[Absence of blood circulation following toe-hand transplantation in a 7-year-old girl with monodactyle form of symbrachydactyly].
In a toe transplantation in a child with symbrachydactyly the authors were faced with a no-reflow phenomenon. The medication they used in prophylaxis was not an absolute guarantee to prevent this problem. Success also depends on some general measures, as a stable blood pressure, a constant blood volume, normal body temperature, short operation time, and an early revision in case of a no-reflow phenomenon. Some questions about the appearance of spasm still remain: are they provoked by pain, stress, medication as anaesthetics, or is a congenital structural vessel problem responsible?
Coenen
L
L
Abteilung für Hand-, Mikro- und Wiederherstellungschirurgie, St. Jozef-Krankenhaus in Mechelen, Belgien.
Brouwers
J
J
D000792:Angiography; D002648:Child; D005260:Female; D006083:Graft Occlusion, Vascular / Q000601:surgery; D006225:Hand / Q000098:blood supply* / Q000601:surgery*; D006801:Humans; D008866:Microsurgery / Q000379:methods*; D011045:Poland Syndrome / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D012086:Reoperation; D013576:Syndactyly / Q000601:surgery*; D014034:Toes / Q000637:transplantation*
Ausbleibende Blutzirkulation nach einer Zehen-Hand-Transplantation bei einem siebenjährigen Mädchen mit monodaktyler Form der Symbrachydaktylie.