Successful Replantation of Tamai Zone I Amputation with Delayed Vein Repair

Zusammenfassung

Die Rekonstruktion digitaler Venen ist eine der schwierigsten Phasen der Endgliedreplantation. Distal lokalisierte digitale Venen haben ein kleines Gefäßkaliber und kollabierte Lumina, so dass sie nur schwer zu identifizieren und zu versorgen sind. Digitale Venen sind gelegentlich auch in den ersten Minuten nach der arteriellen Anastomose nicht erkennbar. In dieser Situation kann der Patient einige Stunden nach der Revaskularisierung erneut in den Operationssaal gebracht werden, um die dann erweiterten Venen sekundär zu rekonstruieren. Die verzögerte Rekonstruktion digitaler Venen ist eine zuverlässige und alternative Methode zur Replantation ohne Venennaht. In diesem Bericht wird eine erfolgreiche Replantation mit verzögerter Rekonstruktion digitaler Venen in der Tamai Zone I vorgestellt.

Abstract

Digital vein repair is one of the most challenging phases of distal phalanx replantation. Digital veins at very distal levels have a small vessel caliber and collapsed lumens, which makes them hard to identify and handle. Digital veins may not be visible immediately after arterial anastomosis. In this scenario, the patient can be taken to the operative room several hours after revascularization to visualize dilated and expanded veins for late digital vein repair. Late digital vein repair is a reliable and alternative method to artery only replantation. In this report, a successful replantation with late digital vein repair in Tamai Zone I is presented

Schlüsselwörter

Mikrochirurgie - Venenanastomose - Fingerendgliedreplantation

Key words

Microsurgery - vein repair - distal phalanx replantation

• References

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