Limb preservation in replantation surgery.

  title={Limb preservation in replantation surgery.},
  author={Andrea R Smith and B van Alphen and N Simon Faithfull and Meindert Fennema},
  journal={Plastic and reconstructive surgery},
  volume={75 2},
Five patients are presented in whom a traumatically amputated extremity or digit was perfused with oxygenated Fluosol DA-20%. Perfusion lasted between 16 and 46 hours. Microcirculatory oxygenation was monitored using pO2 measurements. Moreover, K¿lactate, glucose, and ATP levels were measured and electron microscopic sections of the vessels were investigated at the end of the experiment. All above-mentioned parameters suggest that the tissue was sufficiently provided with oxygen and viable… CONTINUE READING