Brachial artery injury in AL-Diwaniya teaching Hospital
AbstractAim: to focus on the management of brachial artery injury and it's sequelae .Methods: This is a prospective study of 80 patients admitted at Al-Diwaniya Teaching Hospital from 1st April , 2004 to 30th April, 2007 . All patients were prepared for surgical intervention under general anesthesia and proceed for arterial repair. Results: The most common mechanism of injury was bullet injury (50%) , followed by blunt (27.5%) , stab wounds (16.25%) , iatrogenic factors (5%) and rarely by thermal injury .The technique of repair was by venous graft in the majority of cases (60%) and we needed arteriorraphy in (22.5%) , end to end anastomosis in (15%) and ligation in (2.5%) .Conclusion: Brachial artery injury occurs more in young male group and commonest cause is bullet. Diagnosis of brachial artery injury is done by physical examination. Commonest postoperative complications (late sequelae) due to nerve injuries and joint stiffness.