Initial experience with hand replantation after traumatic amputation in a nonspecialized center
Autor(a) principal: | |
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Data de Publicação: | 2006 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal Vascular Brasileiro (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492006000400014 |
Resumo: | 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. |
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Initial experience with hand replantation after traumatic amputation in a nonspecialized centerHand injuriestraumatic amputationreplantationpatient care teamTraumatic 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.Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)2006-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492006000400014Jornal Vascular Brasileiro v.5 n.4 2006reponame:Jornal Vascular Brasileiro (Online)instname:Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)instacron:SBACV10.1590/S1677-54492006000400014info:eu-repo/semantics/openAccessCosta,Cleinaldo de AlmeidaCabral,Pedro Henrique OliveiraPinto,Paulo LaredoPinheiro Júnior,Manoel Jesus CoelhoSantos,Neivaldo José Nazaré dosBirolini,Dárioeng2007-03-06T00:00:00Zoai:scielo:S1677-54492006000400014Revistahttp://www.scielo.br/jvbhttps://old.scielo.br/oai/scielo-oai.php||secretaria@sbacv.org.br1677-73011677-5449opendoar:2007-03-06T00:00Jornal Vascular Brasileiro (Online) - Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)false |
dc.title.none.fl_str_mv |
Initial experience with hand replantation after traumatic amputation in a nonspecialized center |
title |
Initial experience with hand replantation after traumatic amputation in a nonspecialized center |
spellingShingle |
Initial experience with hand replantation after traumatic amputation in a nonspecialized center Costa,Cleinaldo de Almeida Hand injuries traumatic amputation replantation patient care team |
title_short |
Initial experience with hand replantation after traumatic amputation in a nonspecialized center |
title_full |
Initial experience with hand replantation after traumatic amputation in a nonspecialized center |
title_fullStr |
Initial experience with hand replantation after traumatic amputation in a nonspecialized center |
title_full_unstemmed |
Initial experience with hand replantation after traumatic amputation in a nonspecialized center |
title_sort |
Initial experience with hand replantation after traumatic amputation in a nonspecialized center |
author |
Costa,Cleinaldo de Almeida |
author_facet |
Costa,Cleinaldo de Almeida Cabral,Pedro Henrique Oliveira Pinto,Paulo Laredo Pinheiro Júnior,Manoel Jesus Coelho Santos,Neivaldo José Nazaré dos Birolini,Dário |
author_role |
author |
author2 |
Cabral,Pedro Henrique Oliveira Pinto,Paulo Laredo Pinheiro Júnior,Manoel Jesus Coelho Santos,Neivaldo José Nazaré dos Birolini,Dário |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Costa,Cleinaldo de Almeida Cabral,Pedro Henrique Oliveira Pinto,Paulo Laredo Pinheiro Júnior,Manoel Jesus Coelho Santos,Neivaldo José Nazaré dos Birolini,Dário |
dc.subject.por.fl_str_mv |
Hand injuries traumatic amputation replantation patient care team |
topic |
Hand injuries traumatic amputation replantation patient care team |
description |
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. |
publishDate |
2006 |
dc.date.none.fl_str_mv |
2006-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492006000400014 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-54492006000400014 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1677-54492006000400014 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
publisher.none.fl_str_mv |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
dc.source.none.fl_str_mv |
Jornal Vascular Brasileiro v.5 n.4 2006 reponame:Jornal Vascular Brasileiro (Online) instname:Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) instacron:SBACV |
instname_str |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
instacron_str |
SBACV |
institution |
SBACV |
reponame_str |
Jornal Vascular Brasileiro (Online) |
collection |
Jornal Vascular Brasileiro (Online) |
repository.name.fl_str_mv |
Jornal Vascular Brasileiro (Online) - Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
repository.mail.fl_str_mv |
||secretaria@sbacv.org.br |
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1752126644808581120 |