Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080

Turkish Journal of Vascular Surgery 2019 , Vol 28 , Issue 2
Evaluation of traumatic extremity vascular injuries in surviving and non-surviving patients
Mesut Engin1, Hasan Aydın1
1Department of Cardiovascular Surgery, University of Health Sciences, Şanlıurfa Mehmet Akif İnan Training and Research Hospital, Şanlıurfa, Turkey DOI : 10.9739/tjvs.2019.413 Objectives: This study aims to investigate surgical outcomes of traumatic extremity vascular injuries.

Patients and methods: A total of 98 patients (89 males, 9 females; mean age 30.7±12.9 years; range, 4 to 68 years) who were operated for vascular injury due to extremity trauma in our clinic between October 2013 and October 2018 were retrospectively analyzed. Demographic data, type of damage, repair methods, and results of the patients were recorded from the hospital records.

Results: Of the patients, 16 (16.3%) presented with hypotensive hemodynamic shock. The mean Mangled Extremity Severity Score (MESS) of the patients were 3.2±1.8. Injury etiologies were mostly gunshot injuries (57%). Femoral artery was the most common affected artery in 32.3% of cases. Primary repair was the most common repair in 47.3% of cases. Advanced age, higher MESS scores, and increased blood transfusion were found to be most effective factors for mortality (p<0.001).

Conclusion: Based on our study results, we suggest that the success rate of treatment increases, if blood loss is reduced and the patient is taken to rapid surgery with effective intervention during patient transfer. Keywords : Extremity trauma, mangled extremity severity score, vascular injury, vascular surgery