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MEDICO-LEGAL EVALUATION
OF VASCULAR INJURIES OF LIMBS IN TURKEY
Asirdizer M, Yavuz
MS, Buken E, Daglar S, Uzun I.
Journal of Clinical Forensic Medicine, 2004, 11(2). 59-64.
ABSTRACT
This study evaluated 372 cases of post-traumatic extremity vessel lesions, for
which Forensic Medicine Council, Istanbul, Turkey prepared medico-legal evaluation reports between 1998 and 2000.
The study group (n=372) comprised of 346 men (93.01%) and 26 women (6.99%),
and their ages ranged between 6 and 73 years (30.18 ± 6.13). There were 378 artery (74.47%), and 131 vein injuries (25.53%)
out of a total of 509 extremity vessel injuries. The most frequently injured arteries and veins were femoral artery (n=73),
and profound femoral vein (n=41) respectively. The causes of injuries were as follows: cutting and stabbing objects, in 160
cases (43.01%); gunshots in 136 cases (36.56%); traffic accidents in 52 cases (13.98%); work accidents in 23 cases (6.18%);
and blunt trauma in one case (0.27%). These injuries were accompanied by local nerve lesions (27.15%), local bone lesions
(37.10%), and injuries to other organs (11.02%).
The medico-legal evaluations by the Forensic Medicine Council showed that there
were vital risks in 371 cases. Additionally, there were “organ dysfunction” in 37 (9.95%) and “organ loss”
in 53 (14.25%) cases.
The results of this study suggested that the main causes of severe vessel injuries,
i.e. accompanied by bone and nerve lesions, and had serious consequences such as amputation, permanent disorders or loss of
function, were gunshot injuries and traffic accidents.
Key words: Vessel injuries, trauma, vital risk, organ dysfunction,
organ loss, Turkish Penal Code.
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