[Results of vascular repairs in trauma of the femoral veins, iliac veins and the inferior vena cava].
We examined the records of 12 patients operated for lesions of the inferior vena cava, the iliac vein, or the common femoral vein were examined. The results of venous grafts, treatment of the lesions of the posterior inferior vena cava or the supra hepatic vena cava and the permeability after repair of these large vessels was studied. Treatment included simple suture (n = 9), venous patch (lateral iliac vein, n = 1), and venous autografts (common femoral veins, n = 2). For 3 lesions of the posterior or supra-hepatic inferior vena cava, haemostasis was obtain by double clamping (n = 2) or four-way clamping (n = 1) with right hepatectomy. In 9 cases, the patients were followed-up for a mean of 59 months. Morphologic exploration with phlebography (n = 1) or echo-Doppler examination (n = 7) was performed during the follow-up period. There were no post-operative deaths. There were no functional sequellae affecting the lower limbs. In one case, the echo-Doppler examination revealed repermeabilization of a thrombosed lateral iliac vein after simple suture. Lesion repair of large diameter veins with autografts using the internal jugular or internal saphenous vein gave good results. Haemostais of posterior or supra-hepatic lesions to the inferior vena cava was obtained with clamping. In cases with associated hepatic involvement, haemostasis was controlled with a four-way clamp and trans-hepatic access or digitoclasty. Long-term permeability of venous repair was good.
Clinique Chirurgicale Adultes Ouest A, Hôpital Claude Huriez, C.H.R.U., Lille.
J P
JP
Chambon
L
L
Sobecki
A
A
Fournier
O
O
Merlier
A
A
Saudemont
P
P
Quandalle
D000007:Abdominal Injuries / Q000150:complications*; D000328:Adult; D001807:Blood Vessel Prosthesis; D005260:Female; D005268:Femoral Vein / Q000293:injuries* / Q000601:surgery; D005500:Follow-Up Studies; D006465:Hemoperitoneum / Q000209:etiology*; D006801:Humans; D007084:Iliac Vein / Q000293:injuries* / Q000601:surgery; D008297:Male; D013536:Suture Techniques; D014652:Vascular Diseases / Q000150:complications / Q000601:surgery; D014682:Vena Cava, Inferior / Q000293:injuries* / Q000601:surgery; D014948:Wounds, Gunshot
Résultats des réparations vasculaires dans les traumatismes des veines fémorales, des veines iliaques et de la veine cave inférieure.