Erfolgreiche mikrochirurgische Replantation einer vollständig amputierten, in Eis gefrorenen Fingerpulpa: Fallbericht und Literaturübersicht

Zusammenfassung

Die mikrochirurgische Replantation von falsch asservierten und für den Transport nicht korrekt gelagerten Amputaten wird gemeinhin als unmöglich und ohne Aussicht auf Erfolg beurteilt. Dies gilt insbesondere für Amputate, welche einen Kälteschaden durch längeres Gefrieren des Gewebes aufweisen. Wir stellen einen Fall vor, bei dem es gelang, eine amputierte Fingerpulpa, die in Eis vollständig gefroren war, erfolgreich zu replantieren. Wir geben eine Übersicht über die Literatur zum Thema der falschen Asservierung von Amputaten und deren negativen Effekten auf Erfolgsaussichten zur Replantation.

Abstract

The microsurgical replantation of incorrectly stored and transported amputates is generally considered impossible and without prospects of success. In particular, this applies to amputates that show cold damage due to the freezing of tissue. We present a case of successful replantation of an amputated finger pulp frozen in ice. We provide an overview of the literature on the subject of incorrect storage of amputates and the prospects of success for replantation.

Schlüsselwörter

Kälteschaden - Amputatlagerung - Replantation 

Key words

cold damage - amputate storage - replantation

Publication History

Received: 13 September 2022

Accepted: 25 November 2022

Article published online:
25 January 2023

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