Experience in Surgical Treatment of Damage to the Great Vessels of the Lower Extremities in Case of Industrial Injury
PI Nikulnikov1, VV Pichka1,2* and OV Kashirova1
1State Institution "National Institute of Surgery and Transplantology. O.O. Shalimov" of the National Academy of Medical Sciences of Ukraine, Ukraine
2State Institution "Institute of Emergency and Reconstructive Surgery. V.K. Husak" of the National Academy of Medical Sciences of Ukraine, Ukraine
*Corresponding Author: VV Pichka, State Institution "National Institute of Surgery and Transplantology. O.O. Shalimov" of the National Academy of Medical Sciences of Ukraine, Ukraine.
Received: June 23, 2023;
Published: July 19, 2023
The Purpose of the Study: To conduct a retrospective analysis of the structure of the combined industrial bone and vascular injury of the lower extremities and to analyze the results of surgical treatment.
Materials and Methods: Data from 147 patients with industrial combined bone and vascular trauma of the lower extremities were analyzed. All patients are male, aged 19 to 48 years, with an average age of 30.2 years. Of the 123 observations, mine injury prevailed (102; 82.9%) with damage to the femur and/or tibia and popliteal artery damage - 116 (78.9%). 92 two-stage interventions were performed in conjunction with traumatologists.
Results: A positive result of surgical treatment was noted in 73 (79%) cases. The duration from injury to the start of surgery in this group ranged from 2 to 5 hours, the degree of acute arterial ischemia according to V.S. Savelyev (1974) was IIa - IIb. The duration of the operation is from 3 to 4 hours, patients were in shock of the II century. Preoperative blood loss - from 1 to 2.5 liters. This group was dominated by damage to the popliteal artery (43; 54.4%). In 6 (6.5%) cases, after reconstructive intervention, the limb was amputated.
Conclusions: The most favorable outcome is indicated in the early delivery of the injured (up to 2 hours) to specialized hospitals with anti-shock therapy at the preoperative stage.
Keywords: Combined Musculoskeletal Occupational Injury; Lower Extremities; Two-Stage Surgical Treatment
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