title: Surgical management of neonatal limb ischaemia: a technique for open thrombectomy and the novel use of Integra.
abstract: Neonatal limb ischaemia (NLI) is a rare but potentially catastrophic condition. Although medical therapy remains as first-line treatment, surgery has an important role when limb-threatening events are present. In this paper we outline the milking technique for open thrombectomy used by the senior author in the treatment of 5 NLI cases. We also present the use of Integra and it's specific benefits in the management of wounds in these challenging situations. Skin grafts over the Integra can be avoided by staged excision of the silicone layer from the margins. We believe this is a novel approach to the use of Integra.
authors: Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, 84 Castle Street, Glasgow G4 0SF, UK. Orfaniotis@doctors.org.uk
authors: Georgios
authors: G
authors: Orfaniotis
authors: Stuart B
authors: SB
authors: Watson
mesh_terms: D001672:Biocompatible Materials / Q000627:therapeutic use*; D002809:Chondroitin Sulfates / Q000627:therapeutic use*; D003094:Collagen / Q000627:therapeutic use*; D006801:Humans; D007231:Infant, Newborn; D007511:Ischemia / Q000209:etiology / Q000601:surgery*; D017131:Thrombectomy / Q000379:methods*; D013927:Thrombosis / Q000150:complications / Q000601:surgery*; D034941:Upper Extremity / Q000098:blood supply* / Q000601:surgery; D058106:Wound Closure Techniques
chemical_list: D001672:Biocompatible Materials; C114835:integra artificial skin; D002809:Chondroitin Sulfates; D003094:Collagen
keywords: Integra; Milking technique; Neonatal limb ischaemia; Open thrombectomy