Vascular Injuries Caused by Tear Gas Shells: Surgical Challenge and Outcome

Document Type: Original Article(s)

Authors

1 Department of Cardiovascular and Thoracic Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India

2 Department of Radiology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India

Abstract

Dec 2009 were studied. Patients with vascular injuries caused by causes other than tear gas shells were excluded from the study.
Results: All patients were treated with reverse saphenous vein graft as segmental loss was less than 2.5 cm. Wound infection was the most common complication, followed by graft occlu-sion. Amputation rate was 16.66%. Associated nerve injury occurred in 44.44% of the patients.
Conclusion: Tear gas shell injuries should not be taken lightly. They can cause injuries as serious as vascular injuries. Vascular injuries cased by tear gas shells require prompt re-vascularisation to improve limb salvage. Despite proper revascularisation, patients have significant morbidity and need proper rehabilitation in the follow ups.