Scharnagl E
Handchir Mikrochir Plast Chir. 1986 Sep;18(5):275-88.
Replantation of extremities is presented and defined. A historical survey is offered. In addition to first aid, transport, preliminary procedures, and surgical treatment, special attention is given to conservation measures with consideration of experimental and pathophysiological principles. Experimental work performed by the author on rabbits is presented. The controversial value of perfusion is viewed in the light of clinical and experimental information; it is seen as the only conceivable means of long-term conservation. The risk of postischemic syndrome is discussed in relation to conservation. Hyperbaric oxygenation, which has as yet only been applied by a few authors in replantation of extremities, is also discussed. Results obtained are documented with the author's own clinical material.
本文介绍并定义了肢体再植。提供了一份历史综述。除了急救、运输、初步程序和手术治疗外,还特别关注基于实验和病理生理原则的保存措施。展示了作者在兔子身上进行的实验工作。根据临床和实验信息审视灌注存在争议的价值;它被视为唯一可想象的长期保存手段。讨论了缺血后综合征与保存相关的风险。还讨论了高压氧疗法,目前只有少数作者将其应用于肢体再植。所获得的结果用作者自己的临床资料记录。