PMID- 36966516
OWN - NLM
STAT- MEDLINE
DCOM- 20230328
LR  - 20240401
IS  - 1833-3516 (Print)
IS  - 2209-1491 (Electronic)
IS  - 1833-3516 (Linking)
VI  - 53
IP  - 1
DP  - 2023 Mar 31
TI  - Effects of external bleeding and hyperbaric oxygen treatment on Tamai zone 1 
      replantation.
PG  - 2-6
LID - 10.28920/dhm53.1.2-6 [doi]
AB  - INTRODUCTION: Tamai zone 1 replantation poses a challenge due to the very small 
      size of the vascular structures; often there is no vein for anastomosis. 
      Replantation may have to be done with only an arterial anastomosis. In our study, 
      we aimed to evaluate the success of replantation by combining external bleeding 
      and hyperbaric oxygen treatment (HBOT) in Tamai zone 1 replantation. METHODS: 
      Between January 2017 and October 2021, 17 finger replantation patients who 
      underwent artery-only anastomosis due to Tamai zone 1 amputation received 20 
      sessions of HBOT with external bleeding after the 24th postoperative hour. Finger 
      viability was assessed at the end of treatment. A retrospective review of 
      outcomes was performed. RESULTS: Seventeen clean-cut finger amputation patients 
      were operated on under digital block anaesthesia with a finger tourniquet. No 
      blood transfusion was required. In one patient, complete necrosis developed and 
      stump closure was performed. Partial necrosis was observed in three patients and 
      healed secondarily. Replantation in the remaining patients was successful. 
      CONCLUSIONS: Vein anastomosis is not always possible in fingertip replantation. 
      In Tamai zone 1 replantation with arteryonly anastomosis, post-operative HBOT 
      with induced external bleeding appeared to shortened the hospital stay and was 
      associated with a high proportion of successful outcomes.
CI  - Copyright: This article is the copyright of the authors who grant Diving and 
      Hyperbaric Medicine a non-exclusive licence to publish the article in electronic 
      and other forms.
FAU - Tuluy, Yavuz
AU  - Tuluy Y
AD  - Department of Plastic Reconstructive and Aesthetic Surgery, Turgutlu State 
      Hospital, Manisa, Turkey.
AD  - Corresponding author: Dr Yavuz Tuluy, Plastic, Reconstructive and Aesthetic 
      Surgery, Manisa Turgutlu State Hospital, Turgutlu, Manisa, 45000, Turkey 
      dryavuztuluy@hotmail.com.
FAU - Aksoy, Alper
AU  - Aksoy A
AD  - Konur Hospital, Department of Plastic Reconstructive and Aesthetic Surgery, 
      Bursa, Turkey.
FAU - Sir, Emin
AU  - Sir E
AD  - Izmir Kavram Vocational School, Department of Plastic Reconstructive and 
      Aesthetic Surgery, Izmir, Turkey.
LA  - eng
PT  - Journal Article
PL  - Australia
TA  - Diving Hyperb Med
JT  - Diving and hyperbaric medicine
JID - 101282742
RN  - S88TT14065 (Oxygen)
SB  - IM
MH  - Humans
MH  - *Amputation, Traumatic/surgery
MH  - *Hyperbaric Oxygenation
MH  - Oxygen
MH  - Replantation
MH  - Fingers/surgery/blood supply
MH  - Necrosis
PMC - PMC10318177
OTO - NOTNLM
OT  - Finger
OT  - Microsurgery
OT  - Reperfusion
OT  - Surgery
COIS- Conflict of interest and funding: nil
EDAT- 2023/03/27 06:00
MHDA- 2023/03/28 17:16
PMCR- 2024/03/31
CRDT- 2023/03/26 17:23
PHST- 2022/07/29 00:00 [received]
PHST- 2022/12/08 00:00 [accepted]
PHST- 2023/03/28 17:16 [medline]
PHST- 2023/03/27 06:00 [pubmed]
PHST- 2023/03/26 17:23 [entrez]
PHST- 2024/03/31 00:00 [pmc-release]
AID - 10.28920/dhm53.1.2-6 [doi]
PST - ppublish
SO  - Diving Hyperb Med. 2023 Mar 31;53(1):2-6. doi: 10.28920/dhm53.1.2-6.