Non Iatrogenic Pediatric Vascular Trauma of the extremities and neck

Aim:Vascular trauma in children is uncommon. Considering the complexity of these injuries, we have tried to determine their outcome, the different factors changing their outcome, the different modalities of management, and their outcomes.Patients and methods: We reviewed the medical record of 87 pediatric patients of less than 15years of edge for about 22 years (1996 to 2018). The review was followed by physical examination done by three surgeons. Vascular injuries included blunt and penetrating injuries to the neck and extremities. Their management included conservative management primary closure, end to end anastomosis, graft interpositions, and fasciotomy.Results:The patients included 66 males and 21females and their mean age was 9.2 years (ranging from 3 to 14 years).male were significantly (75.9%) involved. Penetrating upper extremity injuries were the most common cause of vascular injury in the pediatric population (67% on the right side). The most common mechanism was cutting the hand by the glass (most of them on the ulnar side). These vascular injuriesper se did not cause any this ability in the upper extremities. The out come of these injuries dependent more on simultaneous nerves injury and to a lesser extent, on tendon injury. There was no significant long-term difference between ligation and anastomosis of the radial and ulnar arteries. Lower extremity vascular injuries had significantly higher mortality and morbidity.Conclusion:As the reconstructive managements to be applied first .prompt surgical intervention is necessary if there are any critical signs of ischemia or unsuccessful conservative management.