clinical audit of management of peripheral vascular injuries

This is a retrospective analysis of the management of 21 cases with vascular injuries who presented in the Casualty Department of Mayo Hospital in the period from September 1993 to September 1995. Evaluation of results and comparison with other studies is presented. The mean age of the patients was 26 years with a male to female ratio of 20:1. Femoral vessels were the most frequently involved and gun shot was the commonest mode of injury. Ligation of vessel was done in six where as 15 cases underwent repair. Disruption of repair occurred in 4 cases out of which two underwent amputation. There is one mortality in 21 cases. Successful management depends on meticulous surgical technique, team work and prompt repair