A retrospective review of 43 vein injury cases treated in the last nine years was performed. The mean age of the series consisting of 42 male and 1 female patients was 25.6 years. 74.4% of the injuries were gunshot, 20.9% were stab-cutting, 2.3% were iatrogenic, and 2.3% were blunt trauma. Associated arterial injuries were also detected in 93% of the cases. Veins were ligated in 12 (% 279) of the cases, and repair was performed in 27 (% 66.7). Complete recovery was achieved in 25% of the patients whose veins were ligated and in 70.3% of those whose veins were repaired. Lower extremity amputation was 4.5% in the vein repair group and 27.2% in the ligation group. The fact that vein ligation causes thrombosis in the repaired adjacent injured artery and increases the incidence of thrombophlebitis indicates that efforts should be made to repair the vein in cases of major vein injuries.
Son dokuz yılda tedavileri yapılan 43 ven yaralanması olgusu retrospektif olarak incelendi. 42 erkek ve bir kadın hastadan oluşan seride yaş ortalaması 25.6 yıldır. Yaralanma nedenlerinin % 74.4 ü ateşli silahla, % 20.9 u delici-kesici aletle, % 2.3 ü iatrojenik, % 2.3 ü ise künt travmadır. Olguların % 93 ünde yandaş arter yaralanması da saptandı.Olgunun 12 sinde (% 279) ven bağlandı, 27 sinde (% 66.7) ise onarım yapıldl. Venleri bağlanan hastaların % 25 inde, venleri onarılanların ise % 70.3 ünde tam iyileşme sağlandı. Alt ekstremite ampütasyonu, ven onarımı yapılan grupta % 4.5 iken ligasyon yapılan grupta % 27.2 idi.Ven bağlanmasının, onarılmış yandaş yaralı arterde tromboza neden olması ve tromboflebit insidansının artması nedeniyle ana ven yaralanmalarında venin onarımına gayret edilmesi gerektiğini göstermektedir.