Early One Stage Functional Reconstruction of a Mangled Upper Extremity.

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Abstract

Conflict of interest statement: Conflict of interestDr Debarati Chattopadhyay has no conflict of interest, Dr Akshay Kapoor has no conflict of interest, Dr Praveen A Jayaprakash has no conflict of interest, Dr Tarun Goyal has no conflict of interest 10. Int J Angiol. 2021 Jun;30(2):98-106. doi: 10.1055/s-0040-1720970. Epub 2020 Nov 26. Reliability of the Mangled Extremity Severity Score in the Management of Peripheral Vascular Injuries in Children: A Retrospective Review. Mousa A(1)(2), Zakaria OM(3)(4), Elkalla MA(5), Abdelsattar LA(6), Al-Game'a H(7). Author information: (1)Department of Vascular Surgery, Al-Hussain University Hospital, Faculty of Medicine for Males, Al-Azhar University, Darrasa, Cairo, Egypt. (2)Division of Vascular Surgery, Department of Surgery, College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia. (3)Division of Pediatric Surgery, Department of Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt. (4)Division of Pediatric Surgery, Department of Surgery, College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia. (5)Faculty of Medicine, Helwan University, Cairo, Egypt. (6)Department of General Surgery, Al-Hussain University Hospital, Faculty of Medicine for Males, Al-Azhar University, Darrasa, Cairo, Egypt. (7)College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia. Erratum in Int J Angiol. 2021 Mar 03;30(2):e1. doi: 10.1055/s-0041-1723815. Comment in Int J Angiol. 2021 Mar 03;30(2):e1. doi: 10.1055/s-0041-1723815. This study was aimed to evaluate different management modalities for peripheral vascular trauma in children, with the aid of the Mangled Extremity Severity Score (MESS). A single-center retrospective analysis took place between 2010 and 2017 at University Hospitals, having emergencies and critical care centers. Different types of vascular repair were adopted by skillful vascular experts and highly trained pediatric surgeons. Patients were divided into three different age groups. Group I included those children between 5 and 10 years; group II involved pediatrics between 11 and 15 years; while children between 16 and 21 years participated in group III. We recruited 183 children with peripheral vascular injuries. They were 87% males and 13% females, with the mean age of 14.72 ± 04. Arteriorrhaphy was performed in 32%; end-to-end anastomosis and natural vein graft were adopted in 18% and 29% respectively. On the other hand, 20% underwent bypass surgery. The age groups I and II are highly susceptible to penetrating trauma ( p  = 0.001), while patients with an extreme age (i.e., group III) are more susceptible to blunt injury ( p  = 0.001). The MESS has a significant correlation to both age groups I and II ( p  = 0.001). Vein patch angioplasty and end-to-end primary repair should be adopted as the main treatment options for the repair of extremity vascular injuries in children. Moreover, other treatment modalities, such as repair with autologous vein graft/bypass surgery, may be adopted whenever possible. They are cost-effective, reliable, and simple techniques with fewer postoperative complication, especially in poor/limited resources. International College of Angiology. This article is published by Thieme. DOI: 10.1055/s-0040-1720970 PMCID: PMC8159622