Surgical Management of Vascular Trauma; A Systematic Review

Abstract

Vascular trauma is a significant public health concern, and there have been numerous incidents globally in recent years. Peripheral vascular injuries, including axillobrachial and upper extremity branches, as well as femoropopliteal and lower limb branches, account for 40% to 75% of all vascular injuries. Our systemic review aimed to examine surgical management strategies for vascular trauma. Data sources included PubMed/Medline and Embase. Our review investigated English-language articles (from 2010 to 2023) according to the PRISMA guidelines. Overall, there were 7 articles. Surveys and analyses of national databases were the most widely used methods (n=7 studies). The search identified 777 studies, 7 were eligible for inclusion in the analysis. Further understanding of vascular trauma, and treatment protocols may help improve evaluation and management in the future. Our research covered a range of treatment options; the proportion of vascular injuries treated without surgery or utilizing endovascular techniques has increased. Individuals who receive medications intravenously, especially drug users, often present late in the course of their diseases and are notoriously difficult to treat. Despite the challenges in control, it is crucial to remain vigilant for vascular problems that might be fatal. Patient education and awareness may lead to the early detection and treatment of these diseases, which have high morbidity and mortality rates. Revascularization is necessary for limb salvage in patients with severe vascular damage. Simultaneous orthopedic injuries pose significant challenges and increase the risk of limb amputation. Multiple fractures and a MESS score of 6 indicate limited potential for limb salvage.