Document Type : Original Article
Authors
1
1 Department of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Tanta University, Tanta, Egypt. 2 Division of Forensic Medicine, Department of Biomedical Science, College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia.
2
Department of Vascular Surgery, Al-Hussain University Hospital, Faculty of Medicine for Males, Al-Azhar university, Cairo, Egypt. Division of Vascular Surgery, Department of Surgery, College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia.
3
Division Pediatric Surgery, Department of Surgery, College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia. Department of Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
4
Department of Surgery, King Fahad Hospital of Imam Bin Abdul Rahman Al-Faisal, Dammam, Saudi Arabia.
Abstract
Background: Vascular trauma is one of the devastating types of injuries whether accidental or intentional. Despite this fact, there is an obvious deficiency in the educational sessions for vascular surgeons concerning the appropriate medicolegal dealing with such injuries. Aim: To report the experience of vascular limb trauma highlighting the medicolegal and clinical findings. Methods: A 5-years retrospective study with a follow up period of 1.5 years studying the data of peripheral vascular injuries at three specialized trauma centers with special emphasize on the cause, the type, and the outcome of this trauma in relation to sociodemographic factors. Obtained data were statistically analyzed using the SPSS computer program (version 23). Results: This study included 350 trauma patients (287 males and 63 females) who presented with peripheral vascular injuries. The patients’ age ranged from < 8 years to >50 years. There was a significant association between the age and the circumstances of trauma. The most encountered causative mechanisms were traffic accidents (45.7%) and firearms (21.7%). There was no significant association between outcome and age (p = 0.114) or circumstances of trauma (p = 0.208). There was a highly significant association between the outcome and the duration of hospital stay (p < 0.001). Lower limb injuries were higher in frequency than upper limb injuries (n = 286 and 123) respectively. Upper and lower limbs arterial injuries had a significantly higher frequency rate than the venous injuries. Ulnar artery and brachial vein injuries were the most frequently encountered upper limb arterial and venous trauma, while the femoral artery and the deep femoral vein were the most commonly affected lower limb vessels. Bone injuries were the most frequently accompanying injuries. (44.6% of total cases). Conclusion: As any sort of injury may possess medical and lawful perspectives, medicolegal investigations have to take the crown’s position when studying trauma cases, going hand in hand with the clinical aspect.
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