Microsurgical Revascularization of Two Fingers after Prolonged (52 and 53 Hours) Warm Ischemia Time: Case Report and Literature Review

Piotr Gierej, Marcin Radziszewski and Natalia E Krzesniak*

Department of Plastic and Reconstructive Surgery, Centre of Postgraduate Medical Education, Prof. W. Orlowski Memorial Hospital, Poland

^*Correspondance to: Natalia E Krzesniak 

 PDF  Full Text DOI: 10.25107/2474-1647.3366

Abstract

Multiple finger amputations in young individuals lead to severe hand deformities for the rest of their lives. Urgent microsurgical intervention with revascularization gives hope for hand function preservation as well as esthetics. However, circulation disturbances in incompletely amputated digits are sometimes overlooked, and prolonged warm ischemia time has a negative impact on the probability of tissue survival. Although revascularization of the hand at the wrist level should be achieved within 12 h of cold and 6 h of warm ischemia, fingers that do not contain muscle mass have been reported to be more flexible with these perfusion time limits. Here, we present a case report describing microsurgical finger revascularization after more than 50 h of warm ischemia, which belongs to the longest reported periods. Although surgeons face a risk of patient safety, in certain cases, late digit revascularization is possible and emphasizes the significance of a comprehensive evaluation of the patients’ condition

Keywords

Amputation; Finger; Revascularization; Warm ischemia

Cite the article

Gierej P, Radziszewski M, Krzesniak NE. Microsurgical Revascularization of Two Fingers after Prolonged (52 and 53 Hours) Warm Ischemia Time: Case Report and Literature Review. Clin Surg. 2021; 6: 3366.