Vascularised composite allotransplants: Transplant of upper extremities and face

Transplantation of solid organs and bone marrow has become a highly acceptable and often the only available clinical solution in many situations. It has been practiced across the globe for quite a long time since the first kidney transplant in 1954. Transplantation of tissues other than these, which...

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Main Author: Subramania Iyer
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2015-05-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.163037
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author Subramania Iyer
author_facet Subramania Iyer
author_sort Subramania Iyer
collection DOAJ
description Transplantation of solid organs and bone marrow has become a highly acceptable and often the only available clinical solution in many situations. It has been practiced across the globe for quite a long time since the first kidney transplant in 1954. Transplantation of tissues other than these, which was termed composite tissue allotransplantation and currently as vascularised composite allotransplantation (VCA) is gaining acceptance as a solution for complex reconstructive problems. This involves the transfer of multiple types of tissue such as bone, muscle, nerve, skin and blood vessels. The advantage of these over the conventional reconstructive methods is its ability to give aesthetically and functionally superior equal composite substitute to the missing or deformed part. The composite tissues transplanted commonly include the upper extremities, face and abdominal wall. Among these, hand transplants were the first to be done and have been carried out more than any other VCA. This article reviews the current scenario of VCA especially of the hand and face, in the light of experience of the two bilateral hand transplants done recently in India.
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spelling doaj-art-be56091a3f3a483c80252a56303eef392025-08-20T02:18:36ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2015-05-01480211111810.4103/0970-0358.163037Vascularised composite allotransplants: Transplant of upper extremities and faceSubramania Iyer0Department of Plastic and Reconstructive Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaTransplantation of solid organs and bone marrow has become a highly acceptable and often the only available clinical solution in many situations. It has been practiced across the globe for quite a long time since the first kidney transplant in 1954. Transplantation of tissues other than these, which was termed composite tissue allotransplantation and currently as vascularised composite allotransplantation (VCA) is gaining acceptance as a solution for complex reconstructive problems. This involves the transfer of multiple types of tissue such as bone, muscle, nerve, skin and blood vessels. The advantage of these over the conventional reconstructive methods is its ability to give aesthetically and functionally superior equal composite substitute to the missing or deformed part. The composite tissues transplanted commonly include the upper extremities, face and abdominal wall. Among these, hand transplants were the first to be done and have been carried out more than any other VCA. This article reviews the current scenario of VCA especially of the hand and face, in the light of experience of the two bilateral hand transplants done recently in India.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.163037face transplanthand transplantvascularised composite allotransplantation
spellingShingle Subramania Iyer
Vascularised composite allotransplants: Transplant of upper extremities and face
Indian Journal of Plastic Surgery
face transplant
hand transplant
vascularised composite allotransplantation
title Vascularised composite allotransplants: Transplant of upper extremities and face
title_full Vascularised composite allotransplants: Transplant of upper extremities and face
title_fullStr Vascularised composite allotransplants: Transplant of upper extremities and face
title_full_unstemmed Vascularised composite allotransplants: Transplant of upper extremities and face
title_short Vascularised composite allotransplants: Transplant of upper extremities and face
title_sort vascularised composite allotransplants transplant of upper extremities and face
topic face transplant
hand transplant
vascularised composite allotransplantation
url http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.163037
work_keys_str_mv AT subramaniaiyer vascularisedcompositeallotransplantstransplantofupperextremitiesandface