Single digit replantations in ambulatory surgery. 85 cases

Annales de chirurgie plastique et esthétique
J Braga-Silva

Abstract

The author performed 85 ambulatory digital replantations between 1994 and 1999. Ages varied from 15 to 33 (average 24), with a prevalence of the male sex. The main mechanism of injury was guillotine (60%), followed by avulsion (40%). Surgical procedure lasted approximately four hours. Patients remained in the hospital for eight hours maximum, period in which they were closely observed. Patients received printed instructions about the risks of arterial and venous thrombosis and how they could observe it themselves. A protocol was established to evaluate the results. Patients were instructed to call the surgeon as soon as any change--mainly in color--was noticed. Based on a phone call, twenty patients were evaluated in the immediate postoperative period (24 initial hours) to rule out circulatory problems. In fifteen patients, thrombosis was noted in the replanted segment. Twelve of these patients (14.11%) lost the replanted digit completely. The loss of the replanted segment was not observed in the group of patients that did not call the surgeon.

Citations

Aug 15, 2015·The Journal of Hand Surgery, European Volume·Z MaJ Zhang
Nov 7, 2019·Plastic and Reconstructive Surgery·Sang Hyun Woo
Dec 4, 2012·Hand : Official Journal of the American Association for Hand Surgery·Marco MaricevichSteven Moran
Nov 11, 2005·Chirurgie de la main·C Dos RemédiosM Schoofs
May 5, 2007·Hand Clinics·Wayne A Morrison, David McCombe

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Australian and New Zealand Journal of Surgery
I J Isaacs
The Journal of Bone and Joint Surgery. American Volume
M S Moneim, N E Chacon
The Journal of Hand Surgery, European Volume
K OzaksarS Ada
The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand
C BackmanP Bjerle
© 2021 Meta ULC. All rights reserved