Considerations for double-hand replantation in a resource-constrained healthcare facility.
Bilateral-hand amputation is extremely rare and double-hand replantation is even rarer. Only one case of successful double replantation at arm level has been reported from India. We present a case of double-hand replantation at proximal palmar level in a young adult executed in a small nursing home. The patient presented 5 h after injury with limbs preserved well in ice. There were difficulties in executing such an unusual case in a small nursing home set-up. The patient is performing his activities of daily living and basic functions independently. We share our experience of this double-hand replantation with special emphasis on problems encountered.
Department of Plastic Surgery, S.C.B. Medical College, Cuttack, Odisha, India.
Bibhuti Bhusan
BB
Nayak
Department of Plastic Surgery, S.C.B. Medical College, Cuttack, Odisha, India.
Nilamani
N
Mohanty
Department of Plastic Surgery, S.C.B. Medical College, Cuttack, Odisha, India.
Annada Prasad
AP
Patnaik
Department of Plastic Surgery, S.C.B. Medical College, Cuttack, Odisha, India.
Prasanta Kumar
PK
Bal
Amputation; ischaemia; replantation