THE OUTCOME OF VASCULAR INJURY IN NAJAF CITY WITH A REPORT OF AN UNUSUAL PRESENTATION OF CASES AND SURGICAL TECHNIQUES IN MANAGEMENT

Abstract

To provide a comprehensive description of the epidemiology, management, and outcome of vascular trauma, with a
report of unusual case presentation and surgical technique in management. A retrospective observational study of
patients presented with vascular trauma between 1st January 2017 and 1st August 2020. Most of the cases operated
on in the Al-Sadder Medical City. Patients' mean age was 31.2 ± 12.6 (range, 10-60). There were 55 males (91.6%)
and five female (8.3%). About 14 (23.3%)cases of blunt trauma and 46(76.6%) cases of penetrating trauma. The
femoral A was the most commonly affected vessel in 19(31.6%) patients. The most common type of vascular injury
was complete cut in 40%, and the most common surgical intervention was reverse interposition venous graft 46.6%.
The amputation rate was 6.6%, and the mortality rate was 6.6%. Vascular injury is an increasing problem in Najaf
city because of community expansion, increased violence, and advancement in medical interventions that led to
more iatrogenic vascular injury. Early diagnosis and management is of paramount importance to achieve a
satisfactory outcome.