title: Replantation of a degloved hand with added arteriovenous anastomoses: report of two cases.
abstract: 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.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College and Chang Gung University, Taipei, Taiwan.
authors.forename: Andrés
authors.initials: A
authors.lastname: Rodríguez-Lorenzo
authors.forename: Cheng-Hung
authors.initials: CH
authors.lastname: Lin
authors.forename: Chih-Hung
authors.initials: CH
authors.lastname: Lin
authors.forename: Wei-Cheng
authors.initials: WC
authors.lastname: Ching
authors.forename: Yu-Te
authors.initials: YT
authors.lastname: Lin
mesh_terms: 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