Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Transplant Surgery
- Neurological Surgery
- Orthopaedic Surgery
- Endocrine Surgery
- Surgical Oncology
- Plastic Surgery
- Breast Surgery
- Minimally Invasive Surgery
Abstract
Citation: Clin Surg. 2021;7(1):3366.Case Report | Open Access
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.