BackgroundManagement of peripheral vascular injuries often present critical challenges in resource limited settings of developing countries. The additional burden from a military conflict poses further challenges. Delays in presentation often result in the loss of limb and even life, in what is usually a young active population. The objective of this report is to analyse the early outcome of vascular intervention at a tertiary referral centre in Sri Lanka.MethodsA retrospective descriptive review of eighty one consecutive extremity vascular injuries in seventy patients during a seven month period was performed with regards to the cause of injury, types of presentations, ischaemia time, interventional procedures, complications and early outcome.ResultsMean age was 31.2 years (9-72 years) and 96% were males. Injuries were caused by blasts in 41%, cuts in 26%, gunshots in 17% and road traffic injuries in 9%. Indications for revascularization were acute ischaemia in 44%, active bleeding in 43% and pseudo-aneurysms in 13%. Six patients underwent primary amputations due to non-viable limbs. 64 patients underwent vascular intervention. Fifty one percent needed vein grafts while 46% had direct repairs. Bleeding was often (73%) from upper extremity injuries. Median time to revascularization was 5.5 (2-16) hours with all limbs salvaged. Acute ischaemia (40%) was often from popliteal injuries. Median time to revascularization was 10 (5-18) hours and viability was prejudged at fasciotomy. 92% of revascularized limbs were salvaged. There was no perioperative mortality.ConclusionsResults from vascular repairs are encouraging despite significant delays.

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Introduction & Objective: Chronic pain following the repair of inguinal hernia has been a topic of interest in the past few decades, probably due to its significant adverse impacts on the quality of life of the patients who undergo the procedure. In this study we assessed the site, severity and incidence of chronic pain following Lichtenstein tension free inguinal hernia repair and its association with preoperative duration of hernia, presence of preoperative groin pain, presence of inguinoscrotal hernia, type of hernia and several preoperative risk factors for inguinal hernia.