::INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES::

CODEN : IAJPBB
issn 2349-7750

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TITLE:

INJURIES OF SUBCLAVIAN & AXILLARY VESSELS AND THEIR SURGICAL MANAGEMENT

AUTHORS:

Dr Muhammad Arshad Ilyas, Dr Muhammad Shoaib Khan, Dr Adnan Iqbal

ABSTRACT:

Objective: The complicated operational coverage to severe injuries needed for the conventional method of surgeries associate with the high rate of mortality & morbidity. We demonstrated our outcomes with respect to the conventional way of surgeries following the axillosubclavian injuries. Methodology: The surgery of twenty-nine patients suffering from axillosubclavian injuries carried out at the emergency department of Lahore General Hospital from December 2014 to April 2019. The methods of treatment and detection of disease, related injury of organ, rates of morbidity and mortality in the patients were under evaluation. Results: The reason of the injuries were wounds because of stab in 37.90% (n: 11) patients, wounds of gun firing in 31.0% (n: 9) patients, iatrogenic injuries were available in 17.20% (n: 5) patients & blunt trauma was present in 13.70% (n: 4) patients. Total 8 (27.50%) patients found with separated injuries of arteries while 72.40% (n: 21) found with injuries of coexisting organs as veins, bones, nerves and soft tissues. The main important surgical procedures were primary repair & utilization of the saphenous vein. Myocardial infarction causes the death of 1 patient. Rate of mortality was 3.40%. Conclusions: Injuries of subclavian and auxiliary vascular have a close association with the neurogenic, injuries of the soft tissues & osseous and early intervention are very necessary to recover these injuries. The better choice of the surgery is conventional method which has a poor status and fulfills the condition of emergency. Keywords: Axillosubclavian, Injury, Intervention, Methodology, Mortality, Stab, Gunfire, Detection, Soft Tissues, Bones, Iatrogenic, Complicated.