Successful composite graft for fingertip amputations using ice-cooling and lipo-prostaglandin E1

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
SuRak EoKodi K Azari

Abstract

In distal fingertip amputations where microanastomosis may not be possible, composite grafting might offer the possibility of maintaining digital length and function using the patient's own tissue. Many trials such as ice-cooling, pharmacologic enhancement and hyperbaric oxygenation have been reported to improve the survival rate of the composite graft. Twenty-four cases of unreplantable fingertip amputation were classified as types I to III according to the level of injury. We performed the composite grafting followed by immediate ice-cooling for 2 weeks and intravenous lipo-prostaglandin E(1) (lipo-PGE(1)) injection for 8.8 days each on average. Twenty-two fingertips in 24 patients survived completely with acceptable appearance and sensibility over the 8 month follow-up period. Confirming that therapeutic angiogenesis using ice-cooling and lipo-PGE(1) can increase the survival rate of the composite graft in unreplantable fingertip amputation, we describe the procedures and postoperative care in detail.

References

Feb 1, 1978·The Hand·S K Das, H G Brown
May 1, 1989·The Journal of Hand Surgery·E H RoseE J Fleegler
Jun 15, 1983·Biochemical and Biophysical Research Communications·J C Fantone, D A Kinnes
Mar 1, 1993·Archives of Otolaryngology--head & Neck Surgery·P C FannR L Goode
Mar 7, 2003·The Journal of Craniofacial Surgery·Mitsuo HatokoHiroshi Iioka
Jul 3, 2003·Annals of Plastic Surgery·Joon Pio HongYoon Kyu Chung
Aug 19, 2003·The Journal of Histochemistry and Cytochemistry : Official Journal of the Histochemistry Society·Eman Sadoun, May J Reed
Oct 1, 1954·British Journal of Plastic Surgery·C R McLAUGHLIN
Jun 1, 1956·Plastic and Reconstructive Surgery·J J CONLEY, P H VONFRAENKEL
Mar 1, 1959·Plastic and Reconstructive Surgery and the Transplantation Bulletin·B DOUGLAS
Jul 23, 2004·Annals of Plastic Surgery·Edward N LiRonald P Silverman
Apr 19, 2006·International Wound Journal·Daegu SonDavid W Chang
May 6, 2006·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Jin Sik Burm
Oct 25, 2006·Annals of Plastic Surgery·Afşin UysalUğur Koçer
Oct 27, 2006·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Lucian FodorYehuda Ullmann
Dec 1, 1946·Annals of Surgery·J B Brown, B Cannon

❮ Previous
Next ❯

Citations

Aug 14, 2010·Annales de chirurgie plastique et esthétique·A Al SaflanJ-M Servant
Mar 10, 2015·Journal of Plastic Surgery and Hand Surgery·Tomoki KiuchiKazuo Kishi
Dec 3, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·SuRak EoChiYeon Lim
Sep 5, 2018·The Journal of Hand Surgery, European Volume·SuRak EoKi Yong Hong
May 23, 2019·Aesthetic Plastic Surgery·Jae Won HeoJiye Kim
Feb 27, 2020·International Urology and Nephrology·Xu-Dong LiuJun Jiang
Oct 3, 2018·Plastic and Reconstructive Surgery. Global Open·Mimi R BorrelliAina Greig
Jan 4, 2020·International Journal of Surgery Protocols·Mimi R BorrelliAina Greig

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Related Papers

Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand
R AdaniL Tarallo
The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand
N S Moiemen, D Elliot
Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
Lucian FodorYehuda Ullmann
© 2022 Meta ULC. All rights reserved