitted to the Angiology and Vascular Surgery Service of the Hospital de Especialidades “Centro Médico Nacional La Raza.” The features were: gender, age, injury mechanism, ischemia time, hemodynamic conditions, kind of surgery, and postoperative complications. A descriptive statistical method was followed.
Results: Eight patients with 15 popliteal vascular segment injury (eight arterial and seven veinous) were treated, all male, age between 21 to 48 years old, all penetrant trauma, the mean ischemia time was 46.12 hours, the level of the popliteal injury was, 10 lower popliteal segment (five veinous and five arterial), three medium popliteal (two arterial and one veinous), two upper popliteal segment (one vein and one arterial), neurological injury in four patients, bone injury in two patients, one right thoracic injury, the management was: vein graft interposition in four arterial injuries, three vein lateral suture, fasciotomies were performed in all patients with delay of revascularization of more than six hours, seven patients had ischemic reperfusion injury, two compartimental syndromes, two fasciotomy infections, one secondary amputation, one patient with deep venous thrombosis.
Conclusions: The limb salvage depends on several factors like delay of revascularization, injury mechanism, resuscitation and injury surgical repair.
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