The management of venous trauma: early and late results.
The result of a fifteen year study related to the management of the venous injuries in the iliac-femoro-popliteal segment have been assessed. The patients were divided in Group I--comprised 20 patients with venous revascularization and Group II--12 cases without revascularization. The early results at 30 days evaluated by the clinical examination revealed edema in all limbs without revascularization. The phlebographic patency of the revascularization was 70%. The difference between the two groups was significant (X2 = 14.93; X2 critical = 3.84). The late results were evaluated clinically in 14 patients (ranged from 6 months to 12 years) and phlebographically in 8 (ranged from 2 years to 9 years). The comparison between the two groups revealed residual edema in 5 patients of Group II as well as in 2 patients of Group I (p = 0.0105 or 1.05%). Supported in this experience we recommend the revascularization of major injured veins.
Miranda Júnior
F
F
Department of Surgery, Escola Paulista de Medicina, São Paulo, Brazil.
Francisco Júnior
J
J
Burihan
E
E
D000328:Adult; D005260:Female; D005268:Femoral Vein / Q000293:injuries*; D006801:Humans; D007084:Iliac Vein / Q000293:injuries*; D008297:Male; D010690:Phlebography; D011152:Popliteal Vein / Q000293:injuries*; D014654:Vascular Patency / Q000502:physiology; D014656:Vascular Surgical Procedures / Q000379:methods; D014948:Wounds, Gunshot / Q000601:surgery*