Document Detail


Great toe-to-hand transfer nourished by arterial inflow through the venous system.
MedLine Citation:
PMID:  8618968     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Revascularization of tissues through their venous system is currently used in vascularized venous flaps and in replantation of some fingertips. A toe-to-hand transfer that suffered prolonged and unexplainable arterial spasm, unrelenting to the usual therapeutic measures, was revascularized through its venous system. Tissue perfusion in the toe began 24 hours after the vascular repairs were through, because arterial flow was hampered by the venous valves in the toe. Tissue perfusion was poor initially but became stable 72 hours postoperatively, and the toe survived. The only complications were epidermolysis and pseudoarthrosis. We consider this technique for tissue revascularization as a suitable salvage method in cases where all other therapeutic measures fail.
Authors:
M Iglesias; P Butrón; M Barrios; R Granados
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  97     ISSN:  0032-1052     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  1996 Apr 
Date Detail:
Created Date:  1996-06-12     Completed Date:  1996-06-12     Revised Date:  2011-02-16    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1024-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Plastic and Reconstructive Surgery at Instituto Nacional de la Nutrición.
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MeSH Terms
Descriptor/Qualifier:
Adult
Amputation, Traumatic / surgery*
Arteriovenous Shunt, Surgical*
Humans
Male
Regional Blood Flow / physiology
Surgery, Plastic / methods*
Thumb / blood supply*,  injuries*,  surgery
Toes / transplantation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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