Salvaging Digital Replantation and Revascularisation: Efficiency of Heparin Solution Subcutaneous Injection
Joint Authors
Alfeky, Haz
McArthur, Paul
Helmy, Yasser
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-11-21
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Distal digital replantation and revascularisation remains one of the demanding microsurgical procedures due to the difficulty of vascular anastomosis.
Venous congestion is the most commonly encountered problem after replantation due to the difficulty of venous anastomosis in traumatic injuries.
Heparin, among other drugs, is commonly used to facilitate venous drainage and prevent thrombosis.
However, systemic heparin can be contraindicated in some patients.
The senior author has experience of subcutaneous heparin injection for venous congestion in thirteen patients.
Methods.
An amount of 1 ml of calcium heparin (25,000 U) was mixed in 2.4 ml of normal saline making a solution that has 1000 U per 0.1 ml.
1000 U (0.1 ml) of the solution was injected directly into the congested replanted digits.
This was repeated twice daily until venous congestion improved.
Results.
All the congested replanted digits survived without systemic side effects.
There were no local side effects of the treatment.
The PT and APTT have shown slight increase but they remained within the normal range.
Haemoglobin levels have dropped slightly but no patients were at any risk of developing anaemia or needed blood transfusion.
Conclusions.
Subcutaneous heparin injections can salvage the replanted digits when venous congestion is a warning flag for replantation failure.
It is safe and very efficient in patients where systemic heparin cannot be administered.
However, this article shows the results in only thirteen patients which is a small number to show the efficacy, safety, and side effects.
American Psychological Association (APA)
Alfeky, Haz& McArthur, Paul& Helmy, Yasser. 2018. Salvaging Digital Replantation and Revascularisation: Efficiency of Heparin Solution Subcutaneous Injection. Surgery Research and Practice،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1214787
Modern Language Association (MLA)
Alfeky, Haz…[et al.]. Salvaging Digital Replantation and Revascularisation: Efficiency of Heparin Solution Subcutaneous Injection. Surgery Research and Practice No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1214787
American Medical Association (AMA)
Alfeky, Haz& McArthur, Paul& Helmy, Yasser. Salvaging Digital Replantation and Revascularisation: Efficiency of Heparin Solution Subcutaneous Injection. Surgery Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1214787
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1214787