Author(s)

Aram Baram^1,2*, Fahmi H. Kakamad³, Warzer F. Shali⁴, Rebwar Sayed-Nouri⁵

¹Department of Surgery, School of Medicine, Faculty of Medical Sciences, University of Sulaimani, Sulaymaniyah, Iraq.
²Department of Thoracic and Cardiovascular Surgery, Sulaimani Teaching Hospital, Sulaymaniyah, Iraq.
³Department of Thoracic and Cardiovascular Surgery, School of Medicine, Faculty of Medical Sciences, University of Sulaimani, Sulaymaniyah, Iraq.
⁴Department of Orthopedics and Trauma, Sulaimani DOH, Sulaymaniyah, Iraq.
⁵Department Cardiothoracic Surgery, Sulaimani DOH, Sulaymaniyah, Iraq.

Background: Vascular injury presents a great challenge to the trauma and vascular surgeons because it needs urgent diagnosis and intervention. Aims: Prospective cohort study is to determine management and outcome of peripheral vascular injuries in a tertiary centre with very poor facilities. Methods: Analysis of peripheral vascular injuries during August 2013 to August 2014. Results: Total of 47 patients (3.4%) from 1377 total trauma admissions had vascular injuries. Penetrating trauma was present in 93.6% of cases. Brachial artery injury was the highest (31.9%), followed by superficial femoral and popliteal arteries (each with 17% incidence). Vein injury occurred in 61.7% of cases. End-to-end anastomosis performed in 76.6% of cases; arterial ligation was done in 14.9% of cases; venous graft was harvested in 6.4% of cases; and arterial wall was repaired in 2.1% of cases. Conclusions: Early intervention is the most important determinant factor of outcome.

Peripheral Vascular Trauma, Hard Signs, Soft Signs, Long-Term Outcome, Surgical Effect, Complications

Baram, A. , Kakamad, F. , Shali, W. and Sayed-Nouri, R. (2015) Vascular Trauma Registry Analysis in Sulaimani Province of Southern Kurdistan. Surgical Science, 6, 369-375. doi: 10.4236/ss.2015.68054.