Thumb replacement: Great toe transplantation by microvascular anastomosis

Buncke, Harry J.; McLean, Donald H.; Geroge, Phil. T.; Creech, Breevator J.; Chater, Norman L.; Commons, George W.

doi:10.1016/0007-1226(73)90002-7

Cited by 123 publications

(16 citation statements)

References 7 publications

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“…[15][16][17] More recently, the indications for toe-to-hand transfers in children are evolving, 18 -27 and toe transfers may become more preferable to other alternative techniques such as index finger pollicization, nonvascularized toe phalangeal bone grafting, and distraction lengthening. 22 Timing of toe-to-hand transfers in children with congenital hand deformities is an important consideration.…”

Section: Discussionmentioning

confidence: 99%

Radical Resection of a Massive Venous Malformation of the Thumb and Immediate Reconstruction With a Microsurgical Toe Transfer

Carlsen

2007

The Journal of Hand Surgery

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Section: Discussionmentioning

confidence: 99%

Radical Resection of a Massive Venous Malformation of the Thumb and Immediate Reconstruction With a Microsurgical Toe Transfer

Carlsen

2007

The Journal of Hand Surgery

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“…The recognition of this problem prompted the development of animal models for the study of antithrombotic agents; for the most part, lower mammals have been used as test subjects. The chief criteria for animal selection in drug screening studies were efficiency, economy, and clinical correlation (Tables [1][2][3][4][5]. We elected to experiment with rabbits because they are relatively inexpensive and their The pathogenesis of thrombus formation has been well described.…”

Section: Discussionmentioning

confidence: 99%

Antiplatelet Agents in Microvascular Surgery

Laha

Dujovny

1980

Vascular Surgery

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Despite advances in instruments, suture materials, and techniques, thrombosis at the anastomotic site is still a problem in microvascular anastomosis. Various pharmacologic agents have been used to inhibit or suppress the process of thrombosis, and the results have been variable.In the present study, a scanning electron microscopic was used to evaluate the roles of aspirin, dipyridamole, and prostaglandin D2 (PGD2) to assess their effects in microvascular anastomosis. Materials and MethodsThirty-five New Zealand rabbits weighing between 2 and 4 kg were selected and divided into a control group and three experimental groups. The animals were anesthetized with intramuscular ketamine hydrochloride (30 mg/kg) and intravenous pentobarbital (20 mg/kg). Supplemental doses were added to maintain a good level of surgical anesthesia.The groins of the animals were shaved and painted with povidone iodine and draped sterile. A 4-cm-long incision was made in the femoral region to expose the femoral vessels. Proximal and distal microclips were applied and a longitudinal arteriotomy was then made in the femoral artery. The arteriotomy incision was closed using 10 &dquo;0&dquo; BV-6 monofilament nylon (Ethicon, Inc., Sommerville, NJ). A Zeiss operating microscope and standard microinstruments were used.Following closure of the arteriotomy, blood was permitted to flow for 15 minutes. The microclips were then applied 5 mm below and above the arteriotomy site, and the segment of the artery between the clips was excised under the microscope (25x), opened longitudinally, and gently washed with normal saline solution. The flattened artery was fixed with a buffered 2% glutaraldehyde (pH 7.2) solution for 5 minutes, then stored in the same solution for 24 hours. The specimen was dehydrated by serial passage through 30%, 50%, 75%, and 95% ethanol.

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“…John Cobbett performed the first successful transplantation of the big toe to the hand to reconstruct the thumb in 1968, and Harry J. Buncke* (1922Buncke* ( -2008, the father of microsurgery in the USA, did it in 1972 [32]. They were followed by many others.…”

Section: Modern Eramentioning

confidence: 95%

Development of plastic surgery

Pećanac

2015

Med pregl

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Plastic surgery is a medical specialty dealing with corrections of defects, improvements in appearance and restoration of lost function. Ancient times. The first recorded account of reconstructive plastic surgery was found in ancient Indian Sanskrit texts, which described reconstructive surgeries of the nose and ears. In ancient Greece and Rome, many medicine men performed simple plastic cosmetic surgeries to repair damaged parts of the body caused by war mutilation, punishment or humiliation. In the Middle Ages, the development of all medical braches, including plastic surgery was hindered. New age. The interest in surgical reconstruction of mutilated body parts was renewed in the XVIII century by a great number of enthusiastic and charismatic surgeons, who mastered surgical disciplines and became true artists that created new forms. Modern era. In the XX century, plastic surgery developed as a modern branch in medicine including many types of reconstructive surgery, hand, head and neck surgery, microsurgery and replantation, treatment of burns and their sequelae, and esthetic surgery. Contemporary and future plastic surgery will continue to evolve and improve with regenerative medicine and tissue engineering resulting in a lot of benefits to be gained by patients in reconstruction after body trauma, oncology amputation, and for congenital disfigurement and dysfunction.

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Thumb replacement: Great toe transplantation by microvascular anastomosis

Cited by 123 publications

References 7 publications

Radical Resection of a Massive Venous Malformation of the Thumb and Immediate Reconstruction With a Microsurgical Toe Transfer

Radical Resection of a Massive Venous Malformation of the Thumb and Immediate Reconstruction With a Microsurgical Toe Transfer

Antiplatelet Agents in Microvascular Surgery

Development of plastic surgery

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