You are here

Mayın patlamasına bağlı popliteal arter ve ven yaralanması: olgu sunumu

Popliteal artery and vein injury due to mine explosion: a case report

Journal Name:

Publication Year:

Abstract (2. Language): 
Peripheral vascular injuries are life threatening traumas that require emergency intervention and frequently result in the loose of related extremity. The gunshot wounds are responsible for a significant amount of peripheral vascular injuries. A 21-year-old male patient admitted to the emergency department of our hospital following mine explosion is herein presented. The patient had a bone fracture at the proximal part of the left tibia. In physical examination, left lower arterial pulses were absent, and there was no blood flow on Doppler ultrasonography. In the operation injuries of both popliteal artery and vein were observed at the level of the popliteal artery bifurcation. Saphenous vein graft interposition was performed to the popliteal artery, and popliteal vein was repaired with end to end anastomosis.
Abstract (Original Language): 
Periferik damar yaralanmaları, acil müdahale gerektiren ve sıklıkla ilgili ekstremitenin kaybıyla sonuçlanan hayati tehdit edici travmalardır. Ateşli silah yaralanmaları periferik damar yaralanmalarının önemli bir kısmından sorumludur. Burada hastanemiz acil servisine mayın patlamasına bağlı travma sonucu getirilen 21 yaşındaki erkek hasta sunulmuştur. Hastanın sol tibia proksimalinde parçalı kırık mevcuttu. Yapılan muayenesinde sol alt ekstremite distal nabızları alınamadı ve Doppler ultrasonografide kan akımı izlenmedi. Ameliyat sırasında popliteal arter bifurkasyonu seviyesinde arter ve vende yaralanma görüldü. Popliteal artere safen ven greft interpozisyonu uygulandı ve popliteal ven ise uç uca anastomoz yapılarak tamir edildi.
220-222

REFERENCES

References: 

1. Kenneth L, Hirshberg M, Hirshberg A. Vascular trauma.
In: Haimovici H, Ascer E, Hollier LH, Strandness DE Jr,
Towne JB (eds). Haimovici’s Vascular Surgery. 5th ed.
Boston: Blackwell Science, 2004: 421-436.
2. Martin LC, McKenney MG, Sossa JL, et al. Management
of lower extremity arterial trauma. J Trauma 1994; 37:
591-598.
3. Yılmaz AT, Arslan M, Demirkılıc U ve ark. Missed arterial injuries in military patients. Am J Surg 1997; 173:
110-114.
4. Fabian TC, Turkleson ML, Connelly TL, Stone HH.
Injury to the popliteal artery. Ann Surg 1982; 143:
225-228.
5. Rich NM, Baugh JH, Hughes CW. Acute arterial injuries
in Vietnam: 1000 cases. J Trauma 1970; 10: 359-369.
6. Boynoe RP, Miles WS, Bell RM, et al. Noninvasive diagnosis of vascular trauma by dupplex ultrasonography. J
Vasc Surg 1991; 14: 346-352.
7. Fry WR, Smith RS, Sayers DV, et al. The success of duplex ultrasonografic scanning in diagnosis of extremity vascular proximity trauma. Arch Surg 1993; 128:
1368-1372.
8. Tünerir B, Beşoğul Y, Yavuz T ve ark. Periferik arteriyel
yaralanmalar ve tedavi sonuçları. GKDC Dergisi 1998;
6: 151-154.
9. Erwin RT, William HS, Malcolm OP. Vascular injuries
of the extremities. In: Rutherford RB (ed). Vascular
Surgery. 6th ed. Philadelphia: WB Saunders Co, 2005.
10. Menzojan JO, Doyle JE, Cantelmo NL, et al. A comprehensive approach to extremity vascular trauma. Arch
Surg 1985; 120: 801-805.
11. Demirkılıç U, Kuralay E, Yılmaz AT, Özal E, Tatar H,
Özturk OY. Surgical approach to military vascular injuries. Cardiovasc Surg 1998; 6: 342-346.
12. Kuralay E, Demirkılıç U, Özal E ve ark. A quantitative
approach to lower extremity vein repair. J Vasc Surg
2002; 36: 1213-1218.
13. Kahraman C, Taşdemir K, Yasım A, Emiroğulları N.
Periferik arter yaralanmaları (336 olgu nedeniyle).
Damar Cerrahisi Dergisi 1998; 1: 24-30.

Thank you for copying data from http://www.arastirmax.com