Salvage of digits replantations by direct arterial antithrombotic infusion

Annales de chirurgie plastique et esthétique
A OufquirJ Baudet

Abstract

At the end of the seventy, we saw the reconstructive microsurgery developed to such an extent that it became a new and an independent surgical specialty. The development of the microsurgical instrumentation and the description of the surgical anatomy allowed the application of this technology to the most complex plastic reconstructions and particularly to the replantation of the amputated digits, especially the very distal digital amputations. Nowadays, the indications of digital replantation are well-defined according to numerous parameters conditioning the anatomical result and the functional outcome. It is well-known that the replantation of the amputated digit should be realized as soon as possible with optimal conditions of digital hibernation during the patient transport. In spite of that technical progress, the failure rate is still relatively important. The causes are sometimes recognizable and connected to technical defection, such as a non permeable vascular anastomosis, bad hemodynamics conditions or an insufficient anticoagulation, while in certain cases, the digital ischemia occurs in spite of permeable and technically successful arterial anastomosis. We then consider a "no reflow phenomenon". It corresponds to the...Continue Reading

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Citations

Jul 24, 2007·Annales de chirurgie plastique et esthétique·J BakhachJ-C Guimberteau
Jul 10, 2013·The Cochrane Database of Systematic Reviews·Yi-Chieh ChenYu-Wen Wen
Apr 18, 2020·The Cochrane Database of Systematic Reviews·Pei-Tzu LinChing-Chi Chi
May 5, 2007·Hand Clinics·Wayne A Morrison, David McCombe

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