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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 | 152 83
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