Article Title

Post-operative critical care and outcomes of limb replantation: Experience in a developing country

Abstract

Replantation is the treatment of choice for traumatic amputation. Its success rates vary, reaching 80% in world's best centres. This study analyses management practices of replantation in a regional centre in a developing country. Out of six replantations, four were successful. The median warm ischaemia time of the severed limb was 4.5 h (range 1–13.5) and the median duration of general anaesthesia required for initial surgery was 6.25 h (range 4.7–8.0). All patients needed intensive care following replantation for a median of 7 days (range 5–15). Pulse oximetry values were observed to be the same in the graft and the patient in successful cases. Two grafts failed.

Keywords

peer-reviewed, traumatic amputation, reperfusion injury, ischaemia time, limb replantation, post-operative critical care

 

Link to Publisher Version (DOI)

http://doi.org/10.1016/j.injury.2007.09.009