Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Damar Cer Derg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 1301 - 1839 E-ISSN 2149 - 1259


Turkish Journal of Vascular Surgery 2002 , Vol 11 , Issue 2
"INDICATORS OF EXTREMITY SALVATION IN POPLITEAL AND TRIFURCATION ARTERIES' INJURIES"
Kazım Ergüneş1, Ufuk Yetkin1, Levent Yılık1, Ayhan Akçay1, Cengiz Özbek1, Ali Gürbüz1
1Atatürk Eğitim ve Araştırma Hastanesi Kalp ve Damar Cerrahisi Kliniği, İzmir Aim: Emergency surgical management in popliteal and triturcation artery injuries is aimed at salvation of the tunctional extremity. Long duration of ischemia and accompanying soft tissue, muscle-skeleton system, vein and nerve injuries are negative prognostic factors. We evaluated the effects of those factors in this study.

Materia l and Method: We studied 55 cases with traumatic popliteal and trifurcation arterial injury between 01. January.1995 and 31.December.2001 in our hospital. 46 were men (83.6%) and 9 were women (16.4%) with an age between 9 and 64 years (mean 28.6 years). Trauma was caused by cutting-perforating tools in 11 cases (20%), with tirearms in 35 cases (63%) and by traffic accidents in 9 (16.3%) cases .

Results: The average interval was 169 minutes for the patients to be admitted to our emergency service from the place of accident injury. We performed primary repair (end-to-end anastomosis, lateral repair) in 7(9.5%); saphenous vein patch plasty in 2(2.7%), reverse autologous saphenous vein interposition in 50(67.5%) synthetic graft interposition in 1(1.3%) and ligation in 14 (19%) of 74 arterial injuries. Secondary amputation was necessary in 5 cases (9%). Mortality was limited to 2 cases (2.6%).

Conclusiiın: We suggest that the most important factors to decrease morbidity and mortality are early and appropriate surgical intervention and preoperative and postoperative appropriate medical therapies. Keywords : abdominal aortic aneurysm, elderly patients, elective surgery