Mian Tauseef-ud Din, Zafar Iqbal, Mohammad Kashif, Shams-ur Rehman, Gul Sharif.
Outcome of Management of Peripheral Vascular Injuries.
Ophthalmol Update Jan ;14(2):81-3.

Objectives: To find out the outcome of management of peripheral vascular injuries. Materials & Methods: This descriptive study was collected from different Headquarters Hospitals of Mardan and Swabi, from 1st January, 1999 to 30th December, 2015. In this study only those cases were included which were operated for peripheral vascular trauma. Majority of these cases were assessed clinically and on the basis of clinical findings, they were explored and the findings of vascular injuries were confirmed per-operatively. A total of 50 cases were included in this study including both upper and lower extremities vascular trauma. The data were collected for each case and recorded in performa. Result: In our study, we have been able to manage 50 limb injuries with vascular trauma. 16 (32%) of these injuries required amputation later. Six of them were due to blunt trauma. Among 12 injuries involving popliteal arteries six of them needs below knee amputations (50%). In two of these cases there were associated by condylar tibia fractures. Conclusion: An early diagnosis of vascular trauma is essential for the success of subsequent repair. The clinician must be alert to the possibility of vessel damage particularly in poly trauma patients. The paucity of unequivocal signs makes a high index of suspicion, essential, when assessing such trauma cases.

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