Rodríguez-López E, Fabián-Mijangos W, Casares-Bran T, Lecuona-Huet N, Olivares-Cruz S, Carbajal-Robles V, Córdova-Quintal P, Betanco-Peña A, León-Rey C

Language: Spanish
References: 0
Page: 154-162
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ABSTRACT

Introduction. The vascular trauma represents 9% of the global mortality, in Mexico, the real incidence rate is unknown due to the high morbimortality at the sinister site and underreporting of the problem. We performed an observational, retrospective and transversal study of patients with confirmed vascular lesions or probable in the service of Angiology and Vascular Surgery of the General Hospital of Mexico.
Material and methods. We included 92 patients from March 2013 to December 2016, men in 79.3%, mean age 36.2 years. The mechanisms of injury: firearm projectile 40.2%, iatrogenias 24%, punctures 16.3% and contusion in 19.5%. The site of injury: lower extremities 52.1%, superior 29.3%, abdomen 11.9%, head and neck 6.5%, chest 3.2%, back 1%.
Results. 82 patients underwent surgery and 10 conservative management when discarding vascular injury in extension studies. The surgical techniques used are: inverse saphenous graft, terminal end anastomosis, venous ligation, primary repair and placement of prosthetic grafts. Complications: bleeding, infection, graft thrombosis, sepsis and in cases where the initial MEES scale was more than 8 points amputation was performed.
Concusions. Vascular trauma is a critical health problem, deaths from this cause are increasing, predominantly in productive stages of life and constitute a challenge for the vascular surgeon, because patients always have a high potential for complications, hence That their care is and should be expeditious, in order to reduce complications and have a better percentage of good results.