Successful delayed venous drainage in 16 consecutive distal phalangeal replantations.
The authors describe, in the first report of this type of replantation surgery, a high success rate using delayed venous anastomosis in 16 consecutive distal phalangeal replantations under digital block. Among these replantations, seven fingers (43.8 percent) showed postoperative venous congestion and five fingers were reoperated on with delayed venous drainage under digital block. All the reoperated fingers were successfully drained by additional single or double venous drainage with a vein graft. As a result, 13 fingers survived (81.3 percent success rate). All operations were performed under a digital block.
Koshima
Isao
I
Department of Plastic and Reconstructive Surgery, Graduate School of Medicine and Dentistry, Okayama University, Okayama, Japan. koushimai-pla@h.u-tokyo.ac.jp
Yamashita
Shuji
S
Sugiyama
Narushi
N
Ushio
Shigeko
S
Tsutsui
Tetsuya
T
Nanba
Yuzaburo
Y
D000293:Adolescent; D000328:Adult; D000368:Aged; D000673:Amputation, Traumatic / Q000601:surgery; D000714:Anastomosis, Surgical; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D005385:Fingers / Q000098:blood supply / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D009407:Nerve Block; D011183:Postoperative Complications / Q000601:surgery*; D012092:Replantation; D016896:Treatment Outcome; D014680:Veins / Q000502:physiology / Q000637:transplantation; D014689:Venous Insufficiency / Q000601:surgery*