Trauma is the leading cause of death and disability in the first four decades of life all over the world (1). This causes serious social and economic costs (1, 2). The ultimate goal of the trauma care is to return the patient to an independent and productive life as soon as possible. Trauma surgeon’s role is critical in establishing a better quality of care, because he or she are responsible fo...

BACKGROUND Extremity injury with ischaemia is the most common pattern of vascular trauma and is a challenge for surgeons who must make decisions about the timing and mechanism of limb reperfusion. In modern military conflicts, effective use of limb tourniquets and rapid transport of the injured have increased the number of casualties who reach a medical service with potentially survivable vascu...