HAND AND DIGITS REPLANTATION | Issues of reconstructive and plastic surgery. 2017. № 1 (60).

HAND AND DIGITS REPLANTATION

Replantation of hand and digits is the surgery, the implementation of which revolutionized hand surgery and rose treatment of patients with severe injuries of the upper limb to a new qualitative level. Over past years since the first replantation, vast experience in the field of replantation surgery was accumulated. Stages of surgery, indications and contraindications for replantation, strategy of postoperative management of patients are specified. Engraftment without functional results is recognized by absolute majority of surgeons in the world as failure of the surgery. Replantology is an emergent surgery the skills of which are gaining by spending many hours in operation room, often at night. History of replantology repeats in its development again with coming of each new surgeon into the profession, from the success of engraftment to pursuing maximum recovery of reconstructed limb function. The article briefly describes history of world replantation surgery. Based on scientific articles and personal experience, general and local indications and contraindications for the surgery are formed, working classification of upper extremity amputations is presented. Stages of replantation surgery are analyzed on a clinical example. Technical peculiarities of the surgery depending on amputation level are identified. Basic idea of the work is “How I am doing it”.

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Keywords

ампутация пальца, реплантация сегмента конечности, реплантационная хирургия, микрохирургия, digit amputation, replantation of extremity segment, replantation surgery, microsurgery

Authors

Name	Organization	E-mail
Nazaryan G.A.
Sukhinin T.Yu.		tsuhinin@gmail.com

Всего: 2

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