Organization and implementation of a community hospital microsurgical service for the management of amputation injuries.
The genesis of a voluntary referral system with the establishment of a microsurgical replantation center in a community hospital is described. Specific hospital and emergency care protocols are outlined, along with the percentage distribution of peripheral hospitals utilizing this service. Over the initial 6-year period, a success rate greater than 85% has been achieved in those cases that have satisfied the criteria for revascularization and replantation.
D000673:Amputation, Traumatic / Q000601:surgery*; D004630:Emergencies; D006764:Hospitals, Community / Q000458:organization & administration*; D006801:Humans; D008866:Microsurgery; D009518:New York; D011182:Postoperative Care; D012017:Referral and Consultation; D012092:Replantation