2023-09-142023-09-142022ALBUQUERQUE, Fernanda Beatriz Araujo de; FEIJÓ, Matheus Oliveira. Fatores prognósticos em traumatismos vasculares do segmento femoropoplíteo: decisões intraoperatórias são importantes. Orientador: Adenauer Marinho de Oliveira Góes Junior; Coorientadora: Mariseth Carvalho de Andrade. 2022. 43 f. Trabalho de Curso (Bacharelado em Medicina) - Faculdade de Medicina, Instituto de Ciências da Saúde, Universidade Federal do Pará, Belém, 2022. Disponível em: https://bdm.ufpa.br:8443/jspui/handle/prefix/6112. Acesso em:.https://bdm.ufpa.br/handle/prefix/6112Background: The most common victims of vascular trauma are young men. Although these injuries have become increasingly frequent, and frequently affects the lower limbs, there are still doubts about which factors may lead to unfavorable clinical outcomes in these cases. Aim: to determine the clinical profile of patients with femoropopliteal vascular injuries, trauma mechanisms and treatment, and to stablish which factors led to unfavorable outcomes. Methods: Analytical retrospective study based on the survey of medical records of patients treated between January 2017 and December 2021. Patients aged over 16 years, operated due femoropopliteal vascular injuries by any mechanism, were included. Data pertaining to the following were assessed: patients’ sex and age, distance needed to reach the hospital, trauma mechanism, presence of hypovolemic shock, associated injuries, treatment of vascular injuries, if fasciotomy was needed, intraoperative decisions regarding surgical technique and Injury Severity Score (ISS). Need for surgical reintervention, amputation and death were considered unfavorable outcomes and their occurrence was correlated with the previously described variables. Univariate, bivariate and logistic regression analyzes were used. Results: among 94 patients, 83% were men; mean age was 30.8 years; simultaneous arterial and venous injuries were statistically more common (57.5%) than isolated arterial or venous ones; the most affected vessels were the superficial femoral vessels (61.7%). Penetrating mechanisms were the most prevalent (80.9%). Arterial injuries were frequently treated with a venous graft (59.6%) and most venous injuries underwent ligation (81.4%). In 15% of the cases, inadequate surgical decisions were detected, the most common was the use of great saphenous vein of the injured limb for arterial reconstruction; unfavorable outcomes were developed in 44.7% of cases: surgical reintervention was necessary in 21.3%; limb amputation was performed in 25.5% and 9.5% of the patients died. Inappropriate surgical decisions were statistically associated with the need for reintervention. The variables associated with limb amputation were popliteal artery injury, fracture/dislocation and need for fasciotomy. The average ISS for fatal victims was 21.67 and 17.07for survivors. Conclusion: Injuries mainly affected young men, victims of gunshot wounds. The superficial femoral vessels were the most injured; concomitant non-vascular trauma was frequent, mainly regarding fractures. Inadequate surgical decisions increased the need for reinterventions in 34 times. Need for fasciotomy, presence of fracture/dislocation, blunt trauma mechanism and popliteal artery injury increased the risk of amputation.Acesso AbertoLesões do sistema vascularMembros inferioresProcedimentos cirúrgicos vascularesPrognósticoCNPQ::CIENCIAS DA SAUDE:: MEDICINATrabalho de Curso - Graduação - Monografia