Abstract
For 10 patients involving 11 finger amputations, replantations were performed under the digital block anesthesia in 1998. The patient underwent replantation in a supine position. The local anesthesial (lidocaine 2% without epinephrine) was given around the MP joint as little as possible. For most of the patients, one digital artery and two veins were repaired under the digital tourniquet made of the surgical glove. Two digits were replanted in one patient. The average operative time was 5.1 hours. Two patients underwent re-operation for vascular problems. One thumb tip replantation failed and immediately the first dorsal metacarpal flap was used for the wound coverage under the general anesthesia. These two salvage fingers were performed under the axillary block or general anesthesia during the reoperation surgery. Nine, patients under the local anesthesia completed the courses of the operation, with the conversion rate of 10%. Ten digits (91%) survived. No complication was related with the digital block anesthesia. The digital block anesthesia for digital replantation is an easy, safe, economic and effective way and may be used preliminarily for replantation in a cooperative patient with a single digital amputation.
Published Version
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