[Management of war injuries of blood vessels in prolonged ischemia].

We present a successful management of a gunshot wound of major blood vessels of the leg, in condition of prolonged ischemia. The patient has been sent to our hospital for the complete vascular management of the complete interruption of the major blood vessels of the left leg that were primarily ligated and marked. Because of the difficulties in evacuation, the patient arrived 20 hours after the wounding. There was no indication for the arteriography. The interruptions of the continuity of the superficial femoral artery in length of approximately 10 cm and of deep femoral vein in length of 8 cm were managed by interposition of autovenous grafts taken from the large subcutaneous vein of the other leg. Standard fasciotomy and partial exclusion of muscles of the left lower leg with relaxing fasciotomy of the left upper leg muscles were performed in the operative procedure. A successful rehabilitation has been completed and five years after the wounding, completely correct vascular and functional condition of the wounded leg was observed.