First two bilateral hand transplantations in India (Part 2): Technical details
Introduction: This article deals with two patients who underwent bilateral hand transplantation following amputation of both upper limbs at the distal third of the foream. Materials and Methods: The first patient had a history of loss of hands in a train accident, with possiblity of a run over eleme...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2017-05-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_94_17 |
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| author | Mohit Sharma Subramania Iyer Kishore P. Jimmy Mathew Raghuveer Reddy Janarthanan Ramu Sundeep Vijayaraghavan Abhijeet Wakure Chetan Mali S M. Visakh Varma Ashish Chaudhari Swapnil Dhake Akshay Omkumar Jerry Paul Sunil Rajan Ayyappan Nair Druvan Shaji |
| author_facet | Mohit Sharma Subramania Iyer Kishore P. Jimmy Mathew Raghuveer Reddy Janarthanan Ramu Sundeep Vijayaraghavan Abhijeet Wakure Chetan Mali S M. Visakh Varma Ashish Chaudhari Swapnil Dhake Akshay Omkumar Jerry Paul Sunil Rajan Ayyappan Nair Druvan Shaji |
| author_sort | Mohit Sharma |
| collection | DOAJ |
| description | Introduction: This article deals with two patients who underwent bilateral hand transplantation following amputation of both upper limbs at the distal third of the foream. Materials and Methods: The first patient had a history of loss of hands in a train accident, with possiblity of a run over element during the injury. The second patient lost his both hands in a mine blast. The preoperative work up included detailed clinical and psychological evaluation. The donor retrieval was similar in both the cases and the donors were housed in our own instittution. The donor preparation, recipient preparation and the transplant procedure was similar except for the need of primary tendon transfers in the left hand of the first patient. Results: The first patient needed a free flap transfer to cover compromised skin flap on the left hand on the second day. The second hand transplant was uneventful. Both the recipients are now back to their normal daily routines. Conclusions: Hand transplantation is a potentially life altering procedure, but to optimise the results, it is imperative that there is a meticulous planning and diligent execution with utmost importance to the detail coupled with a synchronised team effort. |
| format | Article |
| id | doaj-art-6a178c0f5e76451daf02acc3c3ec9ade |
| institution | OA Journals |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2017-05-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-6a178c0f5e76451daf02acc3c3ec9ade2025-08-20T01:57:28ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2017-05-01500215316010.4103/ijps.IJPS_94_17First two bilateral hand transplantations in India (Part 2): Technical detailsMohit Sharma0Subramania Iyer1Kishore P.2Jimmy Mathew3Raghuveer Reddy4Janarthanan Ramu5Sundeep Vijayaraghavan6Abhijeet Wakure7Chetan Mali S M.8Visakh Varma9Ashish Chaudhari10Swapnil Dhake11Akshay Omkumar12Jerry Paul13Sunil Rajan14Ayyappan Nair15Druvan Shaji16Department of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaDepartment of Anaesthesiology, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaDepartment of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaDepartment of Critical Care, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaDepartment of Critical Care, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaDepartment of Orthopaedics, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaDepartment of Orthopaedics, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaIntroduction: This article deals with two patients who underwent bilateral hand transplantation following amputation of both upper limbs at the distal third of the foream. Materials and Methods: The first patient had a history of loss of hands in a train accident, with possiblity of a run over element during the injury. The second patient lost his both hands in a mine blast. The preoperative work up included detailed clinical and psychological evaluation. The donor retrieval was similar in both the cases and the donors were housed in our own instittution. The donor preparation, recipient preparation and the transplant procedure was similar except for the need of primary tendon transfers in the left hand of the first patient. Results: The first patient needed a free flap transfer to cover compromised skin flap on the left hand on the second day. The second hand transplant was uneventful. Both the recipients are now back to their normal daily routines. Conclusions: Hand transplantation is a potentially life altering procedure, but to optimise the results, it is imperative that there is a meticulous planning and diligent execution with utmost importance to the detail coupled with a synchronised team effort.http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_94_17composite tissue allotransplantationhand transplantationtechnical detailsvascular composite tissue allotransplantation |
| spellingShingle | Mohit Sharma Subramania Iyer Kishore P. Jimmy Mathew Raghuveer Reddy Janarthanan Ramu Sundeep Vijayaraghavan Abhijeet Wakure Chetan Mali S M. Visakh Varma Ashish Chaudhari Swapnil Dhake Akshay Omkumar Jerry Paul Sunil Rajan Ayyappan Nair Druvan Shaji First two bilateral hand transplantations in India (Part 2): Technical details Indian Journal of Plastic Surgery composite tissue allotransplantation hand transplantation technical details vascular composite tissue allotransplantation |
| title | First two bilateral hand transplantations in India (Part 2): Technical details |
| title_full | First two bilateral hand transplantations in India (Part 2): Technical details |
| title_fullStr | First two bilateral hand transplantations in India (Part 2): Technical details |
| title_full_unstemmed | First two bilateral hand transplantations in India (Part 2): Technical details |
| title_short | First two bilateral hand transplantations in India (Part 2): Technical details |
| title_sort | first two bilateral hand transplantations in india part 2 technical details |
| topic | composite tissue allotransplantation hand transplantation technical details vascular composite tissue allotransplantation |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_94_17 |
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