Multiple venous anastomoses decrease the need for intensive postoperative management in tamai zone I replantations

Archives of Plastic Surgery
Deok Hyeon RyuKyung Jin Lee

Abstract

Venous anastomosis is an important component of digital replantation, but is not always feasible, as some cases require external bleeding to treat venous congestion in the replanted tissue. In the present study, we evaluated the relationship between the number of vein anastomoses and the survival rate of Tamai zone I replantations. A retrospective review was performed of all patients who underwent replantation of a fingertip amputation between 2014 and 2016. Patient charts were reviewed for demographic information, the mechanism of injury, the number of venous anastomoses, and the use of anticoagulation, external bleeding, and/or leeches. The cohort was divided into 3 groups depending on the number of venous anastomoses: no veins (group 1), a single vein (group 2), and 2 or more veins (group 3). Survival rates and external bleeding rates were analyzed across the groups. The review identified 143 fingertip replantations among 134 patients. The overall survival rate was 94% (135 of 143). Failures were due equally to venous complications (n=4, 50%) and to arterial complications (n=4, 50%). Our analysis did not identify any correlation between the number of veins anastomosed and the replant survival rate (P=0.689). However, a great...Continue Reading

References

Jan 1, 1993·Journal of Reconstructive Microsurgery·M MatsudaY Shimizu
Dec 29, 2000·Plastic and Reconstructive Surgery·M D RuschH S Matloub
Sep 24, 2004·Annals of Plastic Surgery·Hironori MatsuzakiNaoto Tsubokawa
Sep 3, 2010·The Journal of Hand Surgery·Rudolf F Buntic, Darrell Brooks
Nov 12, 2013·The Journal of Hand Surgery·H Yener ErkenIbrahim Akmaz
May 30, 2014·Seminars in Plastic Surgery·Jin-Soo KimSi-Young Roh
Apr 1, 2015·The Journal of Hand Surgery·Joao B PanattoniMohammed M Ahmed
Mar 8, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·J I EfanovM A Danino

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Citations

Feb 15, 2019·Hand : Official Journal of the American Association for Hand Surgery·Michael T MiloneJacques H Hacquebord
Mar 25, 2021·The Journal of Hand Surgery, European Volume·Fethiye Damla Menkü ÖzdemirAli Emre Aksu

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Methods Mentioned

BETA
amputation
amputations

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