| Autor: |
Asfar, Sami, Al-Ali, Jassim, Safar, Hussein, Al-Bader, Marzouk, Farid, Emad, Ali, Ahmad, Kansou, Jalal |
| Předmět: |
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| Zdroj: |
European Journal of Surgery; Nov2002, Vol. 168 Issue 11, p626, 5p, 1 Diagram, 4 Charts |
| Abstrakt: |
Objectives: To audit the management of vascular trauma in Kuwait, 1992-2000. Design: Retrospective open study. Setting: Vascular surgery unit, teaching hospital, Kuwait. Subjects: 155 patients with vascular injuries, most of which (n = 118) involved the extremities. 21 had neck injuries, 10 abdominal, and 6 chest. Intervention: Revascularisation usually using the long saphenous vein in addition to direct repair or end-to-end anastomosis. Main outcome: Morbidity (amputation) and mortality. Results: Four lower limb grafts failed, two of which (2/69, 3%) required amputation. Overall, four patients died (3%), one of pulmonary embolism and 3 of severe injuries to major abdominal vessels. 3/10 patients with abdominal vascular trauma died. Mean (SD) follow up period was 4.4 (2) years. Conclusions: Civilian violence has increased in Kuwait. Vascular trauma to abdominal vessels is associated with high mortality. Autogenous saphenous vein forms an excellent conduit for revascularisation. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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