Vascular Traumatism of Limbs in Civil Practice in Dakar

Adama, Dieng Papa; Sokhna, Diop Momar; Gaye, Magaye; Fatou, Sow Ndeye; Lawani, M; Amath, Diagne Papa; Diatta, Souleymane; Salmane, Ba Pape; Ousmane, Ba Pape; Seck, Diop Moussa; Soda, Mbaye Mareme; Gabriel, Ciss Amadou; Assane, Ndiaye; Mouhamadou, Ndiaye

doi:10.33425/2639-8486.1035

Cardiol Vasc Res

2018

DOI: 10.33425/2639-8486.1035

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Vascular Traumatism of Limbs in Civil Practice in Dakar

Dieng Papa Adama¹,

Diop Momar Sokhna²,

Magaye Gaye³

et al.

Abstract: Introduction: Vascular limb trauma refers to any traumatic lesion involving a blood vessel; an artery or vein; located in the limbs, caused by laceration, contusion, section, crush, puncture or other mechanisms. They constitute a medico-surgical emergency that involves both vital and functional prognosis.

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2023

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Cited by 2 publications

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Upper Limb Vascular Traumas with Vascular Exposure: Difficulties of Reconstruction in an Isolated Cardiovascular Surgical Environment

Kirioua-Kamenan,

Yeo,

Degre

et al. 2023

Indian Journal of Vascular and Endovascular Surgery

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Introduction and Objective: Advocate for the knowledge and development of intrahospital therapeutic management of vascular trauma with vascular exposure, in our working conditions. Materials and Methods: This was a descriptive retrospective study which covered the period from January 2015 to June 2022. It was carried out from the medical records of patients operated on for vascular trauma with exposure of the vessels, in the Cardiovascular Surgery Department at the Abidjan Heart Institute. The following data were studied: epidemiological data, anatomo-clinical characteristics, and therapeutic data. Results: Nine medical records of eight male and one female patient were collected. The average age of the patients was 36 years. Elementary vascular lesions were as follows: complete section of the brachial artery and vein (n = 3), loss of substance of the brachial artery (n = 2), contusion of the brachial artery (n = 1), lateral wound of the ulnar artery (n = 2), and complete section of the radial artery (n = 1). Revascularization consisted in a brachio-brachial arterial bypass using a great saphenous vein graft (n = 3), end-to-end, respectively, arterial and venous anastomosis (n = 3), direct suture of the ulnar artery (n = 2), and in a radio-radial end-to-end arterial anastomosis (n = 1). The covering flaps used were the biceps brachii brachial muscle pedicled flap (n = 6) and the pedicled fasciocutaneous inguinal flap of McGregor (n = 3). The immediate and short-term postoperative follow-up was simple in all patients with scars of good trophicity. Conclusion: The surgical treatment requires skills in plastic surgery for the cardiovascular surgeon or the joint participation, in an emergency, of the cardiovascular surgeon and the plastic surgeon or, if necessary, the management of the patient in two stages. This last therapeutic modality generates additional morbidities and financial cost for the patient.

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Upper Limb Vascular Traumas with Vascular Exposure: Difficulties of Reconstruction in an Isolated Cardiovascular Surgical Environment

Kirioua-Kamenan,

Yeo,

Degre

et al. 2023

Indian Journal of Vascular and Endovascular Surgery

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Axillary Vessels and Brachial Plexus Traumas in Abidjan: Lesional Aspects and Surgical Difficulties

Kirioua-Kamenan,

Lucien Asseke,

Degré

et al. 2023

WJCS

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Introduction-Objectives: Through the presentation of epidemiological, anatomo-clinical and surgical aspects, we report our experience in the management of traumatic axillary lesions. Materials and Methods: A descriptive retrospective study was based on the medical records of patients who suffered vascular axillary and/or brachial plexus trauma and who underwent surgical repair at the Abidjan Cardiology Institute from January 2008 to June 2022. Epidemiological, anatomo-clinical and surgical data were studied. Results: Thirty-four medical files belonging to 33 men and one woman, aged 32 on average, were collected. The circumstances of occurrence were dominated by the stab wound (n = 22). The combinations of injuries were as follows: associated involvement of the axillary artery and vein (n = 4); isolated involvement of axillary artery (n = 3); isolated involvement of the axillary vein (n = 2); associated involvement of the axillary artery and brachial plexus (n = 17); associated involvement of the axillary artery and vein and brachial plexus (n = 08). Anatomic lesions included acute arterial lesions (n = 29) and arteriovenous fistula (n = 1) and false aneurysms (n = 4). All patients were operated on under general anesthesia; vascular repair included direct suturing (n = 16), arterial and venous bypass using a long saphenous graft (n = 9), prosthetic arterial bypass (n = 5) and prosthetic flattening-graft (n = 4). Brachial plexus surgery consisted of an end-to-end anastomosis of each transected bundle in all cases (n = 25). The medium-term postoperative course was marked by success without functional sequelae in 88.24% of cases (n = 30

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Vascular Traumatism of Limbs in Civil Practice in Dakar

Cited by 2 publications

References 20 publications

Upper Limb Vascular Traumas with Vascular Exposure: Difficulties of Reconstruction in an Isolated Cardiovascular Surgical Environment

Upper Limb Vascular Traumas with Vascular Exposure: Difficulties of Reconstruction in an Isolated Cardiovascular Surgical Environment

Axillary Vessels and Brachial Plexus Traumas in Abidjan: Lesional Aspects and Surgical Difficulties

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