الفهرس 
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Abstract
Pediatric trauma is the leading cause of death in children older than one year in the United States. Although vascular injuries are infrequent, occurring in in 0.6% to 1% of trauma patients they constitute an important cause of mortality after trauma. Efforts to curb death and morbidity after traffic accidents, such as wearing seat belts and using car seats, have reduced mortality rates in this patient population, but has not significantly changed the rate of vascular injuries. Available experience and guidelines (particularly from Egypt) on pediatric vascular injuries are limited and are based mainly on adult practice in management of such delicate injuries. Therefore, this study was conducted to determine the architype of pediatric vascular trauma and management in our locality. This is an observational retrospective study conducted from Jan. 2010 to Dec. 2019 at the Department of Vascular Surgery, Mansoura University Emergency hospital on pediatrics with age ranging from (zero to 18), in whom vascular injuries were identified in any body region either iatrogenic or non- iatrogenic. A form was developed to collect data from medical records of patients in the study then analysis of the information was conducted. Of 3200 pediatric trauma patients admitted during the study period, 217(6.7%) suffered of various types of vascular injuries. Given the infrequent nature of pediatric traumatic vascular injuries and the fact that majority of cases were managed surgically, however successful outcome could be achieved in our study with 98% limb salvage rate. We believe that, essential principles of management include rapid transport, accurate physical examination, immediate exploration, adequate surgical techniques and long-term follow up can improve the future outcomes.