Considerations for double-hand replantation in a resource-constrained healthcare facility

• Main Authors: Bibhuti Bhusan Nayak, Nilamani Mohanty, Annada Prasad Patnaik, Prasanta Kumar Bal
• Format: Article
• Language: English
• Published: Thieme Medical Publishers, Inc. 2016-01-01
• Series: Indian Journal of Plastic Surgery
• Subjects: amputation; ischaemia; replantation
• Online Access: http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.182233

Bilateral-hand amputation is extremely rare and double-hand replantation is even rarer. Only one case of successful double replantation at arm level has been reported from India. We present a case of double-hand replantation at proximal palmar level in a young adult executed in a small nursing home. The patient presented 5 h after injury with limbs preserved well in ice. There were difficulties in executing such an unusual case in a small nursing home set-up. The patient is performing his activities of daily living and basic functions independently. We share our experience of this double-hand replantation with special emphasis on problems encountered.