J Korean Surgery Hand Soc Search

CLOSE


Journal of the Korean Society for Surgery of the Hand 2007;16(1):30-38.
Published online May 31, 2007.
The Fate of Neglected Vascular Injury of the Hand in Acute Hand Injuries
Tae-Bum Kim, M.D.*, Yong-Jig Lee, M.D., Young-Keun Lee, M.D., Sang-Hyun Woo, M.D., Ph.D.
1Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital, Ulsan, Korea.
2Woo's Institute of Hand Surgery and Reconstructive Microsurgery, Gangnam Hospital, Daegu, Korea. handwoo@hotmail.com
급성 수부 손상에서 간과된 혈관성 손상을 가진 수부의 운명
, , ,
1
2
Abstract
  In acute hand injury, there are sometimes hattened neglected or overlooked vascular injury by primary operators. The authors evaluated the final results and prognosis after secondary revascularization. In eight cases, the authors performed secondary revascularization after prolonged warm ischemia. Five fingers in five cases among them were successfully survived and three cases finally necrosed. The mean warm ischemic time was 56.1 hours. In revascularization procedures, end-toend artery anastomosis was possible in six cases. In two cases, vein graft was needed to anastomose digital artery, which resulted in complete survival of the fingers. In all three cases, revision amputation of the fingers was done. In acute complex hand injury, the importance of evaluation of the vascular injury can not be overemphasized. The necessity of the early secondary revascularization as well as serious consequence caused by misdiagnosis of vascular injury should be aware.
Key Words: Neglected vascular injury, Acute hand injury, Delayed revascularization
 
TOOLS
  • PDF Links PDF Links
  • Full text via DOI   Full text via DOI
  • Download Citation Download Citation
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 919 View
  • 8 Download
Related articles in Arch Hand Microsurg

The Role of Perivascular Soft tissue of the Grafted Veins2006 ;11(3)

Treatment of Flexor Tendon Injuries of the Hand1996 November;1(1)

Immediate Toe-to-Hand Transfer in Acute Hand Injuries2002 May;11(1)



About
Article and topics
Article category

Browse all articles >

Topics

Browse all articles >

Browse articles
Editorial policies
For contributors
Editorial Office
Department of Orthopedic Surgery, Yonsei University Medical School
(Research Center of Future Medicine of Gangnam Severance Hospital)
20, Eonju-ro 63-gil, Gangnam-gu, Seoul, 06229, Korea
Tel: +82-02-2019-3410    Fax: +82-02-2019-4926    E-mail: journal@handmicro.org                

Copyright © 2025 by Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve.

Developed in M2PI

Close layer
prev next