A simple technique for maintaining digital hypothermia during replantation surgery

A simple technique using inexpensive and readily available materials is described for maintaining digital hypothermia during replantation surgery. Direct contact between soft-tissues and ice or water is prevented, and, thus, avoids undesirable maceration and also reduces the risk of cold-thermal injury, which would further prejudice the success of replantation. The technique is intended for use during prolonged replantation procedures, for example, in cases of trans-metacarpal amputation requiring revascularisation of more than one digit. The principle of using a water-tight sleeve could easily be extended to more proximal amputations, such as at the level of the wrist, by placing the entire hand within a double glove sleeve.