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March 1969

Arterial Injuries at a Surgical Hospital in Vietnam

Author Affiliations

From the 18th Surgical Hospital (MA), Vietnam. Drs. Hewitt and Hamit are now with the Division of Surgery, Walter Reed Army Institute of Research, Walter Reed Army Medical Center, Washington, DC.

Arch Surg. 1969;98(3):313-316. doi:10.1001/archsurg.1969.01340090089014

Experience in Vietnam has confirmed the practicality of repair of arterial injuries at forward hospitals. Air evacuation by helicopter directly to Surgical, Evacuation, or Field Hospitals has resulted in an increased number of patients having repair of injured arteries. Certain problems related to extent of injury and delay in treatment still exist and contribute to loss of life and limb. The following report is based upon the experience of a Surgical Hospital (MA) during the 15 months of its location in the Central Highlands of Vietnam.

Clinical Material  A review of arterial injuries treated at the 18th Surgical Hospital (MA) in Vietnam from July 1966 through September 1967 included 62 patients who required arterial repair. The 18th Surgical Hospital (MA), located at Pleiku, treated a large number of patients from the II Corps area and performed over 2,500 operations during this period. Omitted from the series are patients in whom