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2009 | 81 | 5 | 242-245
Article title

Hand Replantation in 83 Year Old Man - Case Report

Content
Title variants
Languages of publication
EN
Abstracts
EN
Indications for hand replantation need to take into account the patients general condition and the severity of the trauma. The advanced age of the patient is generally considered as a limiting factor of the replantation but does not absolutely disqualify a patient.The case of a right - handed man, 83 years of age is presented, who had a circular- saw wrist level amputation of his dominant hand. As the general condition of the patient was satisfactory, the wound was clean, and the ischemia time was only 3 hrs the replantation of the hand was decided. The procedure was performed in a standardized way, the revascularization took place 7 hrs after injury. In the early post-operative period within the replanted part skin and soft tissue necrosis developed. It was treated with hyperbaric oxygen therapy, pediculed skin flap, and after its failure omental flap. The early functional result was poor (Chen's IV°). Patient died 27 weeks after replantation due to complications of coronaroplasty. The problems involved in replantation of hands of senile patients are discussed.
Publisher

Year
Volume
81
Issue
5
Pages
242-245
Physical description
Dates
published
1 - 5 - 2009
online
8 - 9 - 2009
Contributors
  • Subdepartment of Replantation of Limbs, General Surgery Department, St Hedwig of Silesia Hospital, Trzebnica
  • Subdepartment of Replantation of Limbs, General Surgery Department, St Hedwig of Silesia Hospital, Trzebnica
  • Subdepartment of Replantation of Limbs, General Surgery Department, St Hedwig of Silesia Hospital, Trzebnica
References
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  • Gaszyński W: Ocena ryzyka operacyjnego. W: Podstawy chirurgii, podręcznik dla lekarzy specjalizujących się w chirurgii ogólnej (red) J. Szmidt, Medycyna Praktyczna, wyd 1. Kraków 2003, s. 523.
  • Brocklehurst JC, Allen SC: Zarys medycyny geriatrycznej. PZWL, Warszawa 1991.
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Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_v10035-009-0037-6
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