Flying solo: a single year-single surgeon community hospital replantation/ revascularization experience.
A recent 12-month review of the emergent replantation/revascularization experience of a solo practice microsurgeon in a community hospital environment is presented. A total of 67 digits and/or hands/limbs were operated on in 51 patients with a success rate of 87 percent. There were nine failures, all in digits with crush-avulsion etiologies. These results support the position that the single microsurgeon practicing in a community hospital environment can provide levels of care for patients with amputated or devascularized digits and parts comparable to tertiary medical centers.
Isenberg
J Scott
JS
Department of Oral and Maxillofacial Surgery, University of Oklahoma Health Sciences Center, Oklahoma City 73103, USA.
D000328:Adult; D000673:Amputation, Traumatic / Q000453:epidemiology; D001134:Arm Injuries / Q000601:surgery; D005260:Female; D005383:Finger Injuries / Q000601:surgery; D006230:Hand Injuries / Q000601:surgery; D006764:Hospitals, Community / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000706:statistics & numerical data*; D011446:Prospective Studies; D012092:Replantation / Q000706:statistics & numerical data*