Venous Injuries During a Ten-Year Follow Up, Including Vascular Injuries Managed in the Bulovka Surgical Department IPVZ

Authors: T. Vašina;  E. Šonský;  F. Antoš;  E. Hledík *;  M. Kašpar *
Authors‘ workplace: Chirurgická klinika IPVZ a 1. LF UK, FN Bulovka, Praha, přednosta: prof. MUDr. F. Antoš, CSc. ;  Radiodiagnostická klinika IPVZ a 1. LF UK, FN Bulovka, Praha, přednosta: prof. MUDr. J. Bohutová, DrSc. *
Published in: Rozhl. Chir., 2006, roč. 85, č. 11, s. 545-548.
Category: Monothematic special - Original


The authors analyze twenty cases of vascular reconstructions, completed upon management of 118 vascular traumas, over a 10-year period. The traumas were, predominantly, of iatrogenic origin. The following trunks were treated: v.cava inferior, v. mesenterica superior, pelvic, femoral and popliteal veins. In most cases, the reconstruction included a direct vascular suture technique.

Furthermore, in addition to the direct vascular suture technique, analogous vein-graft patches or interponates were used. In a single case, a thin-walled PTFE prosthesis was applied.

Out of the patient study group, one patient exited as a result of septic complications of his traumas, connected to the v. cava inferior injury. In three cases, femoral and popliteal reconstructions were affected with thrombosis. Non of the reconstructions resulted in a lower extremity amputation.

Key words:
venous injuries – vascular injuries – venous reconstruction

Surgery Orthopaedics Trauma surgery
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