Initial experience with hand replantation after traumatic amputation in a nonspecialized center
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| Format: | Artículo científico |
| Langue: | en |
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Sociedade Brasileira de Angiologia e de Cirurgia Vascular
2006
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| _version_ | 1876431863156834304 |
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| author | Cleinaldo de Almeida Costa |
| author_facet | Cleinaldo de Almeida Costa |
| contents | Initial experience with hand replantation after traumatic amputation in a nonspecialized center Cleinaldo de Almeida Costa Pedro Henrique Oliveira Cabral Paulo Laredo Pinto Manoel Jesus Coelho Pinheiro Júnior Neivaldo José Nazaré dos Santos Dário Birolini Medicina replantation Hand injuries patient care team traumatic amputation Traumatic amputation of the hand is an incapacitating injury, requiring skilled surgical care. Achieving functional recovery in addition to salvage of the amputated extremity should be the goal of the patient care team, after the life of the patient is secured. This is a report of the first five cases of hand replantation after complete traumatic amputation in Manaus (Amazonas, Brazil), carried out at Hospital Pronto-Socorro Dr. João Lúcio Pereira Machado. The patients were all young males, mean age of 22.8 years, presenting at the emergency room with complete sharp amputation of the hand. After initial procedures according to the ATLS® protocol, the following surgical actions were taken: heparinization of the blood vessels of the amputated extremity, fixation of the bones, wide opening of the carpal tunnel, primary vascular anastomoses and repair of nerves and tendons. In four cases, viability and partial functional recovery of the replanted hands were achieved. The unsuccessful case was due to extensive venous thrombosis.Through this preliminary experience, we can state that hand replantation can be performed successfully in a nonspecialized hospital and that optimal results depend on adequate prehospital care, multidisciplinary surgical treatment and careful postoperative assistance. 2006 artículo científico 1677-5449 https://www.redalyc.org/articulo.oa?id=245016533014 en http://www.redalyc.org/revista.oa?id=2450 Jornal Vascular Brasileiro application/pdf Sociedade Brasileira de Angiologia e de Cirurgia Vascular Jornal Vascular Brasileiro (Brasil) Num.4 Vol.5 |
| format | Artículo científico |
| id | redalyc_245016533014 |
| institution | Redalyc |
| language | en |
| publishDate | 2006 |
| publisher | Sociedade Brasileira de Angiologia e de Cirurgia Vascular |
| spellingShingle | Initial experience with hand replantation after traumatic amputation in a nonspecialized center Cleinaldo de Almeida Costa Medicina replantation Hand injuries patient care team traumatic amputation Initial experience with hand replantation after traumatic amputation in a nonspecialized center Cleinaldo de Almeida Costa Pedro Henrique Oliveira Cabral Paulo Laredo Pinto Manoel Jesus Coelho Pinheiro Júnior Neivaldo José Nazaré dos Santos Dário Birolini Medicina replantation Hand injuries patient care team traumatic amputation Traumatic amputation of the hand is an incapacitating injury, requiring skilled surgical care. Achieving functional recovery in addition to salvage of the amputated extremity should be the goal of the patient care team, after the life of the patient is secured. This is a report of the first five cases of hand replantation after complete traumatic amputation in Manaus (Amazonas, Brazil), carried out at Hospital Pronto-Socorro Dr. João Lúcio Pereira Machado. The patients were all young males, mean age of 22.8 years, presenting at the emergency room with complete sharp amputation of the hand. After initial procedures according to the ATLS® protocol, the following surgical actions were taken: heparinization of the blood vessels of the amputated extremity, fixation of the bones, wide opening of the carpal tunnel, primary vascular anastomoses and repair of nerves and tendons. In four cases, viability and partial functional recovery of the replanted hands were achieved. The unsuccessful case was due to extensive venous thrombosis.Through this preliminary experience, we can state that hand replantation can be performed successfully in a nonspecialized hospital and that optimal results depend on adequate prehospital care, multidisciplinary surgical treatment and careful postoperative assistance. 2006 artículo científico 1677-5449 https://www.redalyc.org/articulo.oa?id=245016533014 en http://www.redalyc.org/revista.oa?id=2450 Jornal Vascular Brasileiro application/pdf Sociedade Brasileira de Angiologia e de Cirurgia Vascular Jornal Vascular Brasileiro (Brasil) Num.4 Vol.5 |
| title | Initial experience with hand replantation after traumatic amputation in a nonspecialized center |
| topic | Medicina replantation Hand injuries patient care team traumatic amputation |
| url | https://www.redalyc.org/articulo.oa?id=245016533014 |