Sarcouncil Journal of Medicine and Surgery

Abstract: Delayed limb ischemia following trauma poses significant challenges for limb salvage where in our study early revascularization is optimal, the outcomes and prognostic factors associated with revascularization beyond the conventional 6-hour ischemic window remain underexplored in multicenter cohorts, while paper refered A multicenter cohort study of 80 patients with ischemia exceeding 6 hours revealed that early revascularization is crucial but outcomes remain underexplored through The cohort consisted mainly of young males, averaging 35.2 years, with a mean ischemic duration of 10.3 hours in addition to Bypass grafting was performed in 56.3% of cases, achieving 88.8% limb salvage. Significant risks for amputation included an elevated Mangled Extremity Severity Score (MESS), shock, and combined arterial and bone injuries. Common complications were reperfusion injury (16.3%) and infection (8.75%). The mean hospital stay for amputees was significantly longer. The study suggests that delayed revascularization can yield favorable outcomes in select trauma patients, underscoring the importance of prognostic indicators like MESS and postoperative care.