Sociedad Americana de Hirudoterapia

Distal digit replantation: challenges and strategies to improve outcomes

Review published in Semin Plast Surg (2025)

Última actualización: June 18, 2026Revisado por: ASH Editorial Board
Research article — evidence reviewArticle reference
Evidence: Narrative reviewEnsayos clínicosHsu et al. · Seminars in plastic surgery, 2025

Abstract

Digit replantation has undergone significant advancements since the 1960s. Despite progress, distal digit replantation remains one of the most challenging microsurgical procedures due to technical and clinical complexities. This review examines current challenges, strategic solutions in distal digit replantation, grounded in clinical experience and literature review. Key obstacles include managing minute vessel structures, venous congestion, and the critical condition of no available vessels for revascularization. Advances in surgical techniques, including preosteosynthesis vein grafting, intravascular stent, solitary central pulp artery bifurcation division, subdermal pocketing method, and postoperative management, have enhanced outcomes.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeJournal ArticleReview

Resumen

Review of challenges and strategies for distal digit replantation outcome improvement.

Por qué esto importa para la hirudoterapia

This review examines challenges and surgical strategies in distal digit replantation, including managing minute vessel structures, venous congestion, and situations with no available vessels for revascularization, and discusses advances such as preosteosynthesis vein grafting, intravascular stents, and subdermal pocketing methods. For ASH, no defensible connection to leeches, hirudotherapy, or the leech secretome exists in this abstract; the article does not mention or imply any leech-based intervention. Relevance is absent: the abstract addresses surgical techniques for venous congestion and microvascular repair without any reference to bloodletting or leech therapy.

Citación

Distal digit replantation: challenges and strategies to improve outcomes.

Hsu et al. · Seminars in plastic surgery, 2025

Contexto clínico relacionado

Explore cómo esta investigación se conecta con la práctica clínica

Clinical EvidenceClinical ApplicationsMicrosurgery OutcomesSurgeryOtolaryngology

Añadido a la biblioteca ASH: May 27, 2026 · Última actualización del sitio: June 18, 2026

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