Missile vascular injuries: 19-year experience

AMAÇ Militanlığın patlak vermesinden itibaren mermi ile gerçekleşen vasküler yaralanmalar, Kaşmir vadisinde epidemik bir orana ulaşmıştır. Bu çalışma, mermi ile gerçekleşen vasküler yaralanmaların tipi, mekanizması, başvuru şekli ve tedavisini analiz etmek için yapılmıştır. GEREÇ VE YÖNTEM Bu retrospektif çalışmada, Ocak 1990 ile Ekim 2008 tarihleri arasında mermi ile gerçekleşen vasküler yaralanması olan hasta kayıtları incelendi. Mermi ile gerçekleşen vasküler yaralanması bulunan 580 hasta üzerinde çalışıldı, bu tip yaralanması olmayanlar çalışma dışında tutuldu. BULGULAR Hastaların çoğu, safen ven interpozisyon grefti veya uç uca anastomoz yöntemi ile tedavi edilmiştir. En yaygın olarak karşılaşılan komplikasyonlar, enfeksiyon (%22,7) ile greft tıkanıklığı (%3,79) olmuştur. Ampütasyon oranı %3,3 olmuştur. Ampütasyon oranı, >6 saatlik bir gecikme ve eşlik eden kırıklarla başvuran hastalarda daha yüksek olmuştur. SONUÇ Mermi ile gerçekleşen vasküler yaralanma, acil resüsitasyon ve revaskülarizasyon gerektirir. Ameliyat öncesi anjiyografi nadiren gerekir. Tanıya yardımcı olmak üzere bazen Doppler incelemesi gerekli olabilir.

Anahtar Kelime:

Konular: Cerrahi

Mermi ile gerçekleşen vasküler yaralanmalar: 19 yıllık deneyim

Öz:

BACKGROUND Missile vascular injuries have reached an epidemic proportion in Kashmir valley since the eruption of militancy. The present study was undertaken to analyze the mode, pattern, presentation, and management of missile vascular injuries. METHODS A retrospective study of patients with missile vascular injury from January 1990 to October 2008 was undertaken. Five hundred eighty patients with missile vascular injury were studied. All patients with vascular injury due to causes other than missiles were excluded from the study. RESULTS Most of the patients were treated by interpositional saphenous vein graft or end-to-end anastomosis. The most common complication was wound infection (22.7%) followed by graft occlusion (3.8%). The amputation rate was 3.3% and was higher in patients with a delay of >6 hours to revascularization and associated fractures. CONCLUSION Missile vascular injury requires prompt resuscitation and revascularization. Preoperative angiography is seldom necessary. Doppler study may sometimes be needed to aid in the diagnosis.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	AHANGER A, WANI M, LONE R, SINGH S, HUSSAIN Z, MIR I, IRSHAD I, ASHRAF H, DAR A, LONE G, BHAT M, SHARMA M (2010). Missile vascular injuries: 19-year experience. , 135 - 138.
Chicago	AHANGER Abdul Gani,WANI Mohd Lateef,LONE Reyaz Ahmad,SINGH Shyam,HUSSAIN Zahur,MIR Ishtiyak A.,IRSHAD Ifat,ASHRAF Hakeem Zubair,DAR Abdul Majeed,LONE Ghulam Nabi,BHAT Mohammad Akbar,SHARMA Mukand Lal Missile vascular injuries: 19-year experience. (2010): 135 - 138.
MLA	AHANGER Abdul Gani,WANI Mohd Lateef,LONE Reyaz Ahmad,SINGH Shyam,HUSSAIN Zahur,MIR Ishtiyak A.,IRSHAD Ifat,ASHRAF Hakeem Zubair,DAR Abdul Majeed,LONE Ghulam Nabi,BHAT Mohammad Akbar,SHARMA Mukand Lal Missile vascular injuries: 19-year experience. , 2010, ss.135 - 138.
AMA	AHANGER A,WANI M,LONE R,SINGH S,HUSSAIN Z,MIR I,IRSHAD I,ASHRAF H,DAR A,LONE G,BHAT M,SHARMA M Missile vascular injuries: 19-year experience. . 2010; 135 - 138.
Vancouver	AHANGER A,WANI M,LONE R,SINGH S,HUSSAIN Z,MIR I,IRSHAD I,ASHRAF H,DAR A,LONE G,BHAT M,SHARMA M Missile vascular injuries: 19-year experience. . 2010; 135 - 138.
IEEE	AHANGER A,WANI M,LONE R,SINGH S,HUSSAIN Z,MIR I,IRSHAD I,ASHRAF H,DAR A,LONE G,BHAT M,SHARMA M "Missile vascular injuries: 19-year experience." , ss.135 - 138, 2010.
ISNAD	AHANGER, Abdul Gani vd. "Missile vascular injuries: 19-year experience". (2010), 135-138.

APA	AHANGER A, WANI M, LONE R, SINGH S, HUSSAIN Z, MIR I, IRSHAD I, ASHRAF H, DAR A, LONE G, BHAT M, SHARMA M (2010). Missile vascular injuries: 19-year experience. Ulusal Travma ve Acil Cerrahi Dergisi, 16(2), 135 - 138.
Chicago	AHANGER Abdul Gani,WANI Mohd Lateef,LONE Reyaz Ahmad,SINGH Shyam,HUSSAIN Zahur,MIR Ishtiyak A.,IRSHAD Ifat,ASHRAF Hakeem Zubair,DAR Abdul Majeed,LONE Ghulam Nabi,BHAT Mohammad Akbar,SHARMA Mukand Lal Missile vascular injuries: 19-year experience. Ulusal Travma ve Acil Cerrahi Dergisi 16, no.2 (2010): 135 - 138.
MLA	AHANGER Abdul Gani,WANI Mohd Lateef,LONE Reyaz Ahmad,SINGH Shyam,HUSSAIN Zahur,MIR Ishtiyak A.,IRSHAD Ifat,ASHRAF Hakeem Zubair,DAR Abdul Majeed,LONE Ghulam Nabi,BHAT Mohammad Akbar,SHARMA Mukand Lal Missile vascular injuries: 19-year experience. Ulusal Travma ve Acil Cerrahi Dergisi, vol.16, no.2, 2010, ss.135 - 138.
AMA	AHANGER A,WANI M,LONE R,SINGH S,HUSSAIN Z,MIR I,IRSHAD I,ASHRAF H,DAR A,LONE G,BHAT M,SHARMA M Missile vascular injuries: 19-year experience. Ulusal Travma ve Acil Cerrahi Dergisi. 2010; 16(2): 135 - 138.
Vancouver	AHANGER A,WANI M,LONE R,SINGH S,HUSSAIN Z,MIR I,IRSHAD I,ASHRAF H,DAR A,LONE G,BHAT M,SHARMA M Missile vascular injuries: 19-year experience. Ulusal Travma ve Acil Cerrahi Dergisi. 2010; 16(2): 135 - 138.
IEEE	AHANGER A,WANI M,LONE R,SINGH S,HUSSAIN Z,MIR I,IRSHAD I,ASHRAF H,DAR A,LONE G,BHAT M,SHARMA M "Missile vascular injuries: 19-year experience." Ulusal Travma ve Acil Cerrahi Dergisi, 16, ss.135 - 138, 2010.
ISNAD	AHANGER, Abdul Gani vd. "Missile vascular injuries: 19-year experience". Ulusal Travma ve Acil Cerrahi Dergisi 16/2 (2010), 135-138.