Abstract
Background: Injuries to blood vessels are among the most dramatic challenges facing trauma surgeons because repair is often urgent, the surgeon has to decide between management options (open or endovascular), and gaining control and reconstructing a major arterial injury can be technically demanding .Objective:,To analyze the cause of injury, surgical approach, outcome and complications of axillary artery injuries.Methods A descriptive cross-sectional study on fifty patients at Ibn-Alnafees hospital in Baghdad from January 2005 to December 2010Results Males were more commonly affected than female with ratio of 6.1:1. Most injuries were caused by bullet and shell (84%), followed by stab wounds (10%) and blunt trauma (6%). Patients were divided into three groups according to the involved part of the axillary artery: the first part, the second part and the third part. The second part represents most of the cases (48%), the third part account for (30%), while the least is the first part (22%). Resection and end to end anastomosis was done in 80% of the cases, lateral repair in 8%, graft interposition in 8 % and ligation in 4%.Conclusion: The outcome of the injury in this study was in general good. The morbidity of the patients due to nerve injury and wound infection still problem. Mortality due to associated injury and delayed presentation was 4% which is acceptable as compared with other studies.
Highlights
Injuries to blood vessels are among the most dramatic challenges facing trauma surgeons because repair is often urgent, the surgeon has to decide between management options, gaining control and reconstructing a major arterial injury can be technically demanding
A descriptive cross-sectional hospital based study had been done including 50 cases and the study population collected from operating room records at IbnAlnafees hospital in Baghdad from January 2005 to December 2010
The presentation of axillary artery injury depends on the biomechanics and the amount of energy transfer that occurs at the moment of injury
Summary
Injuries to blood vessels are among the most dramatic challenges facing trauma surgeons because repair is often urgent, the surgeon has to decide between management options (open or endovascular), gaining control and reconstructing a major arterial injury can be technically demanding. HISTORICAL BACKGROUND In 1546, Ambroise Pare performed the first arterial ligation during leg amputation in the midst of a combat and said “without having seen this attempt by any other person, nor heard or read but God advised me to tie the artery of the amputee” He introduced the first arterial forceps, the “bec de corbin”.{(1) Jean-Louis Petit (1731) was the first surgeon to study haemostasis. The first recorded vascular reconstruction was reported by Lambert in 1762..Eugene Koeberle, a surgeon in Strasburg, invented a simple haemostatic clamp and applied it in surgery in 1868. It was the first operation ushering in our present technique of clamping and tying, which was carried out and popularized by J. Methods A descriptive cross-sectional study on fifty patients at Ibn-Alnafees hospital in Baghdad from January 2005 to December 2010
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
