Comparison of the results of different types of vascular repair methods in penetrating trauma of the forearm

Kashani, Shima; Moosavi , Seyed Masoud; Nazari , Iraj; minaei, Hossein

Volume 81, Issue 7 (October 2023) Tehran Univ Med J 2023, 81(7): 514-522 | Back to browse issues page

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Kashani S, Moosavi S M, Nazari I, minaei H. Comparison of the results of different types of vascular repair methods in penetrating trauma of the forearm. Tehran Univ Med J 2023; 81 (7) :514-522
URL: http://tumj.tums.ac.ir/article-1-12723-en.html

Comparison of the results of different types of vascular repair methods in penetrating trauma of the forearm

Shima Kashani ^*

¹, Seyed Masoud Moosavi²

, Iraj Nazari²

, Hossein Minaei²

1- Department of Surgery School of Medicine, Ahvaz University of Medical Science, Ahvaz, Iran. , dr.shika14@gmail.com
2- Department of Surgery School of Medicine, Ahvaz University of Medical Science, Ahvaz, Iran.

Abstract: (296 Views)

Background: Vascular traumas are among the important traumas, most of which lead to significant complications due to the lack of correct and timely diagnosis, considering the frequency of penetrating vascular injuries, especially in our country and Khuzestan province, as well as the complications and mortality caused by injuries. This study was designed to investigate the effect of vascular surgery intervention on patients with arterial injury of forearm trauma.
Methods: In this descriptive-analytical study, all trauma patients suspected of penetrating forearm arterial injuries in terms of age, sex, type of trauma, location of trauma, type of intervention, location of arterial repair, angiographic and clinical findings including damaged arteries, type of injury Arterial fracture or dislocation. The proximity of vascular damage and the complications of surgical interventions are investigated.

Results: The results of this study showed that among the penetrating trauma patients requiring surgical intervention, 90.4% were men and only 6.9% were women. The average age of the patients was 32 years. The most frequent trauma requiring surgical intervention in this study was primary repair of a stab wound in the ulnar artery and the least was due to explosive. According to the obtained results, there was a statistically significant relationship between the amount of bleeding, the days of hospitalization and the duration of the operation with the type of trauma. The most damaged artery was ulnar artery 7.50% and the most type of arterial damage was arterial cut with active bleeding (7.39%).
Conclusion: According to the results of the present study, the most damage was in the ulnar artery caused by trauma with sharp objects (knives). The incidence of complications in primary repair surgery was higher than other types of surgical interventions, and there was a statistically significant relationship between the amount of bleeding, days of hospitalization, and duration of surgery with the type of trauma.

Keywords: forearm penetrating trauma, vascular injuries, vascular interventions.

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Type of Study: Original Article |