Successful Prosthetics for Traumatic Femoral Vascular Injury: А Case Report
Background. Injury to the main vessels is often accompanied by life-threatening bleeding, permanent disability or death. In the modern literature, only isolated cases of reconstructive surgery for major vein injury are described, their long-term results are insufficiently studied, there is little in...
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| Format: | Article |
| Language: | Russian |
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Vreden Russian Research Institute of Traumatology and Orthopedics
2022-06-01
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| Series: | Travmatologiâ i Ortopediâ Rossii |
| Subjects: | |
| Online Access: | https://journal.rniito.org/jour/article/viewFile/1762/pdf |
| _version_ | 1811342311069581312 |
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| author | Sergey A. Chernyadyev Alla Yu. Leshchinskaya Vyacheslav S. Bochegov |
| author_facet | Sergey A. Chernyadyev Alla Yu. Leshchinskaya Vyacheslav S. Bochegov |
| author_sort | Sergey A. Chernyadyev |
| collection | DOAJ |
| description | Background. Injury to the main vessels is often accompanied by life-threatening bleeding, permanent disability or death. In the modern literature, only isolated cases of reconstructive surgery for major vein injury are described, their long-term results are insufficiently studied, there is little information about the introduction of telemedicine technologies into the practice of emergency angiosurgical care.
The aim of the study is to demonstrate the immediate and long-term results of the joint work of trauma surgeons and angiosurgeons in helping a patient with injury to the main femoral vessels.
Case presentation. The results of treatment of the patient with the diagnosis: laceration of the upper third of the right thigh with rupture of the common femoral vein and superficial femoral artery and the development of threatening ischemia of the right lower limb; severe blood loss; hemorrhagic shock IV; severity of injury: VPH SP 33; MESS 7. Treatment of the patient took place in several stages. At the first of them, hemostasis was performed, the hemorrhagic shock was resolved. Further, the patient was consulted by an angiosurgeon through telecommunication technologies, after which it was decided to include an angiosurgeon in the surgical team. The prosthetics of femoral vessels was performed: the main venous and arterial blood flow was restored in the affected limb. The patient was discharged in a satisfactory condition with no signs of thrombosis.
Conclusions. Compliance with consistent actions in helping a patient with a vascular injury prevents the development of a deadly triad and a fatal outcome. The use of telemedicine consultations provides the angiosurgeon with the opportunity to remotely assess the clinical picture, the severity of the injury, discuss the sequence and volume of necessary medical care at the place of primary hospitalization. Performing reconstructive surgeries using various types of grafts allows you to restore the main blood flow through damaged vessels with good immediate and long-term results. |
| first_indexed | 2024-04-13T19:09:19Z |
| format | Article |
| id | doaj.art-82b888f3ac3e404897ea0aad7eeb2e98 |
| institution | Directory Open Access Journal |
| issn | 2311-2905 2542-0933 |
| language | Russian |
| last_indexed | 2024-04-13T19:09:19Z |
| publishDate | 2022-06-01 |
| publisher | Vreden Russian Research Institute of Traumatology and Orthopedics |
| record_format | Article |
| series | Travmatologiâ i Ortopediâ Rossii |
| spelling | doaj.art-82b888f3ac3e404897ea0aad7eeb2e982022-12-22T02:33:54ZrusVreden Russian Research Institute of Traumatology and OrthopedicsTravmatologiâ i Ortopediâ Rossii2311-29052542-09332022-06-0128210511310.17816/2311-2905-17621039Successful Prosthetics for Traumatic Femoral Vascular Injury: А Case ReportSergey A. Chernyadyev0https://orcid.org/0000-0003-4207-1862Alla Yu. Leshchinskaya1https://orcid.org/0000-0002-5815-3486Vyacheslav S. Bochegov2https://orcid.org/0000-0003-3708-8221Ural State Medical UniversityUral State Medical UniversityTerritorial Center for Disaster MedicineBackground. Injury to the main vessels is often accompanied by life-threatening bleeding, permanent disability or death. In the modern literature, only isolated cases of reconstructive surgery for major vein injury are described, their long-term results are insufficiently studied, there is little information about the introduction of telemedicine technologies into the practice of emergency angiosurgical care. The aim of the study is to demonstrate the immediate and long-term results of the joint work of trauma surgeons and angiosurgeons in helping a patient with injury to the main femoral vessels. Case presentation. The results of treatment of the patient with the diagnosis: laceration of the upper third of the right thigh with rupture of the common femoral vein and superficial femoral artery and the development of threatening ischemia of the right lower limb; severe blood loss; hemorrhagic shock IV; severity of injury: VPH SP 33; MESS 7. Treatment of the patient took place in several stages. At the first of them, hemostasis was performed, the hemorrhagic shock was resolved. Further, the patient was consulted by an angiosurgeon through telecommunication technologies, after which it was decided to include an angiosurgeon in the surgical team. The prosthetics of femoral vessels was performed: the main venous and arterial blood flow was restored in the affected limb. The patient was discharged in a satisfactory condition with no signs of thrombosis. Conclusions. Compliance with consistent actions in helping a patient with a vascular injury prevents the development of a deadly triad and a fatal outcome. The use of telemedicine consultations provides the angiosurgeon with the opportunity to remotely assess the clinical picture, the severity of the injury, discuss the sequence and volume of necessary medical care at the place of primary hospitalization. Performing reconstructive surgeries using various types of grafts allows you to restore the main blood flow through damaged vessels with good immediate and long-term results.https://journal.rniito.org/jour/article/viewFile/1762/pdfvascular injuryartery and vein traumathigh lacerationspecialized caretelemedicine consultation |
| spellingShingle | Sergey A. Chernyadyev Alla Yu. Leshchinskaya Vyacheslav S. Bochegov Successful Prosthetics for Traumatic Femoral Vascular Injury: А Case Report Travmatologiâ i Ortopediâ Rossii vascular injury artery and vein trauma thigh laceration specialized care telemedicine consultation |
| title | Successful Prosthetics for Traumatic Femoral Vascular Injury: А Case Report |
| title_full | Successful Prosthetics for Traumatic Femoral Vascular Injury: А Case Report |
| title_fullStr | Successful Prosthetics for Traumatic Femoral Vascular Injury: А Case Report |
| title_full_unstemmed | Successful Prosthetics for Traumatic Femoral Vascular Injury: А Case Report |
| title_short | Successful Prosthetics for Traumatic Femoral Vascular Injury: А Case Report |
| title_sort | successful prosthetics for traumatic femoral vascular injury а case report |
| topic | vascular injury artery and vein trauma thigh laceration specialized care telemedicine consultation |
| url | https://journal.rniito.org/jour/article/viewFile/1762/pdf |
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