Replant Procedure Essay

Debridement will decidedly conduct to shortening, which is allowed as long as function is preserved as the objective, particularly in upper limb. Aesthetic outcome is important when the scalp, face are involved. Patients understanding of the outcome varies a lot, decision to replant has to be not only according to the surviving chances but functional outcome as well.
• Total failure can be as a result of poor decision and less technical skills of the surgeon or seldom due to secondary problems linked to blood coagulability
• Anatomical restitution, muscle atrophy resulting of ischemia leads to poor function, bad nerve coaptation or infection leading to joint dysfunction, leading to scarring
• Anatomical restitution, without function or sensation-this happens to be the pessimal problem a patient will have to live with.
To lower the risk of encountering and avoid the above by
• An

The perfect preservation for transportation are:
• The amputated part is wrapped with wet gauze or cloth soaked in saline and settled in a container containing ice. Under no circumstance should water or ice be in direct contact with the part. Unfortunately, many possible replants cannot be done as parts are brought in cold water or ice
• Finding the devitalized or crushed tissue, in most of time due to urgency to replant, the surgeon may not be fully aware of the vascularity of all the tissues. Only viable tissue be maintained, failing to do so can guarantee infection and posterior failure of the whole replanted part
• The initial procedure should always be identification and appropriate coaptation of the nerve. All possible attempts are made to repair the nerves because a replanted limb without function will be a reason of frustration to a patient in daily living activities.
PATHOPHYSIOLOGY OF SEVERE TISSUE