Comparison of the results of open vascular surgery interventions in patients with arterial injury caused by penetrating trauma below the knee in the Vascular Surgery Center of Golestan Ahvaz Hospital

Abstract

Vascular damage is one of the life-threatening emergency situations and is considered one of the most common causes of death worldwide. Considering the frequency of penetrating vascular injuries, especially in our country and Khuzestan province, as well as complications and mortality caused by vascular injuries, this study was designed to investigate the effect of vascular surgery intervention on patients with arterial trauma trauma below the knee. Method: In this descriptive and analytical study, all trauma patients suspected of penetrating arterial injuries below the knee in terms of parameters of age, gender, type of trauma, location of trauma, type of intervention, location of arterial repair, angiographic and clinical findings including damaged arteries, type of injury Arterials were also examined for the presence of fracture or dislocation in the vicinity of vascular damage. Results: The results of this study showed that among the penetrating trauma patients requiring surgical intervention, 89.1% were men and only 10.9% were women. The average age of the patients was 35 years. The most frequent trauma requiring surgical intervention in this study was the trauma caused by firearms (gunshot and shotgun) and the least urban and occupational trauma. There was a significant relationship between trauma.  The highest rate of injury was to the popliteal artery below the knee (8.47%), and the most vascular intervention was saphenous vein entrapment. 9.73% of the patients had a fracture injury and 3.16% had a dislocation with vascular injury. Conclusion: According to the results of the present study, the association of vascular injuries with orthopedic fractures was higher and mostly in the popliteal region. Complications including infection, fasciotomy, reperfusion syndrome and amputation have a direct and significant relationship with the type of penetrating trauma.