Evaluation of treatment outcomes of neck and cervicothoracic vascular injuries at Cho Ray Hospital
Main Article Content
Abstract
Overview: Vascular injuries of the neck and cervicothoracic region represent severe surgical emergencies due to the risk of rapid blood loss, central nervous system injury, and high mortality. Early diagnosis and prompt management play a crucial role in determining patient outcomes.
Objectives: To describe the clinical and paraclinical characteristics and to evaluate early treatment outcomes of vascular injuries in the neck and cervicothoracic region at Cho Ray Hospital.
Methods: A retrospective descriptive case series was conducted on 32 patients who underwent surgical treatment for vascular injuries of the neck and cervicothoracic region at Cho Ray Hospital between January 2016 and December 2023.
Results: A total of 32 patients were diagnosed with and surgically treated for vascular injuries of the neck and cervicothoracic region. The majority of patients were male (93.75%), with a mean age of 31.22 ± 9.37 years. Domestic accidents were the most common cause, with sharp objects being the predominant mechanism of injury. Zone II of the neck was the most frequently affected area (81.3%). In total, 35 vascular injuries were identified among the 32 patients, including 65.7% venous injuries—predominantly involving the internal jugular vein—and 34.3% arterial injuries. The most common injury pattern was lateral vessel wall injury (74.3%). Hemorrhagic shock on admission was observed in 15.6% of patients. All patients underwent emergency surgery, with a mean time to operation of 6.1 ± 4.2 hours. The most commonly performed surgical procedures were lateral vascular repair (77.1%) and end-to-end anastomosis (14.3%), with vascular reconstruction achieved in 94.3% of injuries. Early treatment outcomes were favorable in 96.9% of patients. One patient (3.1%) developed neurological sequelae, and no mortality was recorded. Postoperative complications were uncommon, including superficial wound infection (3.1%) and wound seroma (6.3%). The mean hospital stay was 5.8 ± 2.5 days.
Conclusions: Vascular injuries of the neck and cervicothoracic region require early diagnosis and timely surgical intervention. Appropriate surgical management can significantly improve early treatment outcomes and reduce postoperative complications.
Keywords
Vascular injury, neck and cervicothoracic region, vascular surgery
Article Details
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