Vascular Surgery at The Postgraduate Medical Institute Lady Reading Hospital, Peshawar

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Pervez Mannan
Syed Sulaiman Shoaib

Abstract

Thirty nine vascular trauma cases operated upon during the period 1st July 1987 to June 1988 were analyzed. Fire arm injuries accounted for twenty seven (62.2%) cases. Sharp object injuries including stab injuries were noted in eighty (20.5%) cases, while blunt trauma occurred in four (10.3%) cases. The lower limb was involved in twenty five cases (64%) and the upper limb in eleven cases (28.20%).

Age ranged from 5.5 years to 65 years with a mean of 27.52 years. Absence of distal pulses, profuse haemorrhage from the wound or expanding haematoma and ischaemic limb were the indications for surgery in sixteen (41%) cases operated upon within 12 hours of injury.

Arterio-venous fistula and false aneurysm were the main indications for operation in those patients who had late operative intervention. End to end anastomosis was done in twenty five (64.1%) patients while autogenous vein graft interposition was carried out in ten (25.6%) cases. In two patients only thrombectomy was done and in further two patients the artery was found to be in spasm. Associated injures were present in thirteen (33.4%) cases.

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How to Cite
1.
Mannan P, Shoaib SS. Vascular Surgery at The Postgraduate Medical Institute Lady Reading Hospital, Peshawar. J Postgrad Med Inst [Internet]. 2011 Aug. 22 [cited 2023 Feb. 7];4(1). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/356
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Original Article