Key result
The treatment of vascular injuries has evolved significantly over centuries, with amputation rates decreasing due to advances in surgical techniques, antibiotics, transfusions, and endovascular methods.
Why the study?
This article aims to present the major historical and modern developments in the management of vascular injuries, with a focus on recent quality improvements and Hungarian literature.
The historical evolution of vascular injury management demonstrates a significant reduction in amputation rates driven by advancements in surgical and endovascular techniques.
Historical review of vascular healing methods; leaves open relevance to modern practice.
The healing of vascular injuries goes hand in hand with the healing of scars, which means we can search for various methods from centuries ago. The different ages, with or without wars, showed and show a huge variety of injuries, up until this day. The healers have always tried their best to come up with the best possible methods taking care of the injured body parts, and help the patients survive. This article is aiming to show the main changes in vascular healing, in an enjoyable and colourful way. While focusing on the past few decades of quality development and having a look at Hungarian literature, the reader shall learn that Hungarian vascular surgery and traumatology is on a very high level and is keeping up with the international stage, as using modern techniques. The treatment of vascular injuries has been around for thousands of years. The Ebers Papyrus gave a professional guidance in the treatment of wounds. Hippocrates recommended compressing dressing. Later on, Ambroise Paré performed ligatures. War injuries serve with numerous experiences. In the begining of the 20th century, autolog veins are used more and more often. The amputation rate of DeBakey is 49%, of Hughes is 7-22%, and of Rich is 12.7%. Thanks to surgical technique, antibiotics and the use of transfusion, the rate of amputation has been decreasing. The wars of Iraq and Afganistan - between 2003 and 2011 - left the injured with more serious explosive and gunshot wounds than ever before. The challanges of nowadays are the injuries caused by accidents and violent acts. Also, endovascular interventions are widespread. Orv Hetil. 2019; 160(28): 1112-1119.
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Imre Zs.-Nagy (2019) conducted a review in Vascular injuries. Vascular injury treatment methods was evaluated. The treatment of vascular injuries has evolved significantly over centuries, with amputation rates decreasing due to advances in surgical techniques, antibiotics, transfusions, and endovascular methods.
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