Replantation of Fingers And Hands
Replantation is the surgical reattachment of a body part by microsurgical means, such as a finger, hand or arm, that has been completely cut & separated from a person's body. Replantation of amputated parts is performed on fingers, hands, forearms, arms, toes, feet, legs, ears, avulsed scalp injuries, a face, lips, penis and a tongue. Dr.Ramakant Bembde has done the first successful Replantation of hand during postgraduate training only at Topiwala National Medical College & Nair Hospital in 1997. Till date he has done more than 50 Replantations of various parts like thumb, fingers, hand, elbow, wrist, scalp ,etc. Replantation requires microsurgery and must be performed within specific hours after amputation,at a center with specialized equipments, Microvasular Plastic surgeon and supporting staff.
Preservation & Transport of Amutated Parts:
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To improve the chances of a successful replantation, it is very important to preserve the amputated part as soon as possible in a cool(close to freezing, but not at or below freezing) and sterile or clean environment. Parts should be wrapped with moistened gauze and placed inside a clean or sterile plastic bag floating in ice water. Dry ice should not be used as it can result in freezing of the tissue.
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Parts without muscles such as fingers can be preserved for many hours, while major muscled containing parts such as arms need to be re attached and revascularized within 6 hours to survive.
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