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

Turkish Journal of Vascular Surgery 2015 , Vol 24 , Issue 2
Ateşli Silah Yaralanmalarında Üst Ekstremite Arteriyel Yaralanmalarının Değerlendirilmesi
Ali İhsan HASDE1, Mehmet EZELSOY1, Mustafa ÖZGÜR2, Mehmet ASLAN1, Mahmut KIŞ1, Mustafa MAVİ1
1Kalp ve Damar Cerrahisi Kliniği, Antakya Devlet Hastanesi, Hatay
2Anesteziyoloji ve Reanimasyon Kliniği, Antakya Devlet Hastanesi, Hatay
DOI : 10.9739/uvcd.2015-47468 Objective: In this study, we aimed to analyze concomitant injuries, Mangled Extremity Severity Score, morbidity, mortality and surgical methods in patient who admitted to our hospital, diagnosed with upper extremity arterial injuries caused by gunshot wounds due to the ongoing civil war in Syria. Material and Methods: Forty two patients that were diagnosed with upper extremity arterial injuries caused by gunshot wounds, and had surgery in our clinic between April 2012 and November 2014 were included in this study. Results: There were 40 (95.23%) males and 2 females (4.77%) with a mean age of 28.28 (17-67) years. Among those 42 cases, 19 (45,23%) had brachial artery injuries, 7 (16.66%) had subclavian artery injuries, 5 (11.90%) had axillary artery injuries, 5 (11.90%) had ulnar artery injuries, 4 (9.52%) had radial artery injuries, and 2 (4.76%) had both ulnar and radial artery injuries. The choice of arterial repair methods for 44 arterial injuries was saphenous vein graft interposition in 17 (38.63%), end-to-end anastomosis in 13 (29.54%), primary repair in 11 (25%), ligation in 2 (4.54%) and a polytetrafluoroethylene graft interposition in 1 (2.27%) injury. Amputation was performed in 2 (4.76%) cases. Mortality rate was 2.38%, that was seen in one case. Conclusion: In gunshot wounds, early diagnosis and rapid intervention are the crucial factors. We concluded that the initial medical intervention, arrival time to hospital, and region of injury affected mortality significantly. The corrosive effects of gunshot wounds must be considered while choosing surgical treatment. Keywords : Wounds, gunshot; upper extremity; vascular system injuries
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