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- W2338647686 abstract "Background: Distal fingertip replantation always presents good functional and aesthetic outcome although technical challenges, such as extremely small digital vessels and unavailability of repairable veins, frequently await hand surgeons during the operation. Venous congestion is one of the common reasons for replantation failure. Aim and Objectives: In this report we emphasize the role of external venous drainage in cases for which venous repair is not feasible. Moreover, discussions were made to determine the appropriate duration of external drainage and methods to avoid vasospasm. Material and Methods: A 7-year-old boy suffered a traumatic digit amputation following of a crushavulsion type injury to his index finger. The amputation level was classified as Tamai zone 1. Replantation was carried out with artery-only repair. Post-operative artificial venous drainage was created by needle pricking and heparin solution soaking. To reduce vasospasm induced by cold fluid soaking, the heparin solution was heated before use. Results: The replanted digit obtained adequate perfusion and survived well. Bone healing and sensation recovery are on schedule. Conclusion: Distal fingertip amputation remains a challenge to hand surgeons up to date, despite the improvement in surgical technique and instruments. Venous repair is usually not feasible for such cases. Therefore, adequate venous drainage via alternative methods is essential for replantation success." @default.
- W2338647686 created "2016-06-24" @default.
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- W2338647686 date "2015-12-01" @default.
- W2338647686 modified "2023-09-23" @default.
- W2338647686 title "External Venous Drainage: Solution to a Pediatric Artery-Only Fingertip Replantation-A Case Report and Literature Review" @default.
- W2338647686 hasPublicationYear "2015" @default.
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