Topical and systemic anticoagulation in the treatment of absent or compromised venous outflow in replanted fingertips

Seung-Kyu Han, Byung-Il Lee, Woo-Kyung Kim

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Abstract

Adequate venous repair is not always possible in fingertip replantation. We have used topical and systemic anticoagulation for fingertip replantation to overcome venous congestion in cases without venous repair or in cases in which there is obstruction of a repaired vein. Our technique consists of continuous external bleeding via a stab incision on the paraungal area and dripping heparinized saline solution at the incision site to maintain external bleeding. From July 1985 to December 1993, 157 fingers in 140 patients with complete amputation of the fingertip were replanted at Korea University Guro Hospital. Of these, 74 fingers in 68 patients were managed by topical and systemic anticoagulation due to the impossibility of repair or obstruction of a repaired vein. The overall survival rate of the fingertip replantations was 76%; that of the topical and systemic anticoagulation group was 64%. Copyright (C) 2000 by the American Society for Surgery of the Hand.

Original languageEnglish
Pages (from-to)659-667
Number of pages9
JournalJournal of Hand Surgery
Volume25
Issue number4
DOIs
Publication statusPublished - 2000 Jan 1

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Keywords

  • Fingertip replantation
  • Venous outflow

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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