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[Hyperbaric oxygenation for treatment of extremities major arteries].

The results of hyperbaric oxygenation therapy in surgical treatment of 44 patients with traumatic injuries of major arteries of the extremities were analysed. Associated injuries of the veins were observed in 27 (61.4%) patients, damages to the nerves--in 32 (72.7%), to the bones and joints--in 5 (11.4%), and to the soft tissues--in all of the patients. The indications for the hyperbaric therapy were: severe acute ischemia, major soft tissue damages and bone fractures, wound infection (purulent, anaerobic) complications and emergency ligation procedures on arteries. The use of hyperbaric oxygenation procedure together with extracorporeal methods for detoxication and reconstructive operations on vessels gives us possibility to broaden the indications for reconstructive operations and to prevent and control ischemic and infectious complications, endotoxicosis, increase the effectiveness of surgical treatment in victims with the injuries of major arteries of the extremities.

Adolescent↗

Complications of replantation surgery.

Potential complications after replantation surgery are numerous and varied in their nature. The average replantation patient can expect somewhere between two to three subsequent operations to maximize function. Many surgical complications and unsatisfactory functional outcomes can be avoided through careful assessment of patients and their injuries.

Acute Disease↗

[Epidemiologic study of traffic accidents occurring among the inhabitants of Algeria].

An observation area was created in Algiers to improve both epidemiological knowledge of traffic accidents and the national information system. Carried out cooperatively by the police and the hospitals of the area, our cohort study revealed a high annual incidence (700 per 100,000) of traffic accidents among residents of Algiers. Children between 5 and 9, adolescents, young adults and people over 60 are the most vulnerable. Older persons and children are for the most part pedestrians. Fractures of lower limbs are relatively numerous and account for 10% of all registered injuries. Moreover, 92.1% of injuries, corresponding to the highest AIS in each part of the body affected, are either minor or moderate. The severity of injuries seems to be independent of age, sex and category (pedestrians, motorcyclists, etc.) of the road user. The ISS, which is correlated to the duration of hospital stay, gives much the same results. Only by linking the data from the different information sources can one perceive the various facets of the problem in an overall manner. However, even before accumulating highly refined data certain actions are manifestly urgent. One of them is an improved organization of traumatology in order to reduce lethality of injuries.

Abdominal Injuries↗