Indications for replantation and revascularization in the hand
Review published in Hand Clin (2019)
Abstract
The indications for upper extremity replantation are fluid, and it has long been appreciated that they change with time. Traditional strong indications for replantation include hand, thumb, or multiple digit amputation in adults, and almost any amputation in a child. Patients often desire replantation of single nonthumb digits based on aesthetic preference and personal/cultural values. Replantation in these situations is acceptable and rewarding, but individual consideration of patient, injury, and circumstantial factors is critical to avoid patient morbidity and unsatisfactory outcomes.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Summary
Comprehensive review of evolving indications for upper-extremity replantation including traditional strong indications and patient-preference considerations.
Why This Matters for Hirudotherapy
This article discusses indications for upper extremity replantation, noting traditional strong indications (hand, thumb, multiple digit amputation in adults; nearly any amputation in children) and that patient preference and cultural values can influence decisions to replant single nonthumb digits. The abstract makes no mention of leeches, hirudotherapy, or the leech secretome, and offers no data on adjunctive therapies or outcomes. There is no defensible connection to ASH's domain based solely on the abstract provided; the article's value is limited to general background on factors influencing replantation decisions.
Citation
Indications for replantation and revascularization in the hand.
Pet MA et al. · Hand clinics, 2019
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