Transient single-digit ectopic implantation. 1992

G G Hallock
Division of Plastic Surgery, Allentown Hospital, PA.

Although immediate replantation of an amputated digit is always preferable, mitigating circumstances (such as a severe concomitant injury involving the appropriate recipient neurovascular structures) might preclude such an attempt altogether. However, if these local structures have the potential, following adequate debridement and/or other tissue transfer, to accept this digit later, than an alternative for transient storage for delayed replantation should be considered. The deep inferior epigastric vessels are a recognized convenient site that could provide temporary ectopic revascularization of such a solitary finger. An example of this approach for thumb preservation is presented, although amputation of the hand before performing the secondary transfer unfortunately proved prudent.

UI MeSH Term Description Entries
D008297 Male Males
D008866 Microsurgery The performance of surgical procedures with the aid of a microscope.
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D012092 Replantation Restoration of an organ or other structure to its original site. Reimplantation,Surgical Replantation,Replantation, Surgical,Reimplantations,Replantations,Replantations, Surgical,Surgical Replantations
D003646 Debridement The removal of foreign material and devitalized or contaminated tissue from or adjacent to a traumatic or infected lesion until surrounding healthy tissue is exposed. (Dorland, 27th ed) Debridements
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000005 Abdomen That portion of the body that lies between the THORAX and the PELVIS. Abdomens
D000673 Amputation, Traumatic Loss of a limb or other bodily appendage by accidental injury. Amputations, Traumatic,Traumatic Amputation,Traumatic Amputations
D013933 Thumb The first digit on the radial side of the hand which in humans lies opposite the other four. Thumbs
D016042 Transplantation, Heterotopic Transplantation of tissue typical of one area to a different recipient site. The tissue may be autologous, heterologous, or homologous. Heterotopic Transplantation,Heterotopic Transplantations,Transplantations, Heterotopic

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