Biomaterial Database

Revascularization and Replantation in the Hand: Ectopic Banking and Replantation. 2019

Brian H Cho, and James P Higgins

Curtis National Hand Center, 3333 North Calvert Street, Johnston Professional Building, 2nd Floor, Baltimore, MD 21218, USA.

Traumatic amputation of the upper extremity remains a challenging problem for reconstructive hand surgeons. Temporary ectopic banking of amputated parts for subsequent replantation is an innovative and valuable surgical technique for patients who would otherwise be poor candidates for replantation. The applications of ectopic banking have evolved and expanded to include various clinical scenarios. Although there is considerable variability within the literature, this article summarizes the optimal banking locations and duration, while also highlighting several treatment considerations when performing this technique.

UI	MeSH Term	Description	Entries
D011300	Preoperative Care	Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)	Care, Preoperative,Preoperative Procedure,Preoperative Procedures,Procedure, Preoperative,Procedures, Preoperative
D012092	Replantation	Restoration of an organ or other structure to its original site.	Reimplantation,Surgical Replantation,Replantation, Surgical,Reimplantations,Replantations,Replantations, Surgical,Surgical Replantations
D003376	Counseling	The giving of advice and assistance to individuals with educational or personal problems.
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
D006230	Hand Injuries	General or unspecified injuries to the hand.	Injuries, Hand,Hand Injury,Injury, Hand
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000673	Amputation, Traumatic	Loss of a limb or other bodily appendage by accidental injury.	Amputations, Traumatic,Traumatic Amputation,Traumatic Amputations
D013524	Surgical Flaps	Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.	Island Flap,Island Flaps,Flap, Surgical,Flaps, Surgical,Pedicled Flap,Surgical Flap,Flap, Island,Flap, Pedicled,Flaps, Island,Flaps, Pedicled,Pedicled Flaps
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
D023821	Limb Salvage	An alternative to AMPUTATION, SURGICAL in patients with neoplasms, ischemia, fractures, and other limb-threatening conditions. Generally, sophisticated surgical procedures such as vascular surgery and reconstruction are used to salvage diseased limbs.	Salvage, Limb