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DONMUŞ AMPUTE PARMAKLARIN REPLANTASYONU VE POSTOPERATİF YAŞANAN SIKINTILAR

Yıl 2007, Cilt: 15 Sayı: 3, 174 - 178, 01.12.2007

Muhitdin Eski Fatih Zor Doğan Alhan Selçuk Işık

Öz

Uzun süre çok düşük dereceli ısı maruziyetine bağlı olarak donmuş olan amputadların replantasyonu ile ilgili çok az sayıda yazı mevcuttur. Bu olgu sunumunda amputadlar buz paketi üzerine konularak transport süresince soğuğa direkt maruz kalmışlar ve bu nedenle donmuşlardır. Donuk amputadların replantasyonu başarılı olarak uygulanmış, ancak postoperatif dönemde donuk hasarına benzer biçimde dermal dolaşımın gecikmesine bağlı sıkıntılar yaşanmıştır. Karşılaşılan bu durum karşısında parmaklara donuk tedavisi uygulanmış ve cerrahi debridman daha sonraya bırakılmıştır. Uzun süreli takipte her iki parmağın da yaşadığı, ancak tipte parsiyel doku kaybı olduğu izlenmiştir. Bu olgu sunumunda donmuş ampute parmakların replantasyonu, tedavi yaklaşımı sunulmuş ve postoperatif dönemde yaşanan sıkıntılar tartışılmıştır.

Anahtar Kelimeler

Donuk replantasyon amputasyon

Kaynakça

  • Goldner, R.D., Urbaniak, J.R.Replantation. In: Green Dp, Hotchkiss RN, pederson WC (Eds), Green`s operative hand surgery 4th Edn. philadelphia, Churchill livingstone, 1999:1139-1157.
  • Nibayashi H., Tamura K, Fujiwara, et al. Survival factors in digital replantation: significance of postoperative anemia. JHand Surg (Br) 2000;25:512-515.
  • patradal A, Ngarmukos C, parkpian V. Distal digital replantation and revascularizations. J.Hand Surg.(Br) 1998;23:578-582.
  • Stauch B, Greenstein B, Goldstein R, et al.problems and complication encountered in replantation surgery. Hand Clin 1986;2:389-399.
  • Betancourt F-M, Mah E-T, McCabe S-J. Timing of critical thrombosis after replantation surgery of the digits. J Recons Microsurg 1998;14:313-316.
  • Duffy F-J, Concannon M-J, Gan B-S, et al. late digital replantation failure: pathophysiology and risk factors. Ann plast Surg 1998;40:538-541.
  • Zhou G-.H, Zhang W. Replantation of severed fingers: Two unique cases. Microsurgery 1991;12:235-236.
  • Zhang W, Zhou G-H, Zhao H, et al. Five year digital replantation series from the frigid zone of China. Microsurgery 1993:14:384-387.
  • Britt D-l, Dascombe H-W, Rodriquez A. New horizons in management of hypothermia and frostbite injury. Surg Clin North Am 1991:71:345-368.
  • Murphy J-V, Banwell p-E, Roberts A-.H, et al. Frostbite: pathogenesis and treatment. J Trauma 2000;48:171-178.
  • Heggers J-p, McCauley R-l, phillips l-G, et al. Cold-induced injury: Frostbite,In: Herndon DN.(Eds) Total burn care 2nd Ed. pliladelphia W.B.Saunders,1996:408-413.
  • Zook N, Hussmann J, Brown R, et al. Microcirculatory studies of frostbite injury. Ann plast Surg 1998:40:246-253.
  • Ozyazgan İ, Tercan M., MelliM, et al. Eicosanoids and inflammatory cells in frostbitten tissue: prostacyclin, thromboxan, polymorphonuclear leukocytes and mast cells. plas Recons Surg 1998:101;1881-1886.
  • Marzella l, Jesudass R-S, Manson pN, et al. Morphologic characterization of acute injury to vascular endothelium of skin after frostbite. plast Recons Surg 1989;83:67-76.
  • Bourne M-H, piepkorn M-W, Clayton F, et al. Analysis of microvascular changes in frostbite injury. J Surg Res 1986;40:26-35.
  • Weatherly-White, R-C-A, SjostomB, paton B-C. Experimental studies in cold injury. II: The pathogenesis of frostbite. J Surg Res 1964;4:17-22.
  • Mileski W-J, Raymond J-F, Winn R-K. et al. Inhibition of leukocyte adherence and aggregation for treatment of severe cold injury in rabbits. J Appl physiol 1993;74:1432-1436.
  • Manson p-N, Jesudass R, Marzella. et al.. Evidence for an early free radical-mediated reperfusion injury in frostbite. Free Radic Biol Med 1991:10;7-11.
  • Sumner D-.S, Simmonds R-C, la Munyon T-K, et al. peripheral blood flow in experimental frostbite. Ann Surg 1970:171:116-123.
  • Weinzweig N, Gonzales M. Free flap failure is not an all-or-none phenomenon. plas Recons Surg 1995:96:648-660.

REPLANTATION OF THE FROSTBITTEN AMPUTATED DIGITS AND EVENTFUL POSTOPERATIVE COURSE: CASE REPORT

Yıl 2007, Cilt: 15 Sayı: 3, 174 - 178, 01.12.2007

Muhitdin Eski Fatih Zor Doğan Alhan Selçuk Işık

Öz

Very little is written about replantation of frostbitten amputated parts due to exposure to very low temperature for extended periods. In this case report the amputated parts were placed directly on an ice pack and exposed the cold during transportation. This caused frostbite of the amputated parts. The replantation of frostbitten amputated digits was performed successfully but the postoperative course was eventful in which it was similar to that of frostbite injury including delayed dermal circulation and late vascular compromise. When these clinical manifestations were encountered frostbite treatment were applied to the digits and surgical debridement was reserved for late period. On long term follow- up both fingers were viable but resulting in partial tip tissue losses. In this case report author present replantation of frostbitten amputated digits, treatment approach and discuss the possible mechanism that cause eventful postoperative course.

Anahtar Kelimeler

Frostbite replantation amputation

Kaynakça

  • Goldner, R.D., Urbaniak, J.R.Replantation. In: Green Dp, Hotchkiss RN, pederson WC (Eds), Green`s operative hand surgery 4th Edn. philadelphia, Churchill livingstone, 1999:1139-1157.
  • Nibayashi H., Tamura K, Fujiwara, et al. Survival factors in digital replantation: significance of postoperative anemia. JHand Surg (Br) 2000;25:512-515.
  • patradal A, Ngarmukos C, parkpian V. Distal digital replantation and revascularizations. J.Hand Surg.(Br) 1998;23:578-582.
  • Stauch B, Greenstein B, Goldstein R, et al.problems and complication encountered in replantation surgery. Hand Clin 1986;2:389-399.
  • Betancourt F-M, Mah E-T, McCabe S-J. Timing of critical thrombosis after replantation surgery of the digits. J Recons Microsurg 1998;14:313-316.
  • Duffy F-J, Concannon M-J, Gan B-S, et al. late digital replantation failure: pathophysiology and risk factors. Ann plast Surg 1998;40:538-541.
  • Zhou G-.H, Zhang W. Replantation of severed fingers: Two unique cases. Microsurgery 1991;12:235-236.
  • Zhang W, Zhou G-H, Zhao H, et al. Five year digital replantation series from the frigid zone of China. Microsurgery 1993:14:384-387.
  • Britt D-l, Dascombe H-W, Rodriquez A. New horizons in management of hypothermia and frostbite injury. Surg Clin North Am 1991:71:345-368.
  • Murphy J-V, Banwell p-E, Roberts A-.H, et al. Frostbite: pathogenesis and treatment. J Trauma 2000;48:171-178.
  • Heggers J-p, McCauley R-l, phillips l-G, et al. Cold-induced injury: Frostbite,In: Herndon DN.(Eds) Total burn care 2nd Ed. pliladelphia W.B.Saunders,1996:408-413.
  • Zook N, Hussmann J, Brown R, et al. Microcirculatory studies of frostbite injury. Ann plast Surg 1998:40:246-253.
  • Ozyazgan İ, Tercan M., MelliM, et al. Eicosanoids and inflammatory cells in frostbitten tissue: prostacyclin, thromboxan, polymorphonuclear leukocytes and mast cells. plas Recons Surg 1998:101;1881-1886.
  • Marzella l, Jesudass R-S, Manson pN, et al. Morphologic characterization of acute injury to vascular endothelium of skin after frostbite. plast Recons Surg 1989;83:67-76.
  • Bourne M-H, piepkorn M-W, Clayton F, et al. Analysis of microvascular changes in frostbite injury. J Surg Res 1986;40:26-35.
  • Weatherly-White, R-C-A, SjostomB, paton B-C. Experimental studies in cold injury. II: The pathogenesis of frostbite. J Surg Res 1964;4:17-22.
  • Mileski W-J, Raymond J-F, Winn R-K. et al. Inhibition of leukocyte adherence and aggregation for treatment of severe cold injury in rabbits. J Appl physiol 1993;74:1432-1436.
  • Manson p-N, Jesudass R, Marzella. et al.. Evidence for an early free radical-mediated reperfusion injury in frostbite. Free Radic Biol Med 1991:10;7-11.
  • Sumner D-.S, Simmonds R-C, la Munyon T-K, et al. peripheral blood flow in experimental frostbite. Ann Surg 1970:171:116-123.
  • Weinzweig N, Gonzales M. Free flap failure is not an all-or-none phenomenon. plas Recons Surg 1995:96:648-660.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Diğer ID JA59ZS37SB
Bölüm Makaleler
Yazarlar

Muhitdin Eski Bu kişi benim

Fatih Zor Bu kişi benim

Doğan Alhan Bu kişi benim

Selçuk Işık Bu kişi benim

Yayımlanma Tarihi 1 Aralık 2007
Yayımlandığı Sayı Yıl 2007 Cilt: 15 Sayı: 3

Kaynak Göster

APA Eski, M., Zor, F., Alhan, D., Işık, S. (2007). DONMUŞ AMPUTE PARMAKLARIN REPLANTASYONU VE POSTOPERATİF YAŞANAN SIKINTILAR. Türk Plastik Rekonstrüktif Ve Estetik Cerrahi Dergisi, 15(3), 174-178.
AMA Eski M, Zor F, Alhan D, Işık S. DONMUŞ AMPUTE PARMAKLARIN REPLANTASYONU VE POSTOPERATİF YAŞANAN SIKINTILAR. turkplastsurg. Aralık 2007;15(3):174-178.
Chicago Eski, Muhitdin, Fatih Zor, Doğan Alhan, ve Selçuk Işık. “DONMUŞ AMPUTE PARMAKLARIN REPLANTASYONU VE POSTOPERATİF YAŞANAN SIKINTILAR”. Türk Plastik Rekonstrüktif Ve Estetik Cerrahi Dergisi 15, sy. 3 (Aralık 2007): 174-78.
EndNote Eski M, Zor F, Alhan D, Işık S (01 Aralık 2007) DONMUŞ AMPUTE PARMAKLARIN REPLANTASYONU VE POSTOPERATİF YAŞANAN SIKINTILAR. Türk Plastik Rekonstrüktif Ve Estetik Cerrahi Dergisi 15 3 174–178.
IEEE M. Eski, F. Zor, D. Alhan, ve S. Işık, “DONMUŞ AMPUTE PARMAKLARIN REPLANTASYONU VE POSTOPERATİF YAŞANAN SIKINTILAR”, turkplastsurg, c. 15, sy. 3, ss. 174–178, 2007.
ISNAD Eski, Muhitdin vd. “DONMUŞ AMPUTE PARMAKLARIN REPLANTASYONU VE POSTOPERATİF YAŞANAN SIKINTILAR”. Türk Plastik Rekonstrüktif Ve Estetik Cerrahi Dergisi 15/3 (Aralık 2007), 174-178.
JAMA Eski M, Zor F, Alhan D, Işık S. DONMUŞ AMPUTE PARMAKLARIN REPLANTASYONU VE POSTOPERATİF YAŞANAN SIKINTILAR. turkplastsurg. 2007;15:174–178.
MLA Eski, Muhitdin vd. “DONMUŞ AMPUTE PARMAKLARIN REPLANTASYONU VE POSTOPERATİF YAŞANAN SIKINTILAR”. Türk Plastik Rekonstrüktif Ve Estetik Cerrahi Dergisi, c. 15, sy. 3, 2007, ss. 174-8.
Vancouver Eski M, Zor F, Alhan D, Işık S. DONMUŞ AMPUTE PARMAKLARIN REPLANTASYONU VE POSTOPERATİF YAŞANAN SIKINTILAR. turkplastsurg. 2007;15(3):174-8.