Ismail, M., Ismail, T., Ismail, K. (2020). Re-Plantation Revisited. The Egyptian Journal of Plastic and Reconstructive Surgery, 44(2), 325-330. doi: 10.21608/ejprs.2020.113495
Mariam Ismail; Taher Ismail; Karima Ismail. "Re-Plantation Revisited". The Egyptian Journal of Plastic and Reconstructive Surgery, 44, 2, 2020, 325-330. doi: 10.21608/ejprs.2020.113495
Ismail, M., Ismail, T., Ismail, K. (2020). 'Re-Plantation Revisited', The Egyptian Journal of Plastic and Reconstructive Surgery, 44(2), pp. 325-330. doi: 10.21608/ejprs.2020.113495
Ismail, M., Ismail, T., Ismail, K. Re-Plantation Revisited. The Egyptian Journal of Plastic and Reconstructive Surgery, 2020; 44(2): 325-330. doi: 10.21608/ejprs.2020.113495
The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Cairo University
Abstract
Introduction: Replantation describes the re-attachment of a completely amputated part by restoration of arterial inflow and venous outflow. On the other hand Revascularization describes restoration of arterial inflow or venous outflow or both, to an incompletely amputated part, no matter how small the point of attachment. The Aim of this Study is to: Reemphasize the Indications of replantation, propose doubtful cases for replantation, expand the indication of replantation, and explore the role of super microsurgery in replantation. Patients and Methods: This retrospective study involving 437 hand units that have been transplanted after severed from the body from year 1990 to 2013. The cases were assorted according to, gender, age, type of trauma, ischemia time, and site of injury. In 23 year period 437 hand units were replanted, surgical follow-up varied from 6 months to maximum of 4 years, with average of 2 years. 86% success rate (375 hand units), hand unit replantation regaining both vascularity and function. Conclusion: Replantation is a very meticulous as well as demanding surgical procedure that requires a highly skilled team. If Replantation done successfully patient will achieve both functional and cosmetic results and better chance in life.
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