Management of war-related vascular injuries: A civilian surgeon experience in the treatment of war casualties at a secondary care hospital

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dc.authoridAKÇA, BARIŞ/0000-0001-9154-4764
dc.authorwosidAKÇA, BARIŞ/ABG-7339-2020
dc.contributor.authorAkca, Baris
dc.date.accessioned2024-08-04T20:59:55Z
dc.date.available2024-08-04T20:59:55Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: This study presents the management of patients with war-related injuries and early results of vascular injuries treated at a secondary care hospital neighboring to civil war. Methods: Between December 2013-December 2014 ninety-six war-related injury patients evaluated by a single vascular surgeon and participating disciplines according to components of injury in polytrauma patients. Thirty-six patients who underwent vascular surgery were retrospectively registered to the study. Demographics, treatment and early results of patients reviewed. Results: Mean age was 26.69 +/- 11.80 (7-66) years and 91.66% (33/36) were males. Injuries were caused by shrapnel wound due to bombing 61.11% (22/36), stab wound 8.33% (3/36), gunshot wound 30.55 % (11/36). The number of patients with polytrauma was 29, seven patients had isolated vascular injury. Among 42 arterial and 31 venous injuries primary suture repair, autologous vein graft interposition and prosthetic graft interposition performed to 20.54% (15), 28.76% (21), 19.17% (14) respectively. Amputation and all-cause mortality were %8.3 (3/36), 13.8% (5/36) respectively. Conclusions: Vascular injury with concomitant trauma is the main issue of war-related injuries. Surgeons should be cautious about patients who were initially deemed not to need surgery for vascular injury and then were found to need it. Repetitive physical examination is very important in case of any suspicion, especially in limited conditions for diagnostic tools like CT angiography. A rapid, careful multidisciplinary evaluation of experienced surgeons for the diagnosis and the treatment priorities in war-related injury patients may lead to increase life and limb salvage rates with a better quality of life.en_US
dc.identifier.endpage35en_US
dc.identifier.issn1222-5126
dc.identifier.issn2501-2312
dc.identifier.issue3en_US
dc.identifier.startpage29en_US
dc.identifier.urihttps://hdl.handle.net/11616/103651
dc.identifier.volume122en_US
dc.identifier.wosWOS:000506183500005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherCarol Davila Univ Medicine & Pharmacy Publen_US
dc.relation.ispartofRomanian Journal of Military Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectvascular system injuriesen_US
dc.subjectwar-related injuriesen_US
dc.subjectmortalityen_US
dc.subjectamputationen_US
dc.subjectmultiple traumaen_US
dc.titleManagement of war-related vascular injuries: A civilian surgeon experience in the treatment of war casualties at a secondary care hospitalen_US
dc.typeArticleen_US

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