The Untold Story of the First Hand Transplant: Dedicated to the Memory of one of the Great Minds of the Ecuadorian Medical Community and the World

Journal of Reconstructive Microsurgery
Juan Jose Gilbert FernandezRoger L Simpson

Abstract

In 1964, faced with the challenge of traumatic amputation, a team of surgeons at Clinica Guayaquil was convinced that the transplantation of a hand could significantly improve function and quality of life for the recipient. With a current but basic understanding of immunosuppression, the surgeons identified a recipient and waited for the correct donor. A human hand transplant had never been performed to date. The surgeons' criteria for the recipient included a young healthy individual who had sustained a traumatic amputation at the distal forearm level with full motion of the proximal joints. Communication with receiving hospitals and military facilities identified what they perceived to be a feasible donor for an allograft transplantation. Consent was obtained from the family in conjunction with the local military medical authorities and the clergy. Iced saline solution and Heparin irrigation were to be used to prepare the donor extremity. The immunosuppression regimen, limited at the time, consisted only of intravenous cortisone, Imuran, and a single dose of radiation. A member of the Ecuadorian marine sustained a limited blast injury that amputated his dominant hand but spared the forearm. He was transferred to the emergency...Continue Reading

Citations

Oct 19, 2019·Plastic and Reconstructive Surgery. Global Open·James L BenedictWarren C Breidenbach
Oct 13, 2020·Current Opinion in Organ Transplantation·Saïd C AzouryL Scott Levin
Dec 1, 2019·Soins; la revue de référence infirmière·Laurent Lantieri
Jan 11, 2022·The Journal of Hand Surgery, European Volume·Fidel Cayón, Gabriel Alegria

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