Use of the Mechanical Leech for Successful Zone I Replantation
Joint Authors
Jung, Sung-No
Han, Hyun Ho
Kim, Sang Wha
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-03-23
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Medicine
Information Technology and Computer Science
Abstract EN
Replantation of zone I finger injuries remains a challenge, particularly if the fingertip was previously scarred or atrophied, which makes it difficult to secure a suitable vein at the amputation site.
In cases of artery-only anastomosis, we propose using a mechanical leech technique to maintain sufficient venous outflow until the internal circulation regenerates.
We applied this procedure to eight patients who had zone 1 amputations without veins that were suitable for anastomosis.
Emergent surgery was performed and an artery-only anastomosis was created.
As there were no veins available, we cut a branch of the central artery and anastomosed it with a 24-gauge angioneedle, which served as a conduit for venous drainage.
The overall survival rate for zone I replantation using mechanical leech was 87.5% and the average time to maintain the mechanical leech was 5 days.
The mechanical leech technique may serve as an alternative option for the management of venous congestion when no viable veins are available.
American Psychological Association (APA)
Kim, Sang Wha& Han, Hyun Ho& Jung, Sung-No. 2014. Use of the Mechanical Leech for Successful Zone I Replantation. The Scientific World Journal،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1048322
Modern Language Association (MLA)
Kim, Sang Wha…[et al.]. Use of the Mechanical Leech for Successful Zone I Replantation. The Scientific World Journal No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-1048322
American Medical Association (AMA)
Kim, Sang Wha& Han, Hyun Ho& Jung, Sung-No. Use of the Mechanical Leech for Successful Zone I Replantation. The Scientific World Journal. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1048322
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1048322