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First two bilateral hand transplantations in India (Part 2): Technical details.
Mohit Sharma1, Subramania Iyer2, P Kishore1
1Department of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
Summary
This study reports on two successful bilateral hand transplantations after limb amputation. Meticulous planning and execution are crucial for optimizing outcomes in this life-altering procedure.
Area of Science:
- Reconstructive Surgery
- Transplantation Medicine
Background:
- Presents two cases of bilateral hand transplantation in patients with amputations at the distal third of the forearm.
- Details the distinct causes of injury for each patient: traumatic amputation from a train accident and blast amputation from a mine incident.
Purpose of the Study:
- To describe the process and outcomes of bilateral hand transplantation in patients with severe upper limb loss.
- To highlight the importance of comprehensive pre-operative assessment and surgical planning.
Main Methods:
- Involved detailed clinical and psychological evaluations prior to transplantation.
- Standardized donor retrieval, preparation, and recipient preparation protocols were employed.
- Surgical procedures were similar, with one patient requiring primary tendon transfers.
Main Results:
- One patient required a secondary free flap transfer for skin compromise on the left hand.
- Both hand transplantations were ultimately successful, with recipients returning to normal daily activities.
- Demonstrates the feasibility of restoring function through bilateral hand transplantation.
Conclusions:
- Bilateral hand transplantation is a transformative procedure for individuals with upper limb amputations.
- Success hinges on meticulous planning, precise surgical execution, attention to detail, and coordinated team effort.
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