Pulp De-epithelialization for Venous Outflow Augmentation after Digital Replantation.
| Autor: | Smearman E; Emory University School of Medicine, Division of Plastic and Reconstructive Surgery, Atlanta, Ga., Chan P; Emory University School of Medicine, Division of Plastic and Reconstructive Surgery, Atlanta, Ga., Ghareeb PA; Emory University School of Medicine, Division of Plastic and Reconstructive Surgery, Atlanta, Ga. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2021 Dec 10; Vol. 9 (12), pp. e4016. Date of Electronic Publication: 2021 Dec 10 (Print Publication: 2021). |
| DOI: | 10.1097/GOX.0000000000004016 |
| Abstrakt: | Traumatic amputation injuries account for a substantial portion of emergency department visits. This includes digital amputations that may be considered for replantation. Following surgery, venous congestion is the most common cause of replant failure. To address this, several methods have been proposed to augment venous outflow. In this article, a simple and straightforward method that can be utilized to establish or augment venous outflow in cases of venous insufficiency is described. This method entails de-epithelization of the replanted digit pulp skin with use of postoperative anticoagulation. The area can be further expanded or stimulated to increase bleeding as needed and is allowed to heal by secondary intention. This method allows for reliable venous outflow with relative ease of implementation. Competing Interests: Disclosure: The authors have no financial interest to declare in relation to the content of this article. (Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|