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A Journal on Surgery

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Chirurgia 2000 April;13(2):79-80

language: English

Vascular injuries of the upper limb. A retrospective study

Cicia S., Florio G., Pepe P., Carnì D.


Background. To analyse the presentation, physical findings,associated injuries, surgical approaches, postoperative course and outcome of upper limb vascular trauma.
Methods. Setting: General Surgery Department in a rural district Hospital. Design: a retrospective case seris. Patients: four consecutive patients with an upper limb arterial penetrating trauma treated between April 1998 and September 1998: one patient suffered complex trauma involving tendon and adjacent nerve. No angiography was performed.
Results. End to end anastomoses were used in 3 cases, vein interposition grafting in one patient; fasciotomy was never used. No functional defects occured due to vascular trauma, but funcional disability occured to to nerve injury.
Conclusion. associated injuries, rather than vascular injury, cause long term disability in the complex trauma of the upper limb. Persistent neural deficit is the princiap reason for long-term impairment of function,despite accurate surgical technique. Doppler examination may suffice instead of pre-and peroperative angiography in upper limb vascular prnetrating trauma.

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