Future perspectives for hand transplant in iran.

Area of Science:

• Transplantation surgery
• Composite tissue allotransplantation
• Reconstructive surgery

Background:

• Hand transplantation is a complex procedure involving multiple tissue types, distinct from solid organ transplantation.
• Over 13 years, 72 hands and digits have been transplanted in 53 patients, demonstrating program growth.
• This collective experience forms the basis for advancing the field.

Purpose of the Study:

• To discuss the establishment and progress of a hand transplant program.
• To detail the unique aspects of composite tissue allotransplantation.
• To outline the plans for initiating the first hand transplant in Iran.

Main Methods:

• Review of historical data from a hand transplant program over 13 years.
• Analysis of 72 hand and digit transplant cases in 53 patients.
• Description of the multidisciplinary approach required for composite tissue allotransplantation.

Main Results:

• Accumulated experience of 72 hand and digit transplants in 53 patients over 13 years.
• Established understanding of hand transplantation as a form of composite tissue allotransplantation.
• Development of a framework for future hand transplant initiatives.

Conclusions:

• Hand transplantation represents a significant advancement in reconstructive surgery.
• The program's experience underscores the complexity and potential of composite tissue allotransplantation.
• Planning is underway for the first hand transplant in Iran, building on global expertise.