The Cavitation Effect on Penetrating Femoral- Popliteal Vascular Injury

Authors

  • Orestes Díaz Hernández Hospital Hermanos Ameijeiras
  • Osvaldo Eliseo Musenden Hospital Hermanos Ameijeiras
  • María Luisa García Lizame Hospital Hermanos Ameijeiras
  • Yanela Peguero Bringuez. Hospital Hermanos Ameijeiras

Keywords:

cavitation effect, vascular lesions

Abstract

Introduction: vascular injuries during a war have always been a concern for vascular surgeon. One of them is the cavitation effect as a result of the development of modern weapons.
Objectives: present the importance of cavitation effect on gunshot wounds.
Methods: combat casualties of the Angolan war were studied from 1990 to 1994. The basic design was descriptive and retrospective. 134 vascular examinations were performed, 41 out of them were femoral-popliteal sector. 12 cases in group A with cavitation effect were compared with 29 no cavitation effect cases in group B.
Result: the cavitation effect is totally destructive and placed the wounded at risk for limb and life.
Conclusions: analysis and classifications always worth an effort to rescue correct.

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Author Biography

Orestes Díaz Hernández, Hospital Hermanos Ameijeiras

Profesor consultante, especialista II grado Angiología y Cirugía Vascular, profesor auxiliar.

References

1. Arias J. Fisiopatología quirúrgica.1999. Consultado: 20 de diciembre del 2013. Disponible en: Books.google.com.cu

2. Kragh JF, Walters TJ, Baer Dg. Survival with emergency tourniquet use to stop bleeding in major trauma. Ann Surg. 2009;249(1):1-7.

3. Kragh JF, Walters TJ, Baer DG, Fox CJ. Practical use of emergency tourniquets to stop bleeding in major limb trauma. J Trauma. 2008;64(s2):S38-S50.

4. Beekley AC, Sebesta JA, Blackbourne LH. Prehospital tourniquet use in operation Iraqi freedom: effect on hemorrhage control and outcomes. J Trauma. 2008;64(s 2):S28-S37.

5. Tien HC, Jung V, Rizoli SB. An evaluation of tactical combat casualty care interventions in a combat environment. J Am Coll Surg. 2008;207:174-8.

6. Kelly JF, Ritenour AE, McLaughlin DF. Injury severity and causes of death from operation Iraqi freedom and operation enduring freedom: 2003-2004 versus 2006. J Trauma. 2008;64(suppl 2):S21-S7.

7. Norton R, Kobusingye O. Lesiones, la situación en el mundo. N Engl J Med. 2013;368:1723-30.

8. Resnick R,

Halliday D. Física, Parte 1. Ed Instituto Cubano del Libro, 1974.

9. De Muth WE. The mechanism of shotgun wounds. J Trauma. 1971;11:219-29.

10. Cooper GJ, Ryen JM. Interaction of penetrating missiles with tissues: some common misapprehensions and implications for wound. Br J Surg. 1990;77:606-10.

11. Weaver FA. Epidemiology and Natural History of Vascular Trauma. Cap. 69. En: Rutherford´s Vascular Surgery, Section XII – VASCULAR TRAUMA. 6th ed. Saunders Elsevier; 2005. p. 720.

12. Coupland RM. Technical aspects of war wound excision. Br J Surg. 1989;76:663-7.

13. Amato JA, Rich N, Billy JL, Gruber R, Lawson N. High velocity arterial injury, a study of the mechanism of injury. J Trauma. 1971;2(5):412-6.

14. Poblete R. Heridas vasculares periféricas por proyectiles de alta velocidad. En: Lombardi J, Silva P, Castro J, Ejército de Chile, eds. Heridas por proyectil. experiencia en 376 casos. Dirección de Sanidad del Ejército Chileno,1977:159-70.

15. Radonic V, Baric D, Petricevic A, Kovacevic H, Sapunari D, Glavina M. War injuries of the crural arteries. British Journal of Surgery. 1995;82:777-83.

16. Leppaniemi A, Rich N. Treatment of vascular injuries in war wounds of the extremities. Techniques in Orthopaedics. 1995;10(3):265-71.

17. Wikipedia. Cavitación. Consultado: diciembre 2013. htpp://es.wikipedia.org/wiki/cavitación2010.

18. Resnick R, Halliday D. Física, Parte 1. Ed Instituto Cubano del Libro. 1974.

19. Apfel RE. Acoustic cavitation: a posible consecuence of biomedical uses of ultrasound. Br J Cancer. 1982;45:140-6.

20. Sass W. The role of cavitational activity in franmentation processes by lithotripters. J Stone Dis. 1982;4:193-207.

21. Van Wijngaarden L. Hydrodynamic interaction between gas bubbles in liquidid. J Fluid Mech. 1976;77:27-38.

22. Lubock P. The physics and mechanics of lithotripters. Dig Dis Sci. 1989;34:999-1005.

23. Crum LA. Cavitation microjets as a contributory mechaism for renal calculi disintegration in ESWL. J Urol. 1988;140:1587-90.

24. Delius M. Biological effects of shock waves: kidhey haemorrhage by shock waves in dogs administration rate dependence. Ultrasound Med Biology. 1988;14:689-94.

25. Laudermilch D, Schiff M, Nathens A. Lack of emergency medical services documentation is associated with poor patient outcomes: a validation of audit filters for prehospital trauma care. J Am Coll Surg. 2010;210(2):220-7.

26. Stephenson TJ. Short-term effects of extracorporeak shock wave lithotripsy on the human gail bladder. J Pathol. 1989;158:239-40.

27. Heymann FJ. High-speed impact between a liquid drop and a solid surface. J Appl Phys. 1969;60:5113-22.

28. Peng PD, Spain DA, Tataria M. CT angiography effectively evaluates extremity vascular trauma. Am Surg. 2008;74:103-7.

29. Inaba K, Potzman J, Munera F. Multi-slice CT angiography for arterial evaluation in the injured lower extremity. J Trauma. 2006;60:502-7.

30. Sapiéns LMC y cols. Resultado de la aplicación del sistema de puntaje NISSSA. Rev Mex Angiol. 2006;34(4):134-40.

31. Lovrié Z, Wertheimer B, Candrlié K. War injuries of major extremity vessels. J Trauma. 1994;36:248-51.

32. Rich NM, Baugh JH, Hughes CW. Acute arterial injuries in Vietnam:1 000 cases. J Trauma. 1970;10:359-69.

33. Schramek A, Hashmonai M. Vascular injuries in the extremities in battle casualties. Br J Surg. 1977;54:644-648.

34. Zakharia AT. Cardiovascular and thoracic battle injuries in the Lebanon war: analysis of 3 000 personal cases. J Thorac Cardiovasc Surg. 1985;89:723-33.

35. Jawas A. Management of war-related vascular injuries: experience from the second gulf war. World Journal of Emergency Surgery. 2013;8:22.

36. Karanas YL, Nigriny J, Chang J. The timing of microsurgical reconstruction in lower extremity trauma. Microsurgery. 2008;28:632-4.

37. Haddock N, Garfein E, Saadeh P. The lower extremity Allen Test (LEAT). J Reconstruct Microsurg. 2009.

38. Saddawi-Konefka D, Kim HM, Chung KC. A systematic review of outcomes and complications of reconstruction and amputation for type IIIB and IIIC fractures of the tibia. Plast Reconstr Surg. 2008;122:1796-805.

39. Starnes BW, Beekley AC, Sebesta JA, Andersen CA, Rush RM Jr. Extremity vascular injuries on the battlefield: Tips for surgeons deploying to war. J Trauma. 2006;60:432-42.

40. Abu-Zidan FM. Point-of-care ultrasound in critically ill patients: Where do we stand? J Emerg Trauma Shock. 2012;5:70-1.

41. Harris D, Denckar C, Haravan M, Sarkar R. Management and outcomes of blunt common and external iliac arterial injuries. J Vasc Surg. 2014;59(1):15-25.

42. Ringburg AN, Polinder S, Van Ierland MPC. Prevalence and prognostic factors of disability after major trauma. J Trauma. 2011;70(4):916-22.

43. Shah PM, Ivatury RR, Babu SC. Is limb loss avoidable in civilian vascular injuries? Am J Surg. 1987;154:202-5.

44. Franz R, Shah K, Malaharvi D, Franz E, Hartman J, Wright M. A 5-year review of management of lower extremity arterial injuries at an urban level I trauma center. J Vasc Surg. 2011;53(6):1604-10.

45. Fox C, Gillespie D, Rich N. Contemporary management of wartime vascular trauma. J Vasc Surg. 2005;41:638–44.

46. Frykberg ER, Schinco MA. Peripheral vascular injury. In: Moore EE, Feliciano DV, Mattox KL. Trauma. 5th edition. NewYork: McGraw-Hill. 2004:969-1004.

47. Woodward EB, Clouse WD, Eliason JL. Penetrating femoropopliteal injury during modern warfare: Experience of the Balad Vascular Registry. J Vasc Surg. 2008;47:1259-64.

48. Markov N, DuBose JJ, Scott D. Anatomic distribution and mortality of arterial injury in the wars in Afghanistan and Iraq with comparison to a civilian benchmark. J Vasc Surg. 2012;56(3):728-36.

49. Parrett BM, Matros E, Pribaz JJ. Lower extremity trauma: trends in the management of soft-tissue reconstruction of open tibia-fibula fractures. Plast Reconstr Surg. 2006;117:1314-23.

50. Hsieh CH, Liang CC, Kueh NS. Distally based sural island flap for the reconstruction of a large soft tissue defect in an open tibial fracture with occluded anterior and posterior tibial arteries-a case report. Br J Plast Surg. 2005;58:112-5.

51. Luo Z, Lou H, Jiang J. Pedicle flap transfer combined with external fixator to treat leg open fracture with soft tissue defect. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2008;22:956-8.

52. Eastridge BJ, Jenkins D, Flaherty S. Trauma system development in a theater of war. Experiences from operation Iraqi freedom and operation enduring freedom. J Trauma. 2006;61(6):1366-73.

53. McLaughlin DF, Niles SE, Salinas J. A predictive model for massive transfusión in combat casualty patients. J Trauma. 2008;64(Suppl 2):S57-S63.

54. Borgman MA, Spinella PC, Perkins JG. The ratio of blood products transfused affects mortality in patients receiving massive transfusions at a combat support hospital. J Trauma. 2007;63(4):805-13.

55. Holcomb JB, Jenkins D, Rhee P. Damage control resuscitation: directly addressing the early coagulopathy of trauma. J Trauma. 2007;62(2):307-10.

56. Ennis JL, Chung KK, Renz EM. Joint theater trauma system implementation of burn resuscitation guidelines improves outcomes in severely burned military casualties. J Trauma. 2008;64(suppl 2):S146-S52.

57. Davis DP, Peay J, Sise MJ. Prehospital airway and ventilation management: a trauma score and injury severity score-based analysis. J Trauma. 2010;69(2):294-301.

58. Butler FK, Tactical combat casualty care: update 2009. J Trauma. 2010;69(1):10-3.

59. Beekley AC, Starnes BW, Sebesta JA. Lessons learned from modern military surgery. Surg Clin N Am. 2007;87:157-84.

60. Hoogendoom JM, Weken Chr. The mangled leg decision making based on scoring system and outcome. European Journal Trauma. 2002;28(1):1-10.

61. McNamara M, Heckma JD, Corlet FG. Severe open fractures of the lower extremity: a retrospective avaluation of the mangled extremity severity score. J Orthopedic Trauma. 1994;8:281-7.

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Published

2014-12-15

How to Cite

1.
Díaz Hernández O, Eliseo Musenden O, García Lizame ML, Peguero Bringuez. Y. The Cavitation Effect on Penetrating Femoral- Popliteal Vascular Injury. Acta Médica [Internet]. 2014 Dec. 15 [cited 2025 Jun. 6];15(2). Available from: https://revactamedica.sld.cu/index.php/act/article/view/872

Issue

Vol. 15 No. 2 (2014): julio-diciembre

Section

Artículos originales

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