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SAS Journal of Surgery | Volume-5 | Issue-01
Surgery of Acute Ischemia of the Limbs
Wilfried Elohonnan Gandji, Pape Adama Dieng, Magaye Gaye, Ndeye Fatou Sow, Momar Sokhna Diop, Pope Amath Diagne, Amina Kheroumy, Delphin Kouassi Mehinto, Mouhamadou Ndiaye
Published: Jan. 30, 2019 |
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DOI: 10.21276/sasjs.2019.5.1.14
Pages: 60-64
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Abstract
Introduction: Acute ischemia of a limb is a phenomenon of extreme gravity. It is one of the most common vascular
emergencies, with a high risk of amputation, if not treated appropriately. Here we report the early and mid-term results
of surgical management of acute limb ischemia. Methods: This was a retrospective study performed on all patients
who underwent surgery for acute limb ischemia between January 2004 to December 2013 at the Cardiovascular
Surgery Department of the Fann National and University Hospital Center, Dakar. Results: The mean age of the
patients was 51 years (7 years, 85 years) with a male predominance. The average duration of symptom progression
was 120 hours (one hour at 720 hours). The initial diagnosis of ischemia of the limbs was mainly done on the basis of
the clinic. 85.7% of patients had undergone surgery, while five patients had received conservative treatment. The
results were favorable in 60.7% patients. Conclusion: Surgical management is acute limb ischemia is effective with
satisfactory results and requires rapid management