Introduction: Replantation describes the re-attachment
of a completely amputated part by restoration of arterial inflow
and venous outflow. On the other hand Revascularization
describes restoration of arterial inflow or venous outflow or
both, to an incompletely amputated part, no matter how small
the point of attachment.
The Aim of this Study is to: Reemphasize the Indications
of replantation, propose doubtful cases for replantation, expand
the indication of replantation, and explore the role of super
microsurgery in replantation.
Patients and Methods: This retrospective study involving
437 hand units that have been transplanted after severed from
the body from year 1990 to 2013.
The cases were assorted according to, gender, age, type
of trauma, ischemia time, and site of injury.
In 23 year period 437 hand units were replanted, surgical
follow-up varied from 6 months to maximum of 4 years, with
average of 2 years. 86% success rate (375 hand units), hand
unit replantation regaining both vascularity and function.
Conclusion: Replantation is a very meticulous as well as
demanding surgical procedure that requires a highly skilled
team. If Replantation done successfully patient will achieve
both functional and cosmetic results and better chance in life.