Replantation of an Amputated Hand at Wrist Level Due to Self-Mutilation: Considerations in Management
Major self-mutilations include injury to limbs, eyes, or genitals due to various psychiatric illnesses. Limb amputations are grievous injuries that radically decrease the quality of life. Controversy exists as to the advisability of replantation of the self-amputated limb. We report a case of self-a...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2023-06-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1768916 |
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| author | Ashwini Vardharajan Monusha Mohan Dakshana Pushpanathan Hari Venkatramani S. Raja Sabapathy |
| author_facet | Ashwini Vardharajan Monusha Mohan Dakshana Pushpanathan Hari Venkatramani S. Raja Sabapathy |
| author_sort | Ashwini Vardharajan |
| collection | DOAJ |
| description | Major self-mutilations include injury to limbs, eyes, or genitals due to various psychiatric illnesses. Limb amputations are grievous injuries that radically decrease the quality of life. Controversy exists as to the advisability of replantation of the self-amputated limb. We report a case of self-amputation of the hand in a 54-year-old gentleman in a fit of psychosis. He underwent replantation of the hand and was given timely psychiatric help. Interdisciplinary management helped in improving the mood of the patient and he cooperated well with the rehabilitation schedule. Recent literature encourages surgeons to replant the limb and treat the mental illness with close observation for warning signs. We conclude that replantation along with early initiation of psychiatry treatment can help the patient overcome psychosis, realize the implications of his actions, and provide the motivation to perform physiotherapy to achieve the optimum outcome possible in the replanted hand. |
| format | Article |
| id | doaj-art-2b83e2b9f8bd47fba8cdaff1bbd7a876 |
| institution | DOAJ |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2023-06-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-2b83e2b9f8bd47fba8cdaff1bbd7a8762025-08-20T03:17:52ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2023-06-01560327327510.1055/s-0043-1768916Replantation of an Amputated Hand at Wrist Level Due to Self-Mutilation: Considerations in ManagementAshwini Vardharajan0Monusha Mohan1Dakshana Pushpanathan2Hari Venkatramani3S. Raja Sabapathy4Department of Plastic, Hand, and Microsurgery, Ganga Hospital, 313, Mettupalayam Road, Coimbatore, Tamil Nadu, IndiaDepartment of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Psychiatry, KMCH Institute of health Sciences and Research, Coimbatore, Tamil Nadu, IndiaDepartment of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Plastic, Hand and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaMajor self-mutilations include injury to limbs, eyes, or genitals due to various psychiatric illnesses. Limb amputations are grievous injuries that radically decrease the quality of life. Controversy exists as to the advisability of replantation of the self-amputated limb. We report a case of self-amputation of the hand in a 54-year-old gentleman in a fit of psychosis. He underwent replantation of the hand and was given timely psychiatric help. Interdisciplinary management helped in improving the mood of the patient and he cooperated well with the rehabilitation schedule. Recent literature encourages surgeons to replant the limb and treat the mental illness with close observation for warning signs. We conclude that replantation along with early initiation of psychiatry treatment can help the patient overcome psychosis, realize the implications of his actions, and provide the motivation to perform physiotherapy to achieve the optimum outcome possible in the replanted hand.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1768916major self-mutilationreplantationpsychiatry |
| spellingShingle | Ashwini Vardharajan Monusha Mohan Dakshana Pushpanathan Hari Venkatramani S. Raja Sabapathy Replantation of an Amputated Hand at Wrist Level Due to Self-Mutilation: Considerations in Management Indian Journal of Plastic Surgery major self-mutilation replantation psychiatry |
| title | Replantation of an Amputated Hand at Wrist Level Due to Self-Mutilation: Considerations in Management |
| title_full | Replantation of an Amputated Hand at Wrist Level Due to Self-Mutilation: Considerations in Management |
| title_fullStr | Replantation of an Amputated Hand at Wrist Level Due to Self-Mutilation: Considerations in Management |
| title_full_unstemmed | Replantation of an Amputated Hand at Wrist Level Due to Self-Mutilation: Considerations in Management |
| title_short | Replantation of an Amputated Hand at Wrist Level Due to Self-Mutilation: Considerations in Management |
| title_sort | replantation of an amputated hand at wrist level due to self mutilation considerations in management |
| topic | major self-mutilation replantation psychiatry |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1768916 |
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