Vein Injuries

Year 1980, Volume: 33 Issue: 3 , 421 - 428 , 30.09.1980

Halil Bilgil

https://izlik.org/JA82ER72ME

Abstract

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.

Keywords

Vein Injuries , thrombophlebitis , amputation

Ethical Statement

-

Supporting Institution

-

Project Number

-

Thanks

-

Ven Yaralanmaları

https://izlik.org/JA82ER72ME

Abstract

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.

Keywords

Vein Injuries , tromboflebit , ampütasyon

Project Number

-

References

• 1. Barcia PJ ve ark : Importance of venous occlusion in arterial repair failure. An experimental study, Ann Surg 175 : 223, 1972
• 2. Gaspar MR, Treiman RL : The management of injuires to major veins, Am J Surg100 : 171, 1960
• 3. Hobson RW ve ark : Hemodynamics of canine femoral venous ligation : Significance in combined arterial and venous injuires, Surgery 74 : 824, 1973
• 4. Rich NM ve ark : Venous trauma, Am J Surg 134 : 226, 1977
• 5. Rich NM ve ark : The effect of acute popliteal venous interruptuon, Ann Surg 183 365, 1976
• 6. Rich NM, Hughes CW : Vietnam vascular registry. A preliminary report, Surgery 65 • 218, 1969
• 7. Rich NM, Hughes CW, Baugh JH : Managehent of venous injuires, Ann Surg 171 724, 1970
• 8. Schramek A, Hashmonai M : Vascular injuires in the extremities in the battle casuaL ties, Brit J surg 64 : 644, 1977
• 9. Sullivan WG ve ark : Early influence of popliteal vein repair in the treatment of popliteal vessel injuires, Am J Surg 122 : 528, 1971
• 10. Wright CB ve ark : Extremity venous ligation : Clinical and hemodynamic correlation,Am surg 41 : 203, 1975