Management of traumatic peripheral vein injuries. Primary repair or vein ligation.
Publication/Presentation Date
8-1-1982
Abstract
The management and outcome of 83 patients who had 86 venous injuries were retrospectively reviewed to identify optimal management techniques in patients with peripheral vein injuries. Venous injuries of the arms were associated with no long-term sequelae, and management with vein ligation appears safe. In patients with venous injuries of the legs, primary repair by lateral suture or primary end-to-end reanastomosis is recommended when technically easy. In patients who are unstable or in whom primary repair cannot be performed, vein ligation is recommended. Autogenous vein interposition grafting appears indicated only in the popliteal area when vein reconstitution should be aggressively sought. Vein ligation in peripheral vein injuries should be followed with aggressive postoperative management to prevent the development of distal edema. Limb elevation is effective in minimizing the development of adverse sequelae.
Volume
144
Issue
2
First Page
235
Last Page
238
ISSN
0002-9610
Published In/Presented At
Hardin, W. D., Jr, Adinolfi, M. F., O'Connell, R. C., & Kerstein, M. D. (1982). Management of traumatic peripheral vein injuries. Primary repair or vein ligation. American journal of surgery, 144(2), 235–238. https://doi.org/10.1016/0002-9610(82)90516-5
Disciplines
Medicine and Health Sciences
PubMedID
7102933
Department(s)
Department of Surgery
Document Type
Article