Trauma Vascular De La Region Poplitea: Evitar La Ligadura Y Repar La Vena Mejora Los Resultados Reporte Inicial
Guillermo H Echeverría, Mario A Flores, Danilo B García, René Marroquín, Carlos A Marroquin
Keywords :
Keywords: Lesiones, Lesiones del Sistema vascular, Lesión vascular, Protocolos
Citation Information :
Echeverría GH, Flores MA, García DB, Marroquín R, Marroquin CA. Trauma Vascular De La Region Poplitea: Evitar La Ligadura Y Repar La Vena Mejora Los Resultados Reporte Inicial. Panam J Trauma Crit Care Emerg Surg 2022; 11 (1):14-18.
Background: Traumatic vascular injuries of the popliteal region are associated with high morbidity, including limb amputation, especially when there are combined artery and vein injuries. There is controversy in the management of venous injury: repair vs ligation of the vessel, with literature in favor of both repair and ligation. Current evidence validates the use of any of these techniques.
Objective: To describe the results of the management of vascular trauma of the popliteal vein, in which immediate or delayed repair of the popliteal vein is performed as the first option in all cases to avoid postligation edema and subsequent amputation.
Methodology: Based on the review of the literature and due to the potential benefit of repairing the injured popliteal vein, a protocol is implemented whose guideline is immediate or delayed popliteal vein repair in all cases, and the results are described.
Results: During the year 2020 and the first 3 months of 2021, eight cases with vascular injury of the popliteal region were documented. Five cases with venous injury. One was ligated and the result was amputation, four were repaired and had successful revascularization of the limb without consequences of amputation.
Conclusion: Although ligation has been described as an option for a destructive popliteal vein injury, we believe that venous revascularization offers clear advantages, avoiding postligation edema, and arterial thrombosis due to severe edema due to lack of return. Our proposal is venous reconstruction for all cases.
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