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Digital replantations under local anaesthesia

A K Kour1, M H Phone, J Chia

  • 1Department of Orthopaedic Surgery, National University of Singapore, Singapore.

Annals of the Academy of Medicine, Singapore
|July 1, 1995
PubMed
Summary

Local anesthesia for digital replantation offers a safe and effective alternative, providing complete pain relief during surgery and post-operatively. This technique ensures successful microsurgical outcomes without complications.

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Area of Science:

  • Microsurgery
  • Anesthesiology
  • Hand Surgery

Background:

  • Digital replantation is a complex microsurgical procedure.
  • General anesthesia poses risks, especially for certain patient populations.
  • Local anesthesia offers a potentially safer alternative for select patients.

Purpose of the Study:

  • To evaluate the efficacy and safety of local anesthesia for digital replantation.
  • To assess patient selection criteria for this anesthetic approach.
  • To determine the impact of local anesthesia on surgical outcomes and patient comfort.

Main Methods:

  • Ten digital replantations were performed under local anesthesia (lidocaine and bupivacaine) combined with sedation.
  • Patient selection criteria included young, healthy individuals with solitary hand injuries and stable emotional states.

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  • Intraoperative monitoring and standard surgical techniques were employed.

    • Main Results:

    • All 10 digital replantations were technically successful.
    • Complete intraoperative pain relief was achieved.
    • Postoperative sensory block lasted 7 to 15 hours.
    • No complications related to local anesthesia were observed.

    Conclusions:

    • Local anesthesia is a viable and safe option for digital replantation in carefully selected patients.
    • This technique provides excellent pain control and does not compromise microsurgical execution.
    • Digital replantation under local anesthesia can be successfully performed with minimal complications.