BACKGROUND Rapidly restoring perfusion to injured extremities is one of the primary missions of forward military surgical teams. The austere setting, limited resources, and grossly contaminated nature of wounds encountered complicates early definitive repair of complex combat vascular injuries. Temporary vascular shunting of these injuries in the forward area facilitates rapid restoration of pe...

A patient suffered a complete popliteal artery injury one month after a partial arthroscopic meniscectomy. The patient complained of progressive and severe distal pain. A complete lesion of the popliteal artery was found. Distal vascular flow was barely supported by two geniculate arteries. Vascular repair was performed using open vascular surgery. Although the popliteal neurovascular bundle is...

BACKGROUND The sequence of surgical repair for penetrating extremity injuries requiring both vascular repair and fracture fixation is controversial. The optimal determination of repair order and its consequences is the purpose of this study. METHODS A retrospective review was performed of 27 patients over a 10-year period requiring acute revascularization and fracture fixation for isolated gu...

Pediatric trauma surgeons frequently encounter severe injuries from animal bites, with dog bites being especially prevalent in children, often leading to facial injuries. This paper details the case of a six-year-old male who suffered bite resulting rare proximal right brachial artery injury. The caused deep lacerations and avulsion injuries, prompting admission center, where nonpalpable radial...

BACKGROUND Trauma is the third leading cause of death. In this regard, vascular injury plays a leading role in of morbidity and mortality rates. OBJECTIVES The present study aimed to assess the prevalence of vascular injuries and results of vascular reconstruction at a referral hospital in northern Iran. PATIENTS AND METHODS A retrospective observational study assessed 88 consecutive patien...

Background. Vascular injuries often result in life threatening hemorrhage or limb loss. When they present with a single entry or exit wound, surgery is immediately indicated. With multiple injuries, however, imaging such as CTA is necessary for diagnosis and choice of treatment. Methods. For all combat-related vascular cases admitted to our medical center during the Lebanon wars in 1982 and 200...

Injury of the subclavian artery following trauma is an uncommon finding. Hughes (1958) reported 304 vascular injuries in Korean war casualties but in only three of these was rupture of the subclavian artery documented. Chandler and Knapp (1967) reported the operative repair of 126 vascular injuries in 118 casualties in Vietnam. Only one subclavian artery injury was found, an incidence of 0-8 %....

Data from UK National Transplant database indicates that 0.8%–1% of the kidneys are discarded due to organ damage with a 7% reported incidence of injuries during recovery of kidneys, of which 4.8% were renal vascular injuries related to procurement [1]. Whilst vascular injuries (arterial and venous) could be dealt with various reconstructions and modified anastomotic techniques [2], these could...

BACKGROUND Penetrating arterial injuries to the limbs are common injuries in high volume trauma centers. Their overall surgical results reported in the literature are satisfactory - apart of those of the popliteal artery that still may lead to a significant incidence in amputations. With the present study we assessed our outcome with penetrating arterial injuries to the limb as to see if the di...