Replantation of a degloved hand with added arteriovenous anastomoses: report of two cases.
Revascularization of the degloved skin is generally accepted as the best option for the management of totally degloved hands. Nevertheless, the selection of vessels for anastomoses is usually difficult in this situation, and insufficient perfusion of the degloved hand skin is common after arterial repair. We present 2 cases of patients who sustained totally degloved hand injuries. Favorable outcomes of replantation were achieved with added arteriovenous anastomoses between the dorsal veins of the degloved hand skin and the digital arteries.
Rodríguez-Lorenzo
Andrés
A
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College and Chang Gung University, Taipei, Taiwan.
Lin
Cheng-Hung
CH
Lin
Chih-Hung
CH
Ching
Wei-Cheng
WC
Lin
Yu-Te
YT
D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods*; D001158:Arteries / Q000601:surgery*; D005385:Fingers / Q000098:blood supply; D006230:Hand Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D012086:Reoperation; D012092:Replantation / Q000379:methods*; D012867:Skin / Q000098:blood supply* / Q000293:injuries*; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply; D013933:Thumb / Q000098:blood supply / Q000293:injuries* / Q000601:surgery; D014680:Veins / Q000601:surgery*; D055815:Young Adult