Advancements in microsurgical techniques have allowed for the salvage of extremities that would otherwise be amputated. Despite these improvements, mangling injuries lower extremity with concomitant open fracture continue to present a challenge reconstructive surgeons. These are further complicated by circumstances which single vessel is perfusing foot after trauma (Gustilo 3C injuries). Althou...

BACKGROUND Bile duct injury is a severe complication of laparoscopic cholecystectomy and many reports focus on this topic, especially regarding the long-term success of repair of these injuries. There is some concern, however, as to whether concomitant vascular injuries can jeopardize reconstruction of a bile duct injury following laparoscopic cholecystectomy. METHODS A review of the current ...

The brachial artery is the commonest artery injured in the extremities. Although the patients present late, nevertheless reconstructions is advocated in other to salvage the limb and maintain function of the hand. We retrospectively examined 25 consecutive patients with vascular injuries treated at The Cardiovascular and Thoracic Surgery Unit of a tertiary health centre over a period of 4 years...

The clinico-pathological features of five patients with vascular amyloid restricted to the central nervous system are presented. In three normotensive patients, intracerebral hemorrhage was the dramatic manifestation of amyloid angiopathy. In two other cases, one of amyloid in an arteriovenous malformation, the other of amyloid following therapeutic radiation, amyloid deposition was asymptomati...

OBJECTIVE To test the hypothesis that fasciotomy may impair the function of the calf muscle pump, which in turn could result in the development of chronic venous insufficiency. DESIGN A cohort study of patients with a history of lower extremity fasciotomy. SETTING An urban trauma center. PATIENTS Seventeen of the 83 patients identified through trauma, vascular, and/or orthopedic registrie...

OBJECTIVE To determine the accuracy of multidetector CT angiography (MDCT angiography) as initial diagnostic technique in depicting and characterizing post traumatic vascular injuries, looking for additional injuries and confirming the findings with intervention and follow-up. STUDY DESIGN Descriptive analytical study. PLACE AND DURATION OF STUDY Department of Radiology, Shifa International...

BACKGROUND Routine surgical exploration after penetrating upper extremity trauma (PUET) to exclude arterial injury leads to a large number of negative explorations and iatrogenic injuries. Selective non-operative management (SNOM) is gaining in favor for patients with PUET. The present study was undertaken to assess the validity of SNOM in PUET and to present a practical management algorithm. ...

Paediatric clavicle fractures are common injuries presenting to orthopaedic surgeons. The majority of these represent midshaft low energy fractures, which in the vast majority of cases are treated non-operatively and recover rapidly. The main indications to consider operative intervention include high energy of injury, >2 cm shortening, open fractures and associated vascular or neurological inj...

A retrospective single-center review was performed from 2015 to 2020. Six patients were treated for accidental supra-aortic arterial cannulation during central venous catheter insertion. Three punctures due 12F vein catheters. Four had undergone diagnostic duplex ultrasound (DUS) and two computed tomography angiography (CTA). Surgical intervention with direct repair in four common carotid arter...

OBJECTIVE To study the demographics and treatment outcome of penetrating neck injuries presenting to a major trauma centre in order to develop a treatment protocol. DESIGN A case review. SETTING A trauma centre at a tertiary care institution. PATIENTS One hundred and thirty consecutive patients who had 134 neck wounds penetrating the platysma and presented to the trauma service between 19...