Risk factors in repair of vascular injuries in war circumstances [Afghanistan war]

ABSTRACT

Repair of vascular injuries was done in 24 patients [Mojahdens]. The mode and type of injuries were studied the outcome of the risk factors on our results was discussed. The ischaemic period, the contamination site of injury, associated injuries, combined arterial and venous injuries and other risk factors were insufficient to preclude direct repair. Direct primary vascular repair after minimal mobilization was preferable, otherwise placement of an interposition autogenous veingraft was the procedure of choice. Aggressive wound debridment covering with viable tissues, i.v. antibiotics and open fasciotomy if compartment syndrome developed. All this improve our results markedly and reduce the rate of limb loses among the afgan Mojahden