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.
Department of Oral and Maxillofacial Surgery, University of Oklahoma Health Sciences Center, Oklahoma City 73103, USA.
J Scott
JS
Isenberg
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*