A Ten Year Review of Civilian Iliac Vessel Injuries from a Single Trauma Centre
Oliver JC, Bekker W, Edu S, et al (Univ of Cape Town, South Africa) Eur J Vasc Endovasc Surg 44:199-202, 2012§
B.W. Starnes, MD
Evidence Ranking
B
Expert Rating
2
Abstract
Objective
To report the surgical management and outcome of iliac vessel (IV) injuries in a civilian trauma centre with a high incidence of penetrating trauma.
Design, Patients and Methods
A retrospective record review of patients with IV injuries treated between January 2000 and December 2009.
Results
Sixty nine patients, 59 with gunshot wounds, sustained 108 iliac vessel injuries. Mean revised trauma and injury severity scores was 7.06 and 28.4, respectively. Twenty nine patients required damage control laparotomy. Common or external iliac arteries were repaired by primary repair (10), temporary shunt with delayed graft (6), interposition graft (5) or ligation if limb non-viable (3). Forty-seven patients had injuries to the common or external iliac vein, 42 were ligated. Mortality was 25% and 6 survivors required amputation.
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