PROSPECTIVE DESCRIPTIVE RESEARCH ON PRESENTATION AND DIAGNOSTIC OF VASCULAR REPAIR METHODS AND ASSOCIATED OUTCOMES IN THE EVENT OF CURRENT SECURITY SCENARIO AND HIGH SPEED ACCIDENTS SPECIALLY IN YOUNG CIVILIAN POPULATION AND MILITARY PERSONNEL

Objective: Assessment of the diagnostic evaluation and presentation of numerous vascular repair methods with associated outcomes. Methods: Research was descriptive prospective in nature and it was carried out in CMH, Rawalpindi. Research was completed in the time span of two years starting from Oct, 2008 to Dec, 2010. Vascular injured patients (54 cases) were made a part of the research in the condition of extremity after experiencing vascular surgical interventions. Patients with an irreversible ischemia or with primary amputation including escaped vascular injuries were not included in the research. Injury mechanism was evaluated in the research including type of injury, site of injury, injury mechanism, related injuries, outcomes and repair type. Data was also evaluated for the values of frequency, percentage, mean and SD. Results: In the total research sample mean age was observed as (26.8 ± 9.2 years), the age was calculated in the age group of 9 – 67 years. The ratio of male to female was as seventeen to one. Most repeated cause was penetrating trauma as 34 cases (62.9%) were noticed. Mostly affected area was the lower extremes 33 (61.1%) and most repeated vessel involvement was observed in 14 (25.9%) cases. Besides, 16 patients (29.6%) were having related fractures, while 12 cases were of concomitant venous injuries (22.2%). Common most type of repair was interposition autogenous saphenous vein graft was 42 (77.7%). Three cases were treated with Prosthetic graft (5.5%) patients. Common complication observed was the infection of wound observed in 6 cases (11.1%). Secondary amputation was observed in 3 cases (5.5%) and associated injuries deaths were observed in 2 cases (3.7%). Successful vascular reconstruction was carried out in 49 cases (90.7%). Conclusion: An in-time re-vascularization and recognition by an expert vascular surgeon is key to treat ninety percent of the limbs facing vascular injuries. Keywords: Extremity Vascular Injury, Amputation and Re-vascularization.