Macro-amputations are extremely serious traumas and represent one of the rare extreme emergencies in hand and upper limb surgery. Their rarity, especially in our developed countries, makes their treatment relatively unknown by surgical and anesthetic teams. However, the action plan to use during a macro-reimplantation, the decisive elements of pre- and post-operative management, and the key stages of the surgery, must be perfectly known, because they determine the success of a major reimplantation, for the limb survival and the future functional result. After a brief historical overview, the literature review proposed here provides an opportunity for an update on these formidable injuries and propose a treatment algorithm to guide the medical team in the management of these complex patients.
Keyphrases
- upper limb
- minimally invasive
- end stage renal disease
- coronary artery bypass
- healthcare
- machine learning
- newly diagnosed
- ejection fraction
- chronic kidney disease
- peritoneal dialysis
- surgical site infection
- deep learning
- prognostic factors
- combination therapy
- current status
- acute coronary syndrome
- atrial fibrillation