A CASE REPORT: METHODS TO ALLEVIATE REPERFUSION SYNDROME IN AMPUTATED ARM REPLANTATION

Huu Trung Vu1, Anh Tu Le1, , Minh Quang Bach2, Hoang Dat Tran1, Quang Dao Le1
1 General Trauma and Micro-Surgery Department, Military Hospital 103, Vietnam Military Medical University
2 Vietnam-Cuba Friendship Hospital

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Abstract

Limb replantation has been performed for decades and is being clinically applied more prevalently. Reperfusion syndrome crucially affects the outcome of the replantation and sometimes poses a life-threatening risk to patients, especially in cases with major surgeries like arm amputations. The following report presents methods to mitigate the syndrome in amputated arm replantation.

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References

1. Moura FS, Ellis S, Khincha PP. The impact of ischaemia on limb replantation. Medical Research Archives. Aug 2020.
2. He J, Khan UZ, Qing L, et al. Improving the ischemia-reperfusion injury in vascularized composite allotransplantation: Clinical experience and experimental implications. Front Immunol. Sep 2022.
3. McCutcheon C, Hennessy B, Systemic reperfusion injury during arm replantation requiring intraoperative amputation. Anaesth Intensive Care. Feb 2002.
4. Wang WZ. Investigation of reperfusion injury and ischemic preconditioning in microsurgery. Microsurgery. 2009.
5. Amin KR, Wong JKF, Fildes JE. Strategies to reduce ischemia reperfusion injury in vascularized composite allotransplantation of the limb. J Hand Surg Am. Dec 2017.
6. Wang WZ, Baynosa RC, Zamboni WA. Therapeutic interventions against reperfusion injury in skeletal muscle. J Surg Res. 2011.