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Original Article

Turk J Vasc Surg. 2019; 28(2): 95-100


Evaluation of traumatic extremity vascular injuries in surviving and non-surviving patients

Mesut Engin, Hasan Aydın.




Abstract

Objectives: This study aims to investigate surgical outcomes of traumatic extremity vascular injuries.
Patients and methods: A total of 98 patients (89 males, 9 females; mean age 30.7±12.9 years; range, 4 to 68 years) who were operated for
vascular injury due to extremity trauma in our clinic between October 2013 and October 2018 were retrospectively analyzed. Demographic
data, type of damage, repair methods, and results of the patients were recorded from the hospital records.
Results: Of the patients, 16 (16.3%) presented with hypotensive hemodynamic shock. The mean Mangled Extremity Severity Score (MESS)
of the patients were 3.2±1.8. Injury etiologies were mostly gunshot injuries (57%). Femoral artery was the most common affected artery in
32.3% of cases. Primary repair was the most common repair in 47.3% of cases. Advanced age, higher MESS scores, and increased blood
transfusion were found to be most effective factors for mortality (p

Key words: Extremity trauma, mangled extremity severity score, vascular injury, vascular surgery.






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