KEMPNÝ, Tomáš, Martin KNOZ, Břetislav LIPOVÝ, Andreas PRIOL and Jakub HOLOUBEK. The use of a Gore-Tex prosthesis to stabilise venous drainage in an amputated distal forearm replantation. European Journal of Plastic Surgery. New York: Springer Berlin Heidelberg, 2019, vol. 42, No 5, p. 523-526. ISSN 0930-343X. Available from: https://dx.doi.org/10.1007/s00238-019-01542-w.
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Basic information
Original name The use of a Gore-Tex prosthesis to stabilise venous drainage in an amputated distal forearm replantation
Authors KEMPNÝ, Tomáš (203 Czech Republic), Martin KNOZ (203 Czech Republic, guarantor, belonging to the institution), Břetislav LIPOVÝ (203 Czech Republic, belonging to the institution), Andreas PRIOL (40 Austria) and Jakub HOLOUBEK (203 Czech Republic, belonging to the institution).
Edition European Journal of Plastic Surgery, New York, Springer Berlin Heidelberg, 2019, 0930-343X.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30212 Surgery
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 0.159 in 2000
RIV identification code RIV/00216224:14110/19:00109863
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1007/s00238-019-01542-w
UT WoS 000485931300016
Keywords in English Gore-Tex prosthesis; Hand amputation; Thrombosis; Vascular graft; Vein graft
Tags 14110128, 14110229, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 8/3/2021 08:07.
Abstract
Venous drainage disorders are one of the common complications after peripheral limb replantation. We report a middle-aged male patient who underwent a macro-amputation of the distal forearm at the wrist as part of an occupational accident. After successful replantation, a postoperative venous drainage disorder develops, which despite multiple revisions and the installation of a wide venous grafts could not be permanently repaired and endangered the preservation of the hand. The use of a Gore-Tex prosthesis allows a sufficient venous drainage and was the last option to preserve the limb. As far as we know, the available sources give no information about the use of Gore-Tex prostheses in venous drainage restoration in a case of hand replantation. The resulting limb drainage was sufficient, exhibiting both stability and minimal complications in healing. Despite significant advances in surgical technique, replanting the amputated hand in the forearm remains a challenge for the reconstructive surgeons' community.
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