Vascular trauma in Latin America: a regional survey.
As has been demonstrated, significant differences exist in demographics and the likelihood of accidents among Latin American countries; however, when figures were standardized, they showed a clear similarity in all the reviewed features of vascular trauma. A total of 66.4% of cases were managed solely on a clinical basis, with 78.9% of surgical procedures being performed within 6 hours of injury. Vascular repair was attempted in 84% of arterial injuries and 43% of venous injuries. Results are extremely good, with an 89% rate of success, especially considering that 63% of injuries were gunshot wounds and that the largest series, from Brazil, had a 21.3% rate of abdominopelvic injuries. The mortality rate amounted to 12.7%, but associated injuries, and particularly multiple trauma, account for 50.0% of the deaths.
Sonneborn
Ricardo
R
Department of Surgery, Universidad de Chile, Hospital del Trabajador, Santiago. ghtrsg@gw.achs.cl
Andrade
Rafael
R
Bello
Fernando
F
Morales-Uribe
Carlos H
CH
Razuk
Alvaro
A
Soria
Alfredo
A
Tisminetzky
Gustavo Jorge
GJ
Espinoza
Ricardo
R
Monge
Tobias
T
Rasslan
Samir
S
Ruiz
Daniel
D
Sanabria-Quiroga
Alvaro E
AE
Caffaro
Roberto Augusto
RA
Sierra-Jones
Juan M
JM
Tissera
Gerardo Hernán
GH
Foianini
Jorge E
JE
Ostria
Gonzalo
G
D001158:Arteries / Q000293:injuries* / Q000601:surgery; D003431:Cross-Cultural Comparison; D003430:Cross-Sectional Studies; D006801:Humans; D010176:Panama / Q000453:epidemiology; D012307:Risk Factors; D013020:South America / Q000453:epidemiology; D015996:Survival Rate; D014656:Vascular Surgical Procedures / Q000706:statistics & numerical data; D014680:Veins / Q000293:injuries* / Q000601:surgery; D014947:Wounds and Injuries / Q000401:mortality / Q000601:surgery*