Secondary Disruption of Vascular Repair Following War Wounds

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Abstract
Salvage of limbs by surgical repair of critical vessels was one of the major advances of the Korean War.1,2 While the amputation rate in World War II was 48.9% when ligation was employed,3 in roughly comparable injuries treated in the Korean War by vascular repair, it was 13%.1 In the years following the Korean War, almost every surgeon became familiar with vascular surgical techniques during his training. As a result, every unit in Vietnam has surgeons capable of performing vascular repairs—a situation unknown in previous military experience. Impressed by the advances in vascular surgery which improve the blood supply to so many arteriosclerotic limbs in civilian practice, the young, military surgeons in Vietnam understandably have performed vascular repair at the time of initial debridement when severed arteries of any appreciable size are recognized.4 Rich and Hughes5 report over 1,300 cases in which "several hundred surgeons,"

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