Bastards & Bloodlines: A Guidebook to Half-Breeds (Races of by Owen K. C. Stephens

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Rich (1977) also provided a 10-year follow-up of 51 Vietnam casualties who had lower extremity venous injuries repaired using autogenous interposition venous grafts. Only one patient (2%) developed thrombophlebitis in the postoperative period and this was transitory in nature (Table 1–35). qxd 4/16/04 3:20 PM Page 44 44 I • GENERAL PRINCIPLES OF VASCULAR TRAUMA ᭿ FIGURE 1–26 The venogram shows minimal recanalization of a segment of the left greater saphenous vein, which was used to repair the right popliteal vein 21/2 months earlier in Vietnam.

In 1889, Kümmel performed the first clinical end-to-end anastomosis of a femoral vein. In 1901, Clermont successfully reunited the ends of a divided vena cava with a continuous fine silk suture. A month later, the lumen of the vena cava was found to be smooth and unobstructed at the site of the anastomosis. Jensen in 1903 was successful in four of seven TABLE 1–28 ETIOLOGIC FACTORS MANAGEMENT OF VASCULAR INJURIES OF THE EXTREMITIES (115 CASES) Etiologic Factors Penetrating trauma Stab wounds Traffic accidents Gunshot injury Industrial accidents Failing from heights Iatragenic Number of Cases % 50 25 22 9 5 2 2 43 21 19 8 5 2 2 From Kurtogˇlu M, Ertekin C, Bulut T, et al: Management of vascular injuries of the extremities: 115 cases, Int Angiol 10:95-99, 1991.

One hundred sixteen operations were performed on 106 patients with 108 injuries (Table 1–4). ) at the Second Surgical Hospital. The results reported included a shortterm follow-up of approximately 7 to 10 days in Vietnam. In Vietnam, amputations were required for only 9 of the 108 vascular injuries, a rate of about 8%. Subsequently, more detailed analysis from the Vietnam Vascular Registry (Rich and Hughes, 1969; Rich, 1970) found the amputation rate of approximately 13%, identical to that of the Korean Conflict.

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