RESUMEN
The operative treatment of hand and upper extremity trauma with injury of main vessels becomes a daily standard work in trauma and microsurgical replantation centers. The techniques of vessel and soft tissue reconstruction are well known. The outcome of the replantation depends on various factors. Main influences are the intraoperative status of the vessel wall and the unobstructed flow in the vessel after the operation. Another factor for successful replantation is the homeostasis of the patient. It can be influenced by many drugs which are applied according to a replantation schema. Aim of this therapy is the correction of the rheologic properties of a patient. In a patient group of 25 treated with Prostaglandin E1 (Prostavasin) we observed better wound healing with a 80% rate of successful replantation and microvascular vessel reconstruction.
Asunto(s)
Alprostadil/administración & dosificación , Traumatismos del Brazo/cirugía , Traumatismos de la Mano/cirugía , Microcirugia , Reimplantación , Adolescente , Adulto , Anciano , Brazo/irrigación sanguínea , Arterias/cirugía , Niño , Preescolar , Femenino , Mano/irrigación sanguínea , Humanos , Isquemia/prevención & control , Masculino , Persona de Mediana Edad , Trombosis/prevención & control , Venas/cirugía , Cicatrización de Heridas/efectos de los fármacosRESUMEN
Report of a female patient, aged 29 at the time of a glass-fragment laceration, who complained six years after the injury of paraesthesia at the index finger. At the surgical exploration, a glass fragment was found in the tendon of the palmaris longus, which had irritated the median nerve. In the discussion of problems of injuries with broken glass, exact primary, diagnostics and open exploration is required.