Related Experiment Videos
[Single digit replantations in ambulatory surgery. 85 cases]
1Service de chirurgie plastique, unité de chirurgie de la main et microchirurgie, Pontifícia universidade católica, Clinic SOS-Mão, Av. Ipiranga, 6690, conj. 216, centro clínico PUCRS, CEP: 90.610-000, Porto Alegre, Brazil. jeffmao@zaz.can.br
Annales De Chirurgie Plastique Et Esthetique
|May 9, 2001
Summary
Early detection of thrombosis significantly improves digital replantation success. Patients who contacted surgeons promptly after noticing changes had better outcomes, avoiding replant loss.
Area of Science:
- Microsurgery
- Reconstructive Surgery
- Trauma Surgery
Context:
- Ambulatory digital replantation is a complex procedure.
- Postoperative monitoring is crucial for success.
- Thrombosis is a major complication following digital replantation.
Purpose:
- To evaluate the outcomes of ambulatory digital replantations.
- To assess the effectiveness of patient self-monitoring for postoperative complications.
- To determine the impact of prompt reporting of circulatory changes on replant survival.
Summary:
- Eighty-five ambulatory digital replantations were performed.
- Patients received instructions for self-monitoring of circulatory status.
- Twenty patients were evaluated postoperatively; 15 showed thrombosis, leading to complete loss in 12 (14.11%).
- No loss was observed in patients who did not report issues.
Impact:
- Highlights the critical role of patient vigilance and rapid intervention in preventing replant failure.
- Suggests that a proactive patient-reported outcome system can improve success rates in digital replantation.
- Informs clinical protocols for postoperative care in digital replantation surgery.