Digital Artery Massage for Improving Ischemia after Distal Digital Replantation Surgery
| Autor: | Hiroshi Ito, Karin Ikeda, Miho Kirita, Hiroyuki Sakurai, Yosuke Niimi, Junji Hishiyama |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Urokinase
medicine.medical_specialty Massage Necrosis business.industry medicine.medical_treatment massaging lcsh:Surgery Ischemia fingertip amputation lcsh:RD1-811 Heparin medicine.disease Thrombosis Surgery Replantation medicine Skin grafting medicine.symptom business antithrombotic agent medicine.drug |
| Zdroj: | Journal of Reconstructive Microsurgery Open, Vol 03, Iss 01, Pp e25-e27 (2018) |
| ISSN: | 2377-0821 2377-0813 |
| DOI: | 10.1055/s-0038-1642627 |
| Popis: | Distal digital replantation is frequently associated with arterial thrombosis and/or spasm, leading ischemia in the replanted tissue. This report introduced a rescue technique for ischemia after distal digital replantation without reanastomosis. Two males, 64 and 51 years old, underwent Ishikawa subzone II finger amputations. Microsurgical replantations with vein grafts were performed. Intraoperatively, heparin and urokinase through intra-arterial infusion were given for one week. At 40 to 48 hours after surgeries, the replanted digits developed ischemia; massaging digital arteries at the proximal phalanx regions with running warm water was immediately initiated and ischemia was improved. In both cases, the replanted tissues were rescued, though a partial necrosis requiring full-thickness skin grafting was found in one case. This massage was easily, safely, and effectively performed without complications and was applicable in cases with ischemia after distal digital replantation, especially where reanastomosis was unfeasible. |
| Databáze: | OpenAIRE |
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