OUTCOME ANALYSIS OF UPPER LIMB VASCULAR TRAUMA ? OUR INSTITUTIONAL EXPERIENCE

Introduction: Vascular injuries involving major vessels can be limb threatening and at times life threatening. Ours being a a tertiary care center, we encounter lot of vascular injuries due to industrial accidents and road traffic accidents. Loss of upperlimb means loss of job. This study is to analyze the outcomes of upper limb vascular injuries. Methods: This is a prospective study from august 2015 and is an ongoing study.we are submitting the interim report of the study till March 2018. All patients admitted with upper limb vascular trauma proximal to wrist irrespective of age and mode of injury were included in our study. Results: Blunt injury was seen in 22 cases (68.75%).Most common complication was wound infection 6/32 (18.75%).Graft thrombosis seen in two patients (6.25%).Pseudoaneurysm with blow out occurred in 1 patient (3.125%) In spite of delayed presentation (>6 hours) and wound infections and ligation of artery due to pseudoaneurysm,all the limbs were saved (limb salvage rate is 100%). Conclusion: Timely intervention in upper limb vascular injuries can save the limb and at times the life. This means they can be economically productive and lead a independent life.