Secondary ectopic transfer for replantation salvage after severe wound infection

Abstract

Delayed ectopic transfer is a useful, yet demanding technique for the salvage of complicated replants in the context of severe wound infection and vascular thrombosis or impending failure. Given the complexity of the procedure it should only be considered in selected cases.

Vacuum assisted closure therapy for treatment of complex wounds in replanted extremities

“…However, when the wound is badly contaminated, the wound infection often occurs with the conventional wound treatment . Severe wound infection would cause amputation or need of ectopic transplantation of the replanted extremity . In addition, the conventional wound care also has the disadvantage of slow growing of granulation tissue with poor quality.…”

“…8 Severe wound infection would cause amputation or need of ectopic transplantation of the replanted extremity. 9 In addition, the conventional wound care also has the disadvantage of slow growing of granulation tissue with poor quality. Delay wound healing is common and the wound with exposed bones or tendons would need coverage with flap in most of cases, 10,11 which increase the time of hospitalization and cost.…”

Evaluation of the effects of ectopic replantation on amputate survival in the management of crush traumatic amputations in rats: An experimental study

“…[ 3 ] Furthermore, even when orthotopic replantation is possible after crush and avulsion amputations, complications such as deep tissue infection, necrosis, and the potential for subsequent re-amputation are commonly observed in the early follow-up period. [ 4 , 5 ] Additionally, the overall condition of a patient, particularly in cases involving multiple traumas, may preclude a lengthy and demanding operation like replantation. [ 6 ] Under such conditions, ectopic replantation may be recommended both to preserve the amputated part, which cannot be otherwise restored, and to allow time for the patient’s general condition to stabilize.…”