Post-operative critical care and outcomes of limb replantation: Experience in a developing country
Wijayaratna, S. B. T., Suraweera, H. J., Lamawansa, M. D., Mudalige, S. P., Esufali, S. T., & Goonasekera, C. D. A. (2008). Post-operative critical care and outcomes of limb replantation: Experience in a developing country. Injury, 39(2), 203-208. doi:10.1016/j.injury.2007.09.009
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.
peer-reviewed, traumatic amputation, reperfusion injury, ischaemia time, limb replantation, post-operative critical care