Microsurgical Complications after Finger Reimplantation Treated with Negative Pressure Wound Therapy: A Case Report
| Autor: | Jorge I. Quintero, MD, Constanza Moreno-Serrano, MD, Julio C. Bermúdez, MD, Hand and Microsurgery Research Group |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Plastic and Reconstructive Surgery, Global Open, Vol 10, Iss 9, p e4517 (2022) |
| Druh dokumentu: | article |
| ISSN: | 2169-7574 00000000 |
| DOI: | 10.1097/GOX.0000000000004517 |
| Popis: | Summary:. Venous congestion is the most critical complication following microsurgical finger replantation and can present within the first postoperative days or even in the immediate postoperative period. This is a case series of three patients who underwent digit replantation. The postoperative complication was venous congestion, and immediately, negative pressure wound therapy (NPWT) was applied to reduce the risk of failure. Three patients with a range of 35 years of age were included. One index finger, one thumb, and one ring finger were the fingers amputated; the surgical technique was described; our anticoagulant protocol was demonstrated; and finally, standardization of the NPWT was established. At the end of the therapy, all fingers survived. We concluded that NPWT is an excellent treatment option following the identification of venous congestion in digit replantation. |
| Databáze: | Directory of Open Access Journals |
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