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INDICATIONS AND SELECTION FOR DIGITAL AMPUTATION AND REPLANTATION

Identifieur interne : 000467 ( Istex/Corpus ); précédent : 000466; suivant : 000468

INDICATIONS AND SELECTION FOR DIGITAL AMPUTATION AND REPLANTATION

Auteurs : P. N Soucacos

Source :

RBID : ISTEX:D0FC127C74680A619E89151334FAEE2ABAAAA046

English descriptors

Abstract

Abstract: Even though replantation surgery has now become a routine procedure, it remains delicate and demanding surgery, requiring adequate training and expertise in microsurgical techniques. Well-defined selection criteria for replantation procedures have evolved over the past few years, including definitive guidelines for thumb, single digit, multiple digit and mid-palm amputations. For more complex cases, other techniques, including transpositional microsurgery and various secondary reconstructive procedures, such as toe-to-hand transfer, are now available. Although replantation procedures have been simplified, a second surgical team can save valuable surgical time by debriding and identifying the vessels in the amputated part, harvesting microvenous grafts, and performing bone fixation or tendon repair among other things, while the chief surgeon focuses on revascularization. Overall, the most significant guideline underlining the philosophy of digital replantation today reflects the aim of not only ensuring the survival of a digit, but its functional use as well. Experience dictates that this can be achieved only if the basic principles and indications of replantation surgery are adhered to.

Url:
DOI: 10.1054/jhsb.2001.0595

Links to Exploration step

ISTEX:D0FC127C74680A619E89151334FAEE2ABAAAA046

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<abstract lang="en">Abstract: Even though replantation surgery has now become a routine procedure, it remains delicate and demanding surgery, requiring adequate training and expertise in microsurgical techniques. Well-defined selection criteria for replantation procedures have evolved over the past few years, including definitive guidelines for thumb, single digit, multiple digit and mid-palm amputations. For more complex cases, other techniques, including transpositional microsurgery and various secondary reconstructive procedures, such as toe-to-hand transfer, are now available. Although replantation procedures have been simplified, a second surgical team can save valuable surgical time by debriding and identifying the vessels in the amputated part, harvesting microvenous grafts, and performing bone fixation or tendon repair among other things, while the chief surgeon focuses on revascularization. Overall, the most significant guideline underlining the philosophy of digital replantation today reflects the aim of not only ensuring the survival of a digit, but its functional use as well. Experience dictates that this can be achieved only if the basic principles and indications of replantation surgery are adhered to.</abstract>
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<dateIssued encoding="w3cdtf">200112</dateIssued>
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<identifier type="ISSN">0266-7681</identifier>
<identifier type="PII">S0266-7681(00)X0003-4</identifier>
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<date>200112</date>
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<number>26</number>
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<number>6</number>
<caption>no.</caption>
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<start>507</start>
<end>604</end>
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<identifier type="DOI">10.1054/jhsb.2001.0595</identifier>
<identifier type="PII">S0266-7681(01)90595-9</identifier>
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