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8-UPPER LIMB SALVAGE

WADHAH MAHBOBA --- LAITH F SHARBAs --- ALA'A M MUHSINI

Basrah Journal of Surgery مجلة البصرة الجراحية
ISSN: 16833589 Year: 2008 Volume: 14 Issue: 2 Pages: 41
Publisher: Basrah University جامعة البصرة

Abstract

Among the vascular injuries, the brachial artery injury is common one. This is a retrospectivestudy of 90 patients admitted at Al-Sader teaching hospital in Najaf from the 1stof January 2007 to the 1st of January 2008. The most common mechanism of injury wasbullet and shell injuries (57.8%) followed by stab (25.5%), and blunt injury (13.4%). Theleast was iatrogenic in (3.3%) of cases. The surgical technique used to repair the vesselwas resection and end to end anastamosis in 47.8% of cases, in 27.8% of the patientsvenous graft was used. Arteriorhaphy was done in 8.8% of the cases. Associated venousinjuries were dealt with by ligation of the veins. No attempt to do venous repair and nofasciotomy was needed. The outcome of the injury in this study was in general good. Themorbidity of the patients due to nerve injury, wound infection and joint stiffness still aproblem. Mortality was 7.7% was due to associated injuries and delayed presentation ofthe patients. This study aimed to analyze the cause of injury, surgical approach, outcomeand complications of brachial artery injury.

Keywords

UPPER --- LIMB --- SALVAGESAEED