Hand replantation using loupe magnification in a resource constrained environment: Case report.

Autor:	Nangole FW; Department of Surgery, University of Nairobi, P.O. Box 2212 00202, Nairobi, Kenya., Khainga SO; Department of Surgery, University of Nairobi, P.O. Box 2212 00202, Nairobi, Kenya., Okello WA; Department of Surgery, University of Nairobi, P.O. Box 2212 00202, Nairobi, Kenya., Ajujo P; Department of Surgery, University of Nairobi, P.O. Box 2212 00202, Nairobi, Kenya., Ogallo JP; Department of Surgery, University of Nairobi, P.O. Box 2212 00202, Nairobi, Kenya., Jowi D; Department of Surgery, University of Nairobi, P.O. Box 2212 00202, Nairobi, Kenya., Muoke A; Department of Surgery, University of Nairobi, P.O. Box 2212 00202, Nairobi, Kenya., Wanjiru F; Department of Surgery, University of Nairobi, P.O. Box 2212 00202, Nairobi, Kenya.
Jazyk:	angličtina
Zdroj:	JPRAS open [JPRAS Open] 2020 Nov 18; Vol. 27, pp. 17-22. Date of Electronic Publication: 2020 Nov 18 (Print Publication: 2021).
DOI:	10.1016/j.jpra.2020.11.006
Abstrakt:	Hand replantation is a common surgical procedure worldwide. However, this practice is underdeveloped in many resource-constrained countries in part due to a lack of surgical microscopes. We present a patient successfully managed using loupe magnification. A 17-year-old patient presented with an amputated right hand secondary to a chaff cutter. After an 8-hour surgical procedure, the amputated hand was successfully re-attached to the stump using loupes. The patient's functional recovery was satisfactory after two years of follow-up. In conclusion, replantation of extremities can be successfully achieved using loupe magnification. Loupes should be considered an alternative to operating microscopes for replantation of extremities especially in resource-constrained countries. Competing Interests: There is no conflict of interest to disclose. (© 2020 The Author(s). Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.)
Databáze:	MEDLINE
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