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ISSN 1405-0625 (Print)

2016, Number 2

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Cir Plast 2016; 26 (2)

Systematic approach in upper limb replantation: ensuring success and avoiding obstacles

Lesta-Compagnucci L, Palafox-Vidal D, Cárdenas-Mejía A

Language: Spanish
References: 14
Page: 92-101
PDF size: 378.31 Kb.


ABSTRACT

Currently, the goal of upper limb replantation is aimed at maximizing surgical efficiency and ensures proper functional outcome in such a way that the tendency is to make a better selection of surgical patients and minimize costs whenever possible. When a body part is amputated, it should be considered that a complex clockwork countdown has begun. A large number of decisions and actions must be carried out in the shortest time possible. The aim of this paper is to present our step by step protocol for decision and actions before a patient with traumatic limb amputation. We propose a point to aid system in decision making regarding upper limb replantation, based on time of ischemia, the patient’s age and the amputated limb structure, among others. Upper limb replantation should be a resource that all our specialty surgeons must be thoroughly trained to do. The systematic step-by-step approach increases the effectiveness and efficiency of the medical team, eliminating possible errors or omissions, which can be committed with the desire to restore circulation to de amputated limb as quickly as possible.


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