Volume : VII, Issue : X, October - 2017

SUCCESSFUL MAJOR HAND REPLANT FOLLOWING 24 HOURS OF ISCHEMIA: A CASE REPORT

Dr P. Jeyakumar, Dr Shalini Natarajan

Abstract :

 The hand is considered an integral organ of the body and plays an important role in body image and sense of identity. Complete amputation at the level of wrist joint has excellent potential for functional recovery following successful replantation when the warm ischemia time of 6 hrs and cold ischemia time of 12 hrs is maintained.

We would like to present this case of  36 yr old lady, with total amputation of left hand at wrist level who came with delayed presentation (>24 hrs). Patient was hemodynamically stabilized and taken up for surgery under regional anesthesia. All structures identified and repaired in sequential manner. 2 arteries and 2 veins were anastamosed and post operative period was uneventful.

Ideally, success rates are better when replantation is attempted within 6 hours. In this case, patient presented to us >24 hrs later and yet the hand survived with good functional outcome

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr P. JEYAKUMAR, Dr SHALINI NATARAJAN, SUCCESSFUL MAJOR HAND REPLANT FOLLOWING 24 HOURS OF ISCHEMIA: A CASE REPORT, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-10 | October-2017

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